Kloseck Marita, Fitzsimmons Deborah A, Speechley Mark, Savundranayagam Marie Y, Crilly Richard G
Sam Katz Community Health and Aging Research Unit.
Division of Geriatric Medicine, Western University, London, ON, Canada.
Clin Interv Aging. 2017 May 16;12:823-833. doi: 10.2147/CIA.S130573. eCollection 2017.
This randomized controlled trial (RCT) evaluated a 6-month peer-led community education and mentorship program to improve the diagnosis and management of osteoporosis.
Ten seniors (74-90 years of age) were trained to become peer educators and mentors and deliver the intervention. In the subsequent RCT, 105 seniors (mean age =80.5±6.9; 89% female) were randomly assigned to the peer-led education and mentorship program (n=53) or control group (n=52). Knowledge was assessed at baseline and 6 months. Success was defined as discussing osteoporosis risk with their family physician, obtaining a bone mineral density assessment, and returning to review their risk profile and receive advice and/or treatment.
Knowledge of osteoporosis did not change significantly. There was no difference in knowledge change between the two groups (mean difference =1.3, 95% confidence interval [CI] of difference -0.76 to 3.36). More participants in the intervention group achieved a successful outcome (odds ratio 0.16, 95% CI 0.06-0.42, <0.001).
Peer-led education and mentorship can promote positive health behavior in seniors. This model was effective for improving osteoporosis risk assessment, diagnosis, and treatment in a community setting.
这项随机对照试验（RCT）评估了一项为期6个月的由同龄人主导的社区教育和指导计划，以改善骨质疏松症的诊断和管理。
培训了10名老年人（74 - 90岁）成为同龄人教育者和指导者，并实施干预措施。在随后的随机对照试验中，105名老年人（平均年龄 = 80.5±6.9；89%为女性）被随机分配到由同龄人主导的教育和指导计划组（n = 53）或对照组（n = 52）。在基线和6个月时评估知识水平。成功的定义为与家庭医生讨论骨质疏松症风险、进行骨密度评估，并返回复查风险状况并接受建议和/或治疗。
骨质疏松症知识没有显著变化。两组之间的知识变化没有差异（平均差异 = 1.3，差异的95%置信区间[CI]为 - 0.76至3.36）。干预组中更多参与者取得了成功结果（优势比0.16，95%CI为0.06 - 0.42，<0.001）。
由同龄人主导的教育和指导可以促进老年人的积极健康行为。该模式在社区环境中对于改善骨质疏松症风险评估、诊断和治疗是有效的。
