Awareness Model in Prevention of Osteoporosis

• Sponsor: Ankara Yildirim Beyazıt University (Other)
• Overall Status: Completed
• CT.gov ID: NCT06028243
• Collaborator: (none)
• Enrollment: 87
• Location: 1
• Arms: 2
• Actual Duration (Months): 4.7
• Patients Per Site Per Month: 18.6

Study Details

Study Description

Brief Summary

This study investigated the effectiveness of a Healthy Living Awareness Program for the Prevention of Osteoporosis based on the Information-Motivation-Behavioral Skills Model (HLAPPO-IMB) in university students. The study adopted a randomized controlled trial intervention pretest, posttest, and follow-up research design. Participants were randomized into intervention (n=43) and control groups (n=44). Data were collected using a personal information form, the Osteoporosis Knowledge Test, the Osteoporosis Health Belief Scale, the Osteoporosis Self-Effective Scale, and the International Physical Activity Questionnaire Short Form.

The primary outcome measure was the participants' knowledge and health beliefs about osteoporosis. The secondary outcome measure was the participants' healthy lifestyle behavior skills (self-efficacy in weight-bearing exercises, taking calcium, and engaging in physical activity).

Research questions (RQ) RQ1: Does "Healthy Living Awareness Program for the Prevention of Osteoporosis based on the Information-Motivation-Behavioral Skills Model" expand participants' knowledge of osteoporosis? RQ2: Does "Healthy Living Awareness Program for the Prevention of Osteoporosis based on the Information-Motivation-Behavioral Skills Model" enhance participants' health beliefs? RQ3: Does "Healthy Living Awareness Program for the Prevention of Osteoporosis based on the Information-Motivation-Behavioral Skills Model" improve participants' self-efficacy in doing weight-bearing exercises and taking calcium? RQ4: Does "Healthy Living Awareness Program for the Prevention of Osteoporosis based on the Information-Motivation-Behavioral Skills Model" improve participants' self-efficacy in engaging in physical activity?

Condition or Disease	Intervention/Treatment	Phase
Osteoporosis; University Students; Healthy Lifestyle	Other: The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Information stage; Other: The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Motivation stage; Behavioral: The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Behavior skills stage	N/A

Detailed Description

This study adopted a randomized controlled trial pretest, posttest, and follow-up research design. The study was conducted between March and August 2021 at a public university in Türkiye. The study adhered to the CONSORT (Consolidated Standards of Reporting Trials) guidelines. Participants were randomized into intervention and control groups. Eligible students were randomized to intervention group or control group using block randomization technique. Blinding in the study was not feasible. Blinding could not be performed because the researchers were aware of the interventions and carried out the implementation. The intervention group attended the HLAPPO-IMB, which had three stages: information, motivation, and behavioral skills development. The control group did not undergo the intervention.

The study population consisted of 125 fifth-semester nursing students in the fall term of the 2020-2021 academic year. The undergraduate nursing programs in Türkiye are eight-semester programs. The mean Osteoporosis Knowledge Test (OKT) scores were used to determine the sample size. Power analyses were performed based on the difference between two independent means by G*Power 3.1.9.7. A power analysis was performed to determine the sample size in line with the literature [OKT: experimental group X̅±SD: 18.95±4.98 and control group X̅±SD: 15.18±3.88]. The results showed that a sample of 76 would be large enough to detect significant differences (0.84 effect size, 0.05 level of error, and 95% power). All students who met the inclusion criteria were recruited to avoid missing data. The first sample consisted of 87 participants, who were randomized to intervention (n=43) and control (n=44) groups. However, one student from the intervention group declined to participate. Therefore, the final sample consisted of 86 participants.

The data were collected using a personal information form, the Osteoporosis Knowledge Test (OKT), the Osteoporosis Health Belief Scale (OHSB), the Osteoporosis Self-Effective Scale (OSES), and the International Physical Activity Questionnaire Short Form (IPAQ-SF).

The personal information form: This form was prepared by the researchers. The form consisted of 30 items on sociodemographic characteristics and factors that might affect bone mineral density. Each participant's BMI, body weight, and body height were calculated based on his/her self-report.

Osteoporosis knowledge test: The instrument consists of 24 items. The total score ranges from 0 to 24, with higher scores indicating more osteoporosis-related knowledge.

Osteoporosis health belief scale: The instrument consists of 42 items rated on a Likert-type scale. The total score ranges from 42 to 210, with higher scores indicating more positive health beliefs about osteoporosis.

