Journal of Osteoporosis / 2018 / Article / Figbox 3

Research Article

The Impact of Multifaceted Osteoporosis Group Education on Patients’ Decision-Making regarding Treatment Options and Lifestyle Changes

Box 3

Patients’ articulated decisions related to five overall themes.
Decisions related to diagnosis and prevention
 To talk to their children and grandchildren about the importance of getting calcium
 To encourage their sons and daughters to have a DXA scan
 To have a new DXA scan earlier than planned
 To ask about previous and future DXA scan results
 To become a member of the National Osteoporosis Society
Decisions related to training and exercise
 To do more exercise
 To start doing warm water exercise
 To do balance-training at home
 To use the training programme at home
 To do more weight-bearing exercises
 To try the specific exercises that one can do in bed
 To avoid forward bending and rotation of the back during exercise
Decisions related to daily life activity
 To try to take care of their grandchildren without lifting them
 To get the groceries without lifting too much
 To try not to lift the dog
 To try not to lift too much
 To try not to lift more than 5 kg
 To avoid forward bending and rotation of the back
 To use pillows to make good sleeping positions
 To be aware of lifting and carrying techniques
 To buy a different mop for washing the floor
 To buy a shopping trolley
 To buy a special chair for gardening
 To get out of bed in a “back friendly” way
Decisions related to diet for healthy bones
 To check if their diet is sufficient
 To start drinking more milk
 To focus on whether their meals contain calcium and vitamin D
 To calculate their daily intake of calcium from food
 To reduce their intake of calcium from tablets
 To take calcium at times when they do not eat calcium-rich food
 To talk to their physician about reducing their intake of calcium from tablets
 To increase intake of vitamin D from tablets
 To check their vitamin D blood level
Decisions related to medicine
 To change medication
 To check if medication causes side-effects
 To check if side-effects can be reduced by drinking more water with the tablet
 To postpone taking medication until the result of the next DXA-scan

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