Authors: Michelle Nadler Shabbir Alibhai Pamela Catton Charles Catton Jennifer Jones
Publish Date: 2014/04/03
Volume: 22, Issue: 9, Pages: 2409-2415
Abstract
Men receiving androgen deprivation therapy for prostate cancer have low knowledge of osteoporosis OP and engage in few healthy bone behaviors HBBs A multicomponent intervention was piloted in this population Changes in OP knowledge selfefficacy health beliefs and engagement in HBBs were evaluatedA prepost pilot study was performed in a convenience sample of men recruited from the Princess Margaret Cancer Centre Men were sent personalized letters explaining their dual xray absorptiometry DXA results and fracture risk assessment with an OPrelated education booklet Participants completed questionnaires assessing OP knowledge selfefficacy health beliefs and current engagement in HBBs at baseline T1 and 3 months postintervention T2 Paired t tests and McNemar’s test were used to assess changes in outcomesA total of 148 men completed the study There was an increase in OP knowledge 97 ± 43 to 114 ± 33 p 00001 and feelings of susceptibility 165 ± 43 to 174 ± 47 p = 0015 but a decrease in total selfefficacy 863 ± 229 to 810 ± 276 p = 0007 from baseline to postintervention Men made appropriate changes in their overall daily calcium intake p ≤ 0001 and there was uptake of vitamin D supplementation from 44 n = 65 to 68 n = 99 p 00001 Men with bone loss osteopenia or OP had a greater change in susceptibility 19 ± 43 vs −022 ± 42 p = 0005 compared to men with normal bone density
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