ArticleJMIR nursing2026
Multicomponent Supportive-Educative mHealth Intervention for Self-Care Among Individuals With Osteoporosis in Thailand: Exploratory Pretest-Posttest Pilot Study.
Article in JMIR nursing, 2026. 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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Authors and funding
3 authors.
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Abstract
Background: Poor self-care impairs osteoporosis management. Disease-related knowledge and family support have influenced self-care; however, the combined association of these factors with self-care remains insufficiently understood. Objective: This study aimed to compare self-care among individuals with osteoporosis who received a multicomponent supportive-educative mobile health intervention with that of individuals who received usual care. Methods: This exploratory pilot study using a pretest-posttest design with a nonequivalent control group included 46 individuals aged 50 years and older who had been diagnosed with osteoporosis and were receiving care at the orthopedic outpatient department of a university hospital in Bangkok. Participants were matched by sex, age, and back pain scores and then sequentially allocated to an intervention group (n=23, 50%) and a comparison group (n=23, 50%). The intervention group received a 4-week multicomponent supportive-educative intervention based on Orem's self-care theory, delivered partly through a closed Facebook group. The intervention included educational guidance, video-based teaching, psychological support, family involvement, and remote nurse interaction. The comparison group received usual care. Self-care was measured using the Self-Care of Osteoporosis Scale. Chi-square tests, Fisher exact tests, independent-sample 2-tailed Results: After controlling for baseline self-care scores, participants in the intervention group had significantly higher postintervention self-care scores than those in the comparison group ( Conclusions: The multicomponent supportive-educative intervention delivered partly through Facebook was associated with improvements in self-care among individuals with osteoporosis. Future rigorous trials are needed to confirm its efficacy.
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