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了解骨质疏松症信息偏好以制定骨质疏松症患者教育手册。

Understanding Preferences for Osteoporosis Information to Develop an Osteoporosis Patient Education Brochure.

作者信息

Edmonds Stephanie W, Solimeo Samantha L, Nguyen Vu-Thuy, Wright Nicole C, Roblin Douglas W, Saag Kenneth G, Cram Peter

机构信息

Project Coordinator and a Doctoral Candidate at the College of Nursing, University of Iowa in Iowa City and a Veterans Affairs Quality Scholar at the Iowa City Veterans Affairs Health Care System.

Assistant Professor at the Carver College of Medicine University of Iowa and an Investigator at the Iowa City Veterans Affairs Health Care System.

出版信息

Perm J. 2017;21:16-024. doi: 10.7812/TPP/16-024. Epub 2016 Nov 18.

DOI:10.7812/TPP/16-024
PMID:28080957
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5224797/
Abstract

CONTEXT

Patient education materials can provide important information related to osteoporosis prevention and treatment. However, available osteoporosis education materials fail to follow best-practice guidelines for patient education.

OBJECTIVE

To develop an educational brochure on bone health for adults aged 50 years and older using mixed-method, semistructured interviews.

DESIGN

This project consisted of 3 phases. In Phase 1, we developed written content that included information about osteoporosis. Additionally, we designed 2 graphic-rich brochures, Brochure A (photographs) and Brochure B (illustrations). In Phase 2, interviewers presented the text-only document and both brochure designs to 53 participants from an academic Medical Center in the Midwest and an outpatient clinic in the Southeastern region of the US. Interviewers used open- and closed-ended questions to elicit opinions regarding the brochures. In Phase 3, using feedback from Phase 2, we revised the brochure and presented it to 11 participants at a third site in the Southeastern US.

MAIN OUTCOME MEASURES

Participants' comprehension of brochure text and acceptability of brochure design.

RESULTS

We enrolled 64 participants. Most were women, white, and college-educated, with an average age of 66.1 years. Participants were able to restate the basic content of the brochure and preferred Brochure A's use of photographs.

CONCLUSIONS

Using feedback from older adults, we developed and refined a brochure for communicating bone health information to older adults at risk of osteoporosis and fragility fractures. The methods outlined in this article may serve to guide others in developing health educational brochures for chronic medical conditions.

摘要

背景

患者教育材料可提供与骨质疏松症预防和治疗相关的重要信息。然而,现有的骨质疏松症教育材料未遵循患者教育的最佳实践指南。

目的

采用混合方法、半结构化访谈为50岁及以上成年人编写一份骨骼健康教育手册。

设计

本项目包括三个阶段。在第一阶段,我们编写了包含骨质疏松症信息的书面内容。此外,我们设计了两份图文并茂的手册,手册A(照片)和手册B(插图)。在第二阶段,访谈者将纯文本文件和两份手册设计展示给来自美国中西部一家学术医疗中心和东南部一家门诊诊所的53名参与者。访谈者使用开放式和封闭式问题来征求对手册的意见。在第三阶段,根据第二阶段的反馈,我们对手册进行了修订,并将其展示给美国东南部第三个地点的11名参与者。

主要观察指标

参与者对手册文本的理解和对手册设计的接受程度。

结果

我们招募了64名参与者。大多数是女性、白人且受过大学教育,平均年龄为66.1岁。参与者能够重述手册的基本内容,并且更喜欢手册A使用照片的方式。

结论

利用老年人的反馈,我们编写并完善了一份手册,用于向有骨质疏松症和脆性骨折风险的老年人传达骨骼健康信息。本文概述的方法可能有助于指导其他人编写针对慢性疾病的健康教育手册。

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