Evidence map›Paper›PMID 34189387›Full record

ArticleJBMR plus2021

Attitudes toward bone health among rural-dwelling veterans identified as at risk of fracture: a qualitative analysis.

Jennifer M Van Tiem, Melissa J A Steffen, Aaron T Seaman, Karla Miller, Shylo E Wardyn, Christopher C Richards, Samantha L Solimeo

Abstract read
In one paragraph

Article in JBMR plus, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
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

2 citing papers in PubMed.

  1. Article
  2. Cultivating across "pockets of excellence": challenges to sustaining efforts to improve osteoporosis care.Osteoporosis international : a journal established as result of cooperation between the European Foundation for Osteoporosis and the National Osteoporosis Foundation of the USA · 2022
    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

7 authors.

Jennifer M Van TiemVeterans Affairs (VA) Office of Rural Health, Veterans Rural Health Resource Center-Iowa City, Iowa City VA Health Care System Iowa City Iowa USA.ORCID https://orcid.org/0000-0001-9183-9909
Melissa J A SteffenVeterans Affairs (VA) Office of Rural Health, Veterans Rural Health Resource Center-Iowa City, Iowa City VA Health Care System Iowa City Iowa USA.
Aaron T SeamanVA Health Services Research & Development Service, Center for Access and Delivery Research and Evaluation Iowa City VA Health Care System Iowa City Iowa USA.
Karla MillerDepartment of Medicine Salt Lake City VA Health Care System Salt Lake City Utah USA.
Shylo E WardynVeterans Affairs (VA) Office of Rural Health, Veterans Rural Health Resource Center-Iowa City, Iowa City VA Health Care System Iowa City Iowa USA.
Christopher C RichardsVeterans Affairs (VA) Office of Rural Health, Veterans Rural Health Resource Center-Iowa City, Iowa City VA Health Care System Iowa City Iowa USA.
Samantha L SolimeoVeterans Affairs (VA) Office of Rural Health, Veterans Rural Health Resource Center-Iowa City, Iowa City VA Health Care System Iowa City Iowa USA.ORCID https://orcid.org/0000-0002-3008-1230

Funding

The University of Iowa Clinical and Translational Science AwardKL2TR002536 · NCATS · UNIVERSITY OF IOWA · PI BASSUK, ALEXANDER G · 2018 to 2022
$3.3M
NCATS NIH HHS KL2 TR002536
6 · The paper itself

Abstract

Although much is known about system-level barriers to prevention and treatment of bone health problems, little is known about patient-level barriers. The objective of this study was to identify factors limiting engagement in bone health care from the perspective of rural-dwelling patients with known untreated risk. Over 6 months, 39 patients completed a qualitative interview. Interview questions focused on the patient's experience of care, their decision to not accept care, as well as their knowledge of osteoporosis and the impact it has had on their lives. Participants were well-informed and could adequately describe osteoporosis and its deleterious effects, and their decision making around accepting or declining a dual-energy x-ray absorptiometry (DXA) scan and treatment was both cautious and intentional. Decisions about how to engage in treatment were tempered by expectations for quality of life. Our findings suggest that people hold beliefs about bone health treatment that we can build on. Work to improve care of this population needs to recognize that bone health providers are not adding a behavior of medication taking to patients, they are changing a behavior or belief. Published 2021. This article is a U.S. Government work and is in the public domain in the USA.

Indexed as

AGINGHEALTH SERVICES RESEARCHOSTEOPOROSISPATIENT‐CENTEREDPRACTICE‐RELATED ISSUES

Identifiers

PMID34189387
PMCPMC8216131

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.