Evidence map›Paper›PMID 32020264›Full record

ArticleOsteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA2020

Factors associated with the contemplative stage of readiness to initiate osteoporosis treatment.

G Adami, K G Saag, A S Mudano, E J Rahn, N C Wright, R C Outman, S L Greenspan, A Z LaCroix, J W Nieves, S L Silverman and 6 more

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.1field-weighted citation impact, top 28% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Osteoporosis in 10 years time: a glimpse into the future of osteoporosis.Therapeutic advances in musculoskeletal disease · 2022
    Article
  4. Article
  5. Health Literacy of Osteoporosis Risks among Caregivers Serving in Disability Care Facilities.International journal of environmental research and public health · 2020
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors at 9 institutions in 2 countries.

G AdamiUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
K G SaagUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
A S MudanoUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
E J RahnUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
N C WrightUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
R C OutmanUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
S L GreenspanUniversity of Pittsburgh, Pittsburgh, PA, 15213, USA.
A Z LaCroixGroup Health Cooperative, Seattle, WA, 98112, USA.
J W NievesHelen Hayes Hospital, West Haverstraw, NY, 10993, USA.
S L SilvermanCedars-Sinai Medical Center, Los Angeles, CA, 30211, USA.
E S SirisColumbia University Medical Center, New York, NY, 10032, USA.
N B WattsMercy Health Osteoporosis and Bone Health Services, Cincinnati, OH, 45236, USA.
M J MillerTexas A&M University, College Station, TX, 77843, USA.
S LadoresUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
J R CurtisUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA.
M I DanilaUniversity of Alabama at Birmingham, Birmingham, AL, 35233, USA. mdanila@uabmc.edu.ORCID http://orcid.org/0000-0001-9246-6200
University of Alabama at Birmingham · USCedars-Sinai Medical Center · USColumbia University Irving Medical Center · USGroup Health Cooperative · USHelen Hayes Hospital · USKaiser Permanente · USMercy Health · USUniversity of Pittsburgh · USUniversity of Verona · IT

Funding

VARIABILITY, STABILITY & SMOOTHNESS OF WALKINGP30AG024827 · NIA · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI JENNIFER S BRACH · 2004 to 2026
$28.6M
UAB K12 in Patient Centered Outcomes ResearchK12HS023009 · AHRQ · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2014 to 2018
$4.0M
Activating Patients to Reduce Osteoporosis (APROPOS)R01AR060240 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI SAAG, KENNETH G · 2011 to 2015
$3.2M
Genetic Architecture of Rheumatoid Arthritis in African-AmericansK23AR062100 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI DANILA, MARIA IOANA · 2012 to 2016
$674k
Biology or Management: Understanding Racial Differences in Post Fracture OutcomesK01AR068400 · NIAMS · UNIVERSITY OF ALABAMA AT BIRMINGHAM · PI WRIGHT, NICOLE C · 2017 to 2020
$508k
Agency for Health Care Administration (US) K12HS023009AHRQ HHS K12 HS023009NIAMS NIH HHS K01 AR068400NIAMS NIH HHS K23 AR062100NIAMS NIH HHS R01 AR060240NIA NIH HHS P30 AG024827
6 · The paper itself

Abstract

We investigated the factors associated with readiness for initiating osteoporosis treatment in women at high risk of fracture. We found that women in the contemplative stage were more likely to report previously being told having osteoporosis or osteopenia, acknowledge concern about osteoporosis, and disclose prior osteoporosis treatment.

introductionUnderstanding factors associated with reaching the contemplative stage of readiness to initiate osteoporosis treatment may inform the design of behavioral interventions to improve osteoporosis treatment uptake in women at high risk for fracture.

methodsWe measured readiness to initiate osteoporosis treatment using a modified form of the Weinstein Precaution Adoption Process Model (PAPM) among 2684 women at high risk of fracture from the Activating Patients at Risk for OsteoPOroSis (APROPOS) clinical trial. Pre-contemplative participants were those who self-classified in the unaware and unengaged stages of PAPM (stages 1 and 2). Contemplative participants were those in the undecided, decided not to act, or decided to act stages of PAPM (stages 3, 4, and 5). Using multivariable logistic regression, we evaluated participant characteristics associated with levels of readiness to initiate osteoporosis treatment.

resultsOverall, 24% (N = 412) self-classified in the contemplative stage of readiness to initiate osteoporosis treatment. After adjusting for age, race, education, health literacy, and major osteoporotic fracture in the past 12 months, contemplative women were more likely to report previously being told they had osteoporosis or osteopenia (adjusted odds ratio [aOR] (95% CI) 11.8 (7.8-17.9) and 3.8 (2.5-5.6), respectively), acknowledge concern about osteoporosis (aOR 3.5 (2.5-4.9)), and disclose prior osteoporosis treatment (aOR 4.5 (3.3-6.3)) than women who self-classified as pre-contemplative.

conclusionsFor women at high risk for future fractures, ensuring women's recognition of their diagnosis of osteoporosis/osteopenia and addressing their concerns about osteoporosis are critical components to consider when attempting to influence stage of behavior transitions in osteoporosis treatment.

Indexed as

Bone Diseases, MetabolicOsteoporosisOsteoporotic FracturesEducational StatusFemaleHumansInfantLogistic ModelsRisk FactorsBehavioral changesFractureOsteoporosisPrecaution Adoption Process Model

Identifiers

PMID32020264
PMCPMC7365553
OpenAlexW3005040570

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.