Osteoporosis self-effective scale: The scale consists of 12 items and two subscales: The Osteoporosis Self-Efficacy Exercise Scale (six items: starting an exercise program, changing exercise habits, doing appropriate exercise, etc.) and the Osteoporosis Self-Efficacy Calcium Scale (six items: increasing calcium intake, choosing calcium-rich foods, maintaining dietary calcium intake, etc.). The total score of each subscale ranges from 0 to 600. The total score ranges from 0 to 1200, with higher scores indicating better self-efficacy in weight-bearing exercises and taking calcium.

International physical activity questionnaire short form: The form consists of seven items on physical activity. The total score is the "Metabolic Equivalent of Task minute/week (MET min/week)." The total score is calculated as "MET min/week" by multiplying the minute, day, and MET values. Physical activity levels are classified as low (<600 MET min/week), moderate (600-3000 MET min/week), or high (>3000 MET min/week) according to the total MET min/week values.

Healthy life diary: The researchers developed the Healthy Life Diary to monitor the intervention group participants' healthy lifestyle behaviors to protect themselves from osteoporosis. The intervention group participants filled out the diary regularly and noted their daily calcium intake, type and duration of exercise, duration and time of sunlight exposure, and amount of tobacco, coffee, tea, cola, etc.

Procedure: The data were collected online because of the COVID-19 pandemic. The researchers briefed students on the research procedure and texted them a link to the survey on WhatsApp. The first page of the survey was a consent form. After obtaining informed consent, the researchers directed all students who agreed to participate to the inclusion criteria section. Students are a vulnerable population. Thus, the researchers took measures to ensure students would not feel coerced to participate. The researchers informed all students about the research purpose and procedure. Participation was voluntary. The researchers kept all personal information confidential. All participants had pseudonyms.

Healthy living awareness program for the prevention of osteoporosis: The intervention group participants underwent the Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB) in three stages based on IMB.

Information stage: The researchers provided the intervention group participants with online training in healthy living awareness to prevent osteoporosis (400 minutes and two days). They held the training at all participants' convenience outside the class hours. The training consisted of four sections: osteoporosis and diagnosis-treatment methods, current approaches to the prevention of osteoporosis, osteoporosis and nutrition, and osteoporosis and physical exercise. The researchers employed interactive teaching methods and consulted three experts to prepare PowerPoint presentations. At the end of the training, the researchers taught the intervention group participants how to fill out the healthy life diary, such as calculating daily calcium intake. The researchers texted the intervention group participants all training videos on WhatsApp to allow them to watch them again. All participants filled out the OKT and OHSB (posttest) two and three weeks after the training. They filled them out again two months after the posttest (follow-up).

Motivation stage: The researchers regularly texted (WhatsApp) spot and reminder notifications concerning the prevention of osteoporosis. They asked them to assess the health behaviors they recorded in their diaries every week (daily calcium intake, weekly exercise duration, etc.) and the problems they experienced during the process. The researchers provided individual counseling to the participants by telephone (combating smoking, exercise barriers, food exchange for calcium sources, etc.)

Behavior skills stage: The target behavior skills were improved self-efficacy in doing weight-bearing exercises, taking calcium, and engaging in physical activity. The OSES was used to assess participants' self-efficacy to initiate and maintain behavior related to exercise and calcium taking, while the IPAQ-SF was used to assess their physical activity levels.

Data analysis: The data were analyzed using the Statistical Package for Social Sciences. Percentage, mean, and standard deviation were used for descriptive analysis. The categorical variables were analyzed using the Pearson, Fisher χ2, and Marginal Homogeneity tests. The Mann-Whitney U test was used to compare two independent groups. The Wilcoxon Signed Rank test or Friedman nonparametric test was used for dependent measurement comparisons. The effect size (r or Kendall W) was calculated for each comparison. The following limit values were accepted for the interpretation of the effect sizes: r < 0.29 "small effect," r=0.30-0.49 "medium effect," r ≥ 0.50 "large effect." W effect size: <0.39 "small effect," 0.40-0.59 "medium effect,"≥ 0.60 "large effect". The Mann-Whitney U Test was used to compare the difference in age, menarche age, BMI, and scale scores between the groups. The Wilcoxon Signed Rank test was used to compare the pretest and posttest scores. Friedman test was used for repeated measures for dependent groups. Dunn's Bonferroni correction was used to determine the source of the difference.

