ArticleEuropean spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society2025
Health education using customized aids for patients with osteoporotic vertebral fractures- a non-randomized controlled study.
Article in European spine journal : official publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
purposeThis study aimed to assess the impact of customized educational tools for improving disease awareness, shared decision-making effectiveness, and medical satisfaction among patients with osteoporotic vertebral fractures.
methodsThis prospective non-randomized controlled study included patients with radiographically confirmed vertebral fractures, with bone density T-score below - 2.5 as an independent inclusion criterion, inadequate medication response, and no prior surgical treatment who were treated at the neurosurgery outpatient department of a regional hospital in central Taiwan from June 2022 to October 2022. The experimental group received customized educational tools including a multimedia video, detailed leaflets, and a spinal model demonstration. In contrast, the control group's education was limited to colorful graphic leaflets. Three scales for outcome measurement were used: the Disease Care Awareness Scale, the Shared Decision-Making Effectiveness Scale, and the Shared Decision-Making Satisfaction Scale.
resultsA total of 128 participants were included (control group: 64; experimental group: 64). Significant post-intervention improvements were observed in the experimental group for disease awareness (pre-intervention mean: 6.11, post-intervention mean: 9.03, p < 0.001), shared decision-making effectiveness (pre-intervention mean: 30.06, post-intervention mean: 40.88, p < 0.001), and medical satisfaction (pre-intervention mean: 19.81, post-intervention mean: 27.70, p < 0.001). The control group showed significant improvement only in shared decision-making effectiveness.
conclusionsAlthough customized educational tools show significant improvements in disease awareness, shared decision-making effectiveness, and medical satisfaction, these findings are based on within-group comparisons and should be interpreted with caution. Tailored health education may have the potential to improve patient outcomes in osteoporosis care.
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