Qualitative Study on Representations of Osteoporosis in the General and At-risk Population and in General Practitioners.
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Osteoporosis
- Sponsor
- Hospices Civils de Lyon
- Enrollment
- 114
- Locations
- 1
- Primary Endpoint
- Focus Group Interview
- Last Updated
- 9 years ago
Overview
Brief Summary
Osteoporosis (OP) and subsequent fractures (OP fractures) are a source of morbidity and high mortality in the elderly. Despite numerous programs aiming at improving OP care, the prevention, diagnostic and treatment remain suboptimal. Barriers to a better care are multiple, both in the general and at-risk population, and in medical practitioners. Since they do not perceive their susceptibility to OP, people do not see the benefit of prevention. In addition, physicians do not give sufficient importance to OP prevention and care, despite the existence of guidelines.
The investigators implemented a qualitative study to explore the knowledge and representations regarding osteoporosis in the general and at-risk population and in doctors in Rhône-Alpes Region, France, using focus groups with women and men and semi-structured face-to-face interviews with general practitioners. Understanding barriers to osteoporosis care in patients and general practitioners will help to set up effective strategies to improve prevention and treatment.
Investigators
Eligibility Criteria
Inclusion Criteria
- •group 1: women aged 50 to 85 years with a history of fragility fracture or an osteoporosis diagnostic
- •group 2: women aged 50 to 85 years without a history of fragility fracture or an osteoporosis diagnostic
- •group 3: men aged 60 to 85 years with a history of fragility fracture or an osteoporosis diagnostic
- •group 4: men aged 60 to 85 years without a history of fragility fracture or an osteoporosis diagnostic
- •group 5: general practitioners in Region Rhône-Alpes, France
- •who signed the consent form
Exclusion Criteria
- •no signed consent
- •legal disability
- •difficulty in understanding French
- •psychiatric disorder
Outcomes
Primary Outcomes
Focus Group Interview
Time Frame: 24 hours
Representations of osteoporosis, in general practitioners and in 4 groups of people. Representations were drawn from focus groups interviews based on the theory of social representations of illness developed by Moscovici and Durkheim. Four types of focus groups were conducted until data saturation: 9 groups with women aged 50 to 85 years and 7 groups with men aged 60 to 85 years, with or without a history of fragility fracture or an osteoporosis diagnostic. In parallel, semi-structured face-to face interviews were conducted with 16 general practitioners
Secondary Outcomes
- Factors favoring and barriers to a better management of OP in each group(At the day of inclusion)
- Specific communication needs for the different groups: men/women, fractured/non-fractured.(At the day of inclusion)