University of Hertfordshire

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How do osteoporosis patients perceive their illness and treatment? Implications for clinical practice

Research output: Contribution to journalArticlepeer-review

  • Sarah Jane Besser
  • Janet Anderson
  • John Weinman
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Original languageEnglish
Pages (from-to)115-124
Number of pages10
JournalOsteoporosis International
Volume7
Issue1
DOIs
Publication statusPublished - 1 Dec 2012

Abstract

Summary

Non-adherence inhibits successful treatment of osteoporosis. This study used a theoretical framework to explore osteoporosis patients' cognitive and emotional representations of their illness and medication, using both interviews and drawing. We recorded some misconceptions patients have about their condition and medication which could act as barriers to treatment adherence.

Purpose

Despite the high efficacy of current treatments in reducing fracture risk, poor adherence is still a problem in osteoporosis. This qualitative study aims to inform the development of a psychological intervention to increase adherence through the investigation of osteoporosis patients' perceptions of their illness and medication. The self-regulation model (Leventhal) provided the framework for the study.


Method

Participants were 14 female outpatients from a London teaching hospital who suffer with osteoporosis or osteopenia. Data were collected using both semi-structured interviews and drawings. Drawings were used to elicit participants' visual representations (imagery) of their condition.


Results

We found that patients held illness and medication beliefs that were not in accord with current scientific evidence. Interviews revealed that participants had good knowledge of what osteoporosis is, but they had low understanding of the role of medication in reducing fracture risk, various concerns about the side effects of medication, poor understanding of the causes of osteoporosis and uncertainty about how it can be controlled. Additionally, drawings elicited more information about the perceived effects of osteoporosis and emotional reactions to the condition.


Conclusions

Osteoporosis sufferers need a better understanding of their fracture risk and what they can do to control their condition. Concerns about medication need to be addressed in order to improve adherence, particularly in relation to the management of side effects. Since drawings of osteoporosis were found to arouse emotions, it is concluded that risk communication in osteoporosis could benefit from using visual images.

Notes

Sarah Jane Besser, Janet E. Anderson, John Weinman, 'How do osteoporosis patients perceive their illness and treatment? Implications for clinical practice', Archives of Osteoporosis, Vol. 7(1): 115-124, December 2012. The version of record is available online at doi: 10.1007/s11657-012-0089-9 © International Osteoporosis Foundation and National Osteoporosis Foundation 2012 Published by Springer-Verlag

ID: 10489754