A quasi-experimental study about shared decision-making and motivational interviewing on patients with a recent fracture attending Fracture Liaison Services
Authors' conclusion
This study showed no significant effect on AOM persistence; however, it demonstrated a significant positive effect of MCAI on SDM process in FLS attendees.
Study context
- Population
- Patients with a recent fracture attending Fracture Liaison Services with anti-osteoporosis medication treatment indication
- Participants
- 245 patients
- Comparison
- Multicomponent adherence intervention (MCAI) with patient decision aid and motivational interviewing vs usual care (UC)
- MCAIn = 136
- UCn = 109reference
- Outcome
- Anti-osteoporosis medication persistence measured by pharmacy records
- Follow-up
- 1 year
Methodological detailssuperiority, Multiple imputation and uni- and multivariable analyses; results did not change importantly after adjustment
- Superiority
- Multiple imputation and uni- and multivariable analyses; results did not change importantly after adjustment
Main finding
As reported in the abstract
AOM persistence
P = 0.626
Secondary outcomes
| Outcome | MCAI | UC | P value |
|---|---|---|---|
| SDM process score (0-100, best)Significantly better with MCAI | 60.4 | 55.1 | P = 0.003 |
Anti-osteoporosis medication (AOM) initiation
- AOM initiation did not differ between groups (97.8% vs 97.5%)
Adherence (MPR)
- MPR did not differ between groups (90.9% vs 88.3%, p=.582)
Decisional conflict (0-100, highest conflict)
- Decisional conflict did not differ between groups (21.7 vs 23.0; p = .314)
Health literacy stratified analyses (post hoc)
- Better effect on MPR and shared decision-making (SDM) in those with adequate health literacy
- Post hoc
Original publication
A quasi-experimental study about shared decision-making and motivational interviewing on patients with a recent fracture attending Fracture Liaison Services. J Bone Miner Res. Published 30 September 2024. doi:10.
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