Effect of Assessing Risk for Osteoporosis on Physician and Patient Behaviors
Impact of the FRAX Assessment on Physician and Patient Treatment Behavior
1 other identifier
interventional
90
1 country
1
Brief Summary
The study seeks to determine the impact of assessing risk for osteoporosis in women on patient and physician behaviors through a pharmacist directed osteoporosis screening program. Women will be offered a heel ultrasound to screen for their bone density and may or may not be asked questions about their risk for bone fracture. Pharmacists will counsel and educate all women on ways to prevent the onset of osteoporosis. Women will be telephoned three months after the screening and asked a series of 10 questions to follow up on decisions made by their physicians or changes made to their health behaviors related to bone health.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P50-P75 for not_applicable
Started Feb 2010
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
February 1, 2010
CompletedPrimary Completion
Last participant's last visit for primary outcome
November 1, 2010
CompletedStudy Completion
Last participant's last visit for all outcomes
February 1, 2011
CompletedFirst Submitted
Initial submission to the registry
April 4, 2012
CompletedFirst Posted
Study publicly available on registry
April 6, 2012
CompletedApril 6, 2012
April 1, 2012
9 months
April 4, 2012
April 5, 2012
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Behavior Change
Patient Health behavior changes included beginning exercise, initiating calcium and vitamin D supplements, talking with physician about osteoporosis prevention, screening by DXA scan, changing dietary intake of calcium; physician behavior changes included ordering a DXA scan, ordering vitamin D blood levels, initiating drug treatment.
After 3 months or greater from screening.
Study Arms (2)
FRAX Assessment
ACTIVE COMPARATORFRAX Assessment Tool administered by a pharmacist. This group also receives a heel ultrasound and pharmacist counseling.
Control group
NO INTERVENTIONControl group receives heel ultrasound and pharmacist counseling
Interventions
FRAX Assessment Tool is designed to assess risk for fracture based on country of origin, race, and other factors.
Eligibility Criteria
You may qualify if:
- Postmenopausal female participants over the age of 45 years up to and including 65 years of age. The participant will be required to have a medical doctor and covered by an insurance plan in case a DXA-scan is ordered by the physician.
- Ability to be screened at the Center for Pharmacy Care or at other community screenings on the Achilles® heel ultrasound