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A Randomized Trial to Assess the Impact of Direct Reporting of DXA Scan Results to Patients on Quality of Osteoporosis Care |
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| Authors: | Peter Cram Janet Schlechte Alan Christensen |
| Affiliation: | 1Division of General Medicine, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, IA 2Division of Endocrinology, Department of Internal Medicine, University of Iowa College of Medicine, Iowa City, IA 3Center for Research in the Implementation of Innovative Strategies in Practice (CRIISP) VA HSR & D Center of Excellence, Iowa City, IA 4Department of Psychology, University of Iowa, Iowa City, IA |
| Abstract: | Consecutive patients identified as having osteoporosis on screening dual-energy X-ray absorptiometry (DXA) scans were randomized to: (1) a patient activation intervention consisting of mailing patients their DXA scan results supplemented by a call from a nurse educator or (2) usual care. Three months after the DXA scan, patients were contacted to assess: (1) use of antiresorptive therapy, (2) osteoporosis specific knowledge, and (3) satisfaction with their osteoporosis-related care. A total of 1,035 consecutive patients were screened to identify 422 eligible patients. Of these, 56 patients met inclusion criteria and were subsequently randomized. At follow-up, use of antiresorptive agents was numerically more common in the intervention arm (62%) than the control arm (54%), but this difference was not statistically significant (p = 0.58). Patients in the intervention group were more likely to report being notified of their DXA results in a timely fashion (p = 0.03), but osteoporosis-specific knowledge was similar. |
| Keywords: | Osteoporosis patient activation patient education quality of care randomized trial |
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