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Widening the perspectives of fracture prevention in osteoporosis by identifying subgroups: based upon sense of coherence, self-efficacy and physical capacity
Karlstads universitet, Fakulteten för hälsa, natur- och teknikvetenskap (from 2013), Institutionen för hälsovetenskaper. (Public Health and Sport Sciences)ORCID-id: 0000-0002-2249-3868
Borås Högskola.
(Centrum för Vårdvetenskap Örebro Universitetsjukhus)
2014 (Engelska)Ingår i: Next Health / [ed] Geir Arild Espnes, Trondheim, 2014, s. 71-Konferensbidrag, Muntlig presentation med publicerat abstract (Refereegranskat)
Abstract [en]

Introduction: The potential importance of psychological aspects in relation to promoting healthy behaviour and preventing fractures has rarely been investigated in the field of osteoporosis. Aim: This study explores some psychological aspects and health behaviour of people detected to have osteoporosis at the time of a forearm fracture. Moreover, it aims at revealing subgroups within this population with relevance for managing secondary prevention actions.

Method: Data collection and analysis was based on questionnaires and physical tests of eighty-five individual profiles. The results confirm earlier research on a similar population having relatively good self-reported health behaviour encompassing high quality of life, high amount of physical activity and low alcohol intake. A majority reported good osteoporosis knowledge, a high sense of coherence (mean = 74) and high activity-specific balance confidence (mean = 81). Furthermore, hierarchical cluster analysis revealed a typology of two subgroups where 75% matched a health-resilient group while 25 % matched a health-vulnerable group. The vulnerable group had a significantly lower sense of coherence SOC (p = .02) added activity-specific balance confidence, ABC (p = .001). This pattern was confirmed from behavioural aspects but only regarding one traditional risk factor namely, history of fractures. Moreover, the health-vulnerable group achieved a significantly weaker physical profile including muscle weakness, gait speed and balance, also less reported time spent outdoors and lower quality of life. The differences found between the subgroups indicate that psychological aspects like self-efficacy and dimensions related to sense of coherence are relevant for widening perspectives in future research as well as achieving success in fracture prevention programmes.

 

Keywords: fracture prevention, health behaviour, sense of coherence, activity-specific balance confidence, cluster analysis

 

Ort, förlag, år, upplaga, sidor
Trondheim, 2014. s. 71-
Serie
Rapportserie fra Senter for helsefremmende forskning HiST/NTNU, ISSN 1892-6207 ; 2014/3
Nyckelord [en]
fracture prevention, health behaviour, sense of coherence, activity-specific balance confidence, physical capacity and cluster analysis
Nationell ämneskategori
Medicin och hälsovetenskap
Forskningsämne
Folkhälsovetenskap
Identifikatorer
URN: urn:nbn:se:kau:diva-33483ISBN: 978-82-93158-23-3 (tryckt)OAI: oai:DiVA.org:kau-33483DiVA, id: diva2:741583
Konferens
Health Promotion Research - An international Forum Aug 25-27 Trondheim
Anmärkning

Published in Health, 5 (2013) DOI: 10.4236/health.2013.57A2001

 

Tillgänglig från: 2014-08-28 Skapad: 2014-08-28 Senast uppdaterad: 2016-05-25Bibliografiskt granskad

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Hjalmarson, Helene, V

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