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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
Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences. (Public Health and Sport Sciences)ORCID iD: 0000-0002-2249-3868
Borås Högskola.
(Centrum för Vårdvetenskap Örebro Universitetsjukhus)
2014 (English)In: Next Health / [ed] Geir Arild Espnes, Trondheim, 2014, 71- p.Conference paper, Abstract (Refereed)
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


Place, publisher, year, edition, pages
Trondheim, 2014. 71- p.
Rapportserie fra Senter for helsefremmende forskning HiST/NTNU, ISSN 1892-6207 ; 2014/3
Keyword [en]
fracture prevention, health behaviour, sense of coherence, activity-specific balance confidence, physical capacity and cluster analysis
National Category
Medical and Health Sciences
Research subject
Public Health Science
URN: urn:nbn:se:kau:diva-33483ISBN: 978-82-93158-23-3 (print)OAI: diva2:741583
Health Promotion Research - An international Forum Aug 25-27 Trondheim

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


Available from: 2014-08-28 Created: 2014-08-28 Last updated: 2016-05-25Bibliographically approved

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