Study Design

• Study Type: Interventional
• Actual Enrollment: 87 participants
• Allocation: Randomized
• Intervention Model: Parallel Assignment
• Masking: None (Open Label)
• Masking Description: Blinding in the study was not feasible. Blinding could not be performed because the researchers were aware of the interventions and carried out the implementation.
• Primary Purpose: Other
• Official Title: Assessment of the Effectiveness of the Healthy Living Awareness Program for the Prevention of Osteoporosis Based on the Information- Motivation- Behavioral Skills Model in University Students: A Randomized Controlled Trial
• Actual Study Start Date: Mar 26, 2021
• Actual Primary Completion Date: May 18, 2021
• Actual Study Completion Date: Aug 15, 2021

Arms and Interventions

Arm	Intervention/Treatment
Experimental: Intervention Group The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB) was implemented in three stages. Information stage: The researchers provided the intervention group participants with online training in healthy living awareness to prevent osteoporosis. The training consisted of four sections: osteoporosis and diagnosis-treatment methods, current approaches to the prevention of osteoporosis, osteoporosis and nutrition, and osteoporosis and physical exercise. At the end of the training, the participants were informed about the healthy life diary and record. Motivation stage: The researchers regularly texted reminder notifications concerning the prevention of osteoporosis. The records in their diaries were reviewed. The researchers provided individual counseling to the participants by telephone. Behavior skills stage: The target behavior skills were improved self-efficacy in doing weight-bearing exercises, taking calcium, and engaging in physical activity.	Other: The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Information stage; The researchers provided the intervention group participants with online training in healthy living awareness to prevent osteoporosis (400 minutes and two days). They held the training at all participants' convenience outside the class hours. The training consisted of four sections: (1) osteoporosis and diagnosis-treatment methods, (2) current approaches to the prevention of osteoporosis, (3) osteoporosis and nutrition, and (4) osteoporosis and physical exercise. The researchers employed interactive teaching methods and consulted three experts to prepare PowerPoint presentations. At the end of the training, the researchers taught the intervention group participants how to fill out the healthy life diary, such as calculating daily calcium intake. The researchers texted the intervention group participants all training videos on WhatsApp to allow them to watch them again.; Other: The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Motivation stage; The researchers regularly texted (WhatsApp) spot and reminder notifications concerning the prevention of osteoporosis. They asked them to assess the health behaviors they recorded in their diaries every week (daily calcium intake, weekly exercise duration, etc.) and the problems they experienced during the process. The researchers provided individual counseling to the participants by telephone (combating smoking, exercise barriers, food exchange for calcium sources, etc.); Behavioral: The Healthy Living Awareness Program for the Prevention of Osteoporosis (HLAPPO-IMB)- Behavior skills stage; The target behavior skills were improved self-efficacy in doing weight-bearing exercises, taking calcium, and engaging in physical activity.
No Intervention: Control Group The control group was not trained. Data collection forms applied to the intervention group were also applied to the control group simultaneously.

Outcome Measures

Primary Outcome Measures

1. The effect of the program on the primary outcome-1 (Osteoporosis Knowledge Test) [Pretest: 3 weeks, Completion of training: 2 weeks, Posttest: 2 weeks (2-3 weeks after training), Follow-up: 2 weeks (2 months after posttest). Total period of research: 20 weeks. Total application time of this scale: 7weeks.]

   Osteoporosis Knowledge Test consists of 24 items. The total score ranges from 0 to 24, with higher scores indicating more osteoporosis-related knowledge. Osteoporosis Knowledge Test with Osteoporosis Health Belief Scale was applied three times (pretest, posttest and follow-up) to the intervention and control groups. Training was given to the intervention group after completing the Osteoporosis Knowledge Test (with other scales) as a pretest. After the training, it was applied to the participants as a posttest and follow-up. All participants filled out the Osteoporosis Knowledge Test with Osteoporosis Health Belief Scale (posttest) two and three weeks after the training. They filled them out again two months after the posttest (follow-up). In the study protocol, pretest postest and follow up times are given in detail.

2. The effect of the program on the primary outcome-2 (Osteoporosis Health Belief Scale) [Pretest: 3 weeks, Completion of training: 2 weeks, Posttest: 2 weeks (2-3 weeks after training), Follow-up: 2 weeks (2 months after posttest). Total period of research: 20 weeks. Total application time of this scale: 7weeks.]

