Osteoporosis Awareness in Individuals With Chronic Spinal Cord Injury: Factors Associated With Education and Health-Seeking Behaviors
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 发起方
- 入组人数
- 94
- 试验地点
- 1
- 主要终点
- Level of osteoporosis awareness
研究概览
简要总结
Osteoporosis is a common and serious complication of spinal cord injury (SCI), substantially increasing the risk of fragility fractures. Despite this elevated risk, awareness of osteoporosis among individuals living with SCI is not well understood. This cross-sectional observational study assessed the level of osteoporosis awareness in adults with chronic traumatic SCI and examined which demographic, injury-related, and healthcare-related factors were independently associated with awareness. Ninety-four adults with chronic traumatic SCI completed the Turkish version of the Osteoporosis Awareness Scale, along with a structured questionnaire covering education, injury characteristics, healthcare utilization, and personal health-seeking behaviors. The study aimed to identify modifiable factors linked to higher awareness in order to inform future educational interventions and improve osteoporosis prevention and management in this high-risk population.
详细描述
Background: Individuals with spinal cord injury (SCI) experience rapid and severe sublesional bone loss, with fracture rates several-fold higher than in the general population. Patient awareness is an important determinant of preventive behavior, screening participation, and treatment adherence, yet the factors shaping osteoporosis awareness in the SCI population have not been systematically investigated, and no such data exist for the Turkish SCI population.
Objectives: The study aimed to (1) assess osteoporosis awareness among individuals with chronic SCI using a validated instrument; (2) examine bivariate associations between potential predictors and awareness; and (3) identify factors independently associated with awareness through multivariable regression.
Design and Setting: This was a single-center, cross-sectional observational study conducted at a tertiary physical medicine and rehabilitation center between January and December 2023.
Participants: Ninety-four adults with documented traumatic SCI of at least 12 months' duration were enrolled through consecutive sampling. Individuals with significant cognitive impairment, acute illness requiring hospitalization, or inability to complete questionnaires in Turkish were excluded. Only traumatic SCI cases were included.
Measures: Osteoporosis awareness was assessed using the Turkish version of the Osteoporosis Awareness Scale (31 items; total score range 31 to 124). Additional data included age, sex, education level, injury level and completeness, ASIA Impairment Scale grade, injury duration, fracture history, regular follow-up, receipt of osteoporosis education, personal research, bone density testing history, and use of bone-relevant medications.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Cross Sectional
入排标准
- 年龄范围
- 18 Years 至 100 Years（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Documented traumatic spinal cord injury
- •Injury duration of at least 12 months (chronic SCI)
- •Age 18 years or older
- •Able to provide informed consent and complete questionnaires in Turkish
排除标准
- •Significant cognitive impairment precluding reliable questionnaire completion
- •Acute medical illness requiring hospitalization
- •Inability to communicate in Turkish
- •Non-traumatic etiology of spinal cord injury
结局指标
主要结局
Level of osteoporosis awareness
时间窗: At a single time point (baseline assessment)
Osteoporosis awareness was measured using the total score of the Turkish version of the Osteoporosis Awareness Scale (OAS), a 31-item instrument rated on a 4-point Likert scale, with total scores ranging from 31 to 124. Higher scores indicate greater osteoporosis awareness. The scale was administered once, at study enrollment.
次要结局
- Factors independently associated with osteoporosis awareness(At a single time point (baseline assessment))
- Osteoporosis-related healthcare utilization and health-seeking behaviors(At a single time point (baseline assessment))
研究者
Ersin Beştaş
MD
Afyonkarahisar Health Sciences University