Department of General Internal Medicine, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Blvd., Unit 1465, Houston, TX, 77030, USA.
The University of Texas MD Anderson Cancer Center, T. Boone Pickens Academic Tower, (FCT13.5034), 1515 Holcombe Blvd., Unit 1465, Houston, TX, 77030, USA.
J Cancer Surviv. 2016 Jun;10(3):480-8. doi: 10.1007/s11764-015-0491-6. Epub 2015 Oct 23.
Bone health education and implementation of preventive measures are key to effective management of osteoporosis. We assessed areas of knowledge deficits with respect to bone health in breast and prostate cancer survivors and the preferred source of health information
We used a mixed methods approach. We conducted 20 semi-structured interviews in breast or prostate cancer survivors receiving hormonal therapy. Responses were independently coded by 2 researchers and explored under 3 content areas: osteoporosis knowledge, behaviors for self-management, and preferred learning tools. Another 20 participants responded to a structured questionnaire that comprised modified versions of the Osteoporosis Knowledge Questionnaire (OPQ) and Osteoporosis Knowledge Assessment Tool (OKAT). The OPQ and OKAT were analyzed as summary scores, and areas of knowledge deficits (i.e., where ≥60 % of participants failed to give the right response) were identified.
Median age of participants was 67 (range 48-92) and 78 % were White. Awareness of osteoporosis was high, but detailed knowledge was low. Bone healthy behaviors perceived by participants as most important include good nutrition, exercising, calcium and vitamin D supplementation and avoidance of falls. The Internet was the most preferred source of information. Areas of knowledge deficit revealed by the OPQ and OKAT included general information, risk factors, prevention, and treatment of osteoporosis.
There is a desire for information on osteoporosis, specifically tailored for cancer survivors. Good nutrition, supplement intake, exercise, and avoidance of falls were perceived as key behaviors for self-management. The Internet was an important source of information for breast and prostate cancer patients. Implication for Cancer Survivors An educational website addressing the bone health information needs of cancer survivors could effectively improve behaviors for self-management.
骨骼健康教育和预防措施的实施是有效管理骨质疏松症的关键。我们评估了乳腺癌和前列腺癌幸存者在骨骼健康方面的知识缺陷领域，以及他们首选的健康信息来源。
我们采用混合方法。我们对正在接受激素治疗的乳腺癌或前列腺癌幸存者进行了 20 次半结构化访谈。研究人员对这些回答进行了独立编码，并在 3 个内容领域下进行了探索：骨质疏松症知识、自我管理行为以及首选的学习工具。另外 20 名参与者回答了一份结构式问卷，其中包含改良版的骨质疏松症知识问卷（OPQ）和骨质疏松症知识评估工具（OKAT）。OPQ 和 OKAT 被分析为综合分数，确定了知识缺陷领域（即≥60%的参与者未能给出正确答案的领域）。
参与者的中位年龄为 67 岁（范围 48-92 岁），78%为白人。对骨质疏松症的认识度较高，但详细知识较低。参与者认为最重要的骨骼健康行为包括良好的营养、锻炼、钙和维生素 D 补充以及避免跌倒。互联网是最受欢迎的信息来源。OPQ 和 OKAT 揭示的知识缺陷领域包括骨质疏松症的一般信息、危险因素、预防和治疗。
患者对骨质疏松症的信息有需求，特别是为癌症幸存者量身定制的信息。良好的营养、补充剂摄入、锻炼和避免跌倒被认为是自我管理的关键行为。互联网是乳腺癌和前列腺癌患者的重要信息来源。
一个针对癌症幸存者骨骼健康信息需求的教育网站，可以有效地改善自我管理行为。