   Osteoporosis Health Belief Scale consists of 42 items rated on a Likert-type scale. The total score ranges from 42 to 210, with higher scores indicating more positive health beliefs about osteoporosis. Osteoporosis Health Belief Scale with Osteoporosis Knowledge Test was applied three times (pretest, posttest and follow-up) to the intervention and control groups. Training was given to the intervention group after completing the Osteoporosis Health Belief Scale (with other scales) as a pretest. After the training, it was applied to the participants as a posttest and follow-up. All participants filled out the Osteoporosis Health Belief Scale with Osteoporosis Knowledge Test (posttest) two and three weeks after the training. They filled them out again two months after the posttest (follow-up).

Secondary Outcome Measures

1. The effect of the program on the secondary outcome-1 (Osteoporosis Self-Effective Scale) [Pretest: 3 weeks, training and follow-up period: 15 weeks, Follow-up: 2 weeks. Total period of research: 20 weeks. Total application time of this scale: 5 weeks.]

   Osteoporosis Self-Effective Scale consists of 12 items and two subscales: The Osteoporosis Self-Efficacy Exercise Scale (six items: starting an exercise program, changing exercise habits, doing appropriate exercise, etc.) and the Osteoporosis Self-Efficacy Calcium Scale (six items: increasing calcium intake, choosing calcium-rich foods, maintaining dietary calcium intake, etc.). The total score of each subscale ranges from 0 to 600. The total score ranges from 0 to 1200, with higher scores indicating better self-efficacy in weight-bearing exercises and taking calcium. Osteoporosis Self-Effective Scale was applied twice (pretest and follow-up) with International Physical Activity Questionnaire Short Form to the study groups. It was applied as a pretest with other scales. It was applied as a follow-up 13 weeks after the training.

2. The effect of the program on the primary outcome-2 (International Physical Activity Questionnaire Short Form) [Pretest: 3 weeks, training and follow-up period: 15 weeks, Follow-up: 2 weeks. Total period of research: 20 weeks. Total application time of this scale: 5 weeks.]

   International Physical Activity Questionnaire Short Form consists of seven items on physical activity. The total score is the "Metabolic Equivalent of Task minute/week)." The total score is calculated as "Metabolic Equivalent of Task minute/week " by multiplying the minute, day, and Metabolic Equivalent of Task values. Physical activity levels are classified as low, moderate, or high according to the total Metabolic Equivalent of Task min/week values. International Physical Activity Questionnaire Short Form was applied twice (pretest and follow-up) with Osteoporosis Self-Effective Scale to the study groups. It was applied as a pretest with other scales. It was applied as a follow-up 13 weeks after the training.

Eligibility Criteria

Criteria

• Ages Eligible for Study: 20 Years to 26 Years
• Sexes Eligible for Study: All
• Accepts Healthy Volunteers: Yes

Inclusion Criteria:

• having received no training on osteoporosis before

• having no disability that prevents physical activity

Exclusion Criteria:

• involuntary

Contacts and Locations

Locations

	Site	City	State	Country	Postal Code
1	Ankara Yildirim Beyazit University	Ankara		Turkey	06760

Sponsors and Collaborators

• Ankara Yildirim Beyazıt University

Investigators

• Principal Investigator: SİBEL PEKSOY KAYA, Asst. Prof., ANKARA YILDIRIM BEYAZIT UNIVERSITY, ANKARA, TURKEY
• Study Director: SENA KAPLAN, Prof. Dr., ANKARA YILDIRIM BEYAZIT UNIVERSITY, ANKARA, TURKEY
• Study Director: ESRA BAŞKAYA, Dr., ANKARA YILDIRIM BEYAZIT UNIVERSITY, ANKARA, TURKEY

Study Documents (Full-Text)

• Study Protocol - Aug 30, 2023

More Information

Publications

• Aktas O, Kaplan S, Sezer N. An assessment of the relation between bone mineral density and clinic-demographic properties and life quality during postmenopausal period. J Back Musculoskelet Rehabil. 2018;31(5):803-810. doi: 10.3233/BMR-170933.
• Alpar, R. (2022). Spor Sağlık ve Eğitim Bilimlerinden Örneklerle Uygulamalı İstatistik ve Geçerlik Güvenirlik; (7th edition). Ankara: Detay Yayıncılık.
• Bahrami Z, Zarani F. Application of the Information-Motivation and Behavioral Skills (IMB) model in risky sexual behaviors amongst male students. J Infect Public Health. 2015 Mar-Apr;8(2):207-13. doi: 10.1016/j.jiph.2014.09.005. Epub 2014 Nov 22.
• Barley E, Lawson V. Using health psychology to help patients: theories of behaviour change. Br J Nurs. 2016 Sep 8;25(16):924-7. doi: 10.12968/bjon.2016.25.16.924.
• Bonjour JP, Theintz G, Law F, Slosman D, Rizzoli R. Peak bone mass. Osteoporos Int. 1994;4 Suppl 1:7-13. doi: 10.1007/BF01623429.
• Bonjour, P., Compston, J., Dawson-Hughes, B., Delmas, P., Lyon, H. E. H., Ms, F., Johansson, H., Kanis, J. A., Lau, E., Yuen, L., Centre, H., Kong, H., Dr, C., Lindsay, R., Mcclung, M. R., Oden, A., Pfleger, B., Teilen, M. G., Clark Hospital De Especialidades, P., … Toroptsova, N. (2007). Assessment of Osteoporosis at The Primary Health Care Level. www.who.int/chp/topics/rheumatic/en/index.html
• Cooper, C., & Ferrari, S. (2019). IOF Compendium of Osteoporosis (2nd Edition). Switzerland: International Osteoporosis Foundation.
• Craig CL, Marshall AL, Sjostrom M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003 Aug;35(8):1381-95. doi: 10.1249/01.MSS.0000078924.61453.FB.
• EQUATOR guidelines. (2020). Checklist for reporting a randomised trial. Retrieved from: https://www.goodreports.org/reporting-checklists/consort/
• Ficek K, Rajca J, Cholewinski J, Racut A, Gwiazdon P, Przednowek K, Hajduk G. Analysis of intercondylar notch size and shape in patients with cyclops syndrome after anterior cruciate ligament reconstruction. J Orthop Surg Res. 2021 Sep 8;16(1):554. doi: 10.1186/s13018-021-02706-w.
• Haleem A, Javaid M, Vaishya R. Effects of COVID-19 pandemic in daily life. Curr Med Res Pract. 2020 Mar-Apr;10(2):78-79. doi: 10.1016/j.cmrp.2020.03.011. Epub 2020 Apr 3. No abstract available.
• Hernlund E, Svedbom A, Ivergard M, Compston J, Cooper C, Stenmark J, McCloskey EV, Jonsson B, Kanis JA. Osteoporosis in the European Union: medical management, epidemiology and economic burden. A report prepared in collaboration with the International Osteoporosis Foundation (IOF) and the European Federation of Pharmaceutical Industry Associations (EFPIA). Arch Osteoporos. 2013;8(1):136. doi: 10.1007/s11657-013-0136-1. Epub 2013 Oct 11.
• Hosseini, Z., Karimi, Z., Mohebi, S., Reza Sharifirad, G., Rahbar, A., & Gharlipour, Z. (2017). Nutritional preventive behavior of osteoporosis in female students: Applying health belief model (HBM). International Journal of Pediatrics, 5(37). https://doi.org/10.22038/ijp.2016.7560
• Kılıç, D., & Erci, B. (2010). The reliability and validity of the osteoporosis health belief scale, osteoporosis self-efficacy scale and osteoporosis knowledge test. Journal of Anatolia Nursing and Health Sciences, 7(2), 89-102. https://dergipark.org.tr/en/pub/ataunihem/issue/2627/33798
• Kim, K., Horan, M., & Gendler, P. (1991). Osteoporosis Knowledge Test, Osteoporosis Health Belief Scale, and Osteoporosis Self-efficacy Scale Allendale: MI: Grand Valley State University; Allendale. Masterson R. A descript.
• Kline J, Tang A, Levin B. Smoking, alcohol and caffeine in relation to two hormonal indicators of ovarian age during the reproductive years. Maturitas. 2016 Oct;92:115-122. doi: 10.1016/j.maturitas.2016.07.010. Epub 2016 Jul 21.
• Majumdar SR, Lier DA, McAlister FA, Johnson JA, Rowe BH, Beaupre LA. Cost-Effectiveness of Osteoporosis Interventions to Improve Quality of Care After Upper Extremity Fracture: Results From a Randomized Trial (C-STOP Trial). J Bone Miner Res. 2019 Jul;34(7):1220-1228. doi: 10.1002/jbmr.3699. Epub 2019 Mar 18.
• Oka R, Ohira M, Suzuki S, Yoshida T, Koide H, Tanaka T, Tatsuno I. Fracture risk assessment tool (FRAX) and for the diagnosis of osteoporosis in Japanese middle-aged and elderly women: Chiba bone survey. Endocr J. 2018 Feb 26;65(2):193-202. doi: 10.1507/endocrj.EJ17-0331. Epub 2017 Nov 18.
• Pouresmaeili F, Kamalidehghan B, Kamarehei M, Goh YM. A comprehensive overview on osteoporosis and its risk factors. Ther Clin Risk Manag. 2018 Nov 6;14:2029-2049. doi: 10.2147/TCRM.S138000. eCollection 2018.
• Qi BB, Resnick B, Smeltzer SC, Bausell B. Self-efficacy program to prevent osteoporosis among Chinese immigrants: a randomized controlled trial. Nurs Res. 2011 Nov-Dec;60(6):393-404. doi: 10.1097/NNR.0b013e3182337dc3.
• Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, Tokgozoglu L. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010 Aug;111(1):278-84. doi: 10.2466/06.08.PMS.111.4.278-284.
• Si M, Su X, Jiang Y, Wang W, Zhang X, Gu X, Ma L, Li J, Zhang S, Ren Z, Liu Y, Qiao Y. Effect of an IMB Model-Based Education on the Acceptability of HPV Vaccination Among College Girls in Mainland China: A Cluster RCT. Cancer Control. 2022 Jan-Dec;29:10732748211070719. doi: 10.1177/10732748211070719.
• TC. Sağlık Bakanlığı Halk Sağlığı Kurumu. (2016). Türkiye Beslenme Rehberi 2015 (TÜBER). T.C. Sağlık Bakanlığı Yayın No: 1031. Ankara.
• Tsamlag L, Wang H, Shen Q, Shi Y, Zhang S, Chang R, Liu X, Shen T, Cai Y. Applying the information-motivation-behavioral model to explore the influencing factors of self-management behavior among osteoporosis patients. BMC Public Health. 2020 Feb 6;20(1):198. doi: 10.1186/s12889-020-8292-x.
• Tuzun S, Eskiyurt N, Akarirmak U, Saridogan M, Senocak M, Johansson H, Kanis JA; Turkish Osteoporosis Society. Incidence of hip fracture and prevalence of osteoporosis in Turkey: the FRACTURK study. Osteoporos Int. 2012 Mar;23(3):949-55. doi: 10.1007/s00198-011-1655-5. Epub 2011 May 19.
• Upadhyaya GK, Iyengar K, Jain VK, Vaishya R. Challenges and strategies in management of osteoporosis and fragility fracture care during COVID-19 pandemic. J Orthop. 2020 Jun 2;21:287-290. doi: 10.1016/j.jor.2020.06.001. eCollection 2020 Sep-Oct. Erratum In: J Orthop. 2020 Dec 15;24:292.
• World Health Organization (WHO). A healthy lifestyle-WHO recommendations (2023). Retrieved from: https://www.who.int/europe/news-room/fact-sheets/item/a-healthy-lifestyle---who-recommendations
• Yekefallah, L., Dehghankar, L., Aliakbari, M., & Mafi, M. (2019). Lifestyle and preventive behaviors of osteoporosis among women of reproductive age in Qazvin-Iran: A cross sectional study. Social Health and Behavior, 2(2), 70. https://doi.org/10.4103/SHB.SHB_50_18

• Responsible Party: Sibel Peksoy Kaya, Asst. Prof., Ankara Yildirim Beyazıt University
• ClinicalTrials.gov Identifier: NCT06028243
• Other Study ID Numbers: 2021-12
• First Posted: Sep 8, 2023
• Last Update Posted: Sep 8, 2023
• Last Verified: Aug 1, 2023

• Individual Participant Data (IPD) Sharing Statement: No
• Plan to Share IPD: No
• Studies a U.S. FDA-regulated Drug Product: No
• Studies a U.S. FDA-regulated Device Product: No
• Keywords provided by Sibel Peksoy Kaya, Asst. Prof., Ankara Yildirim Beyazıt University: Osteoporosis; Health Behaviors; Health Beliefs; Motivation; Physical Activity; Program Planning; Self-Efficacy; Health Information
• Additional relevant MeSH terms: Osteoporosis

Study Results

No Results Posted as of Sep 8, 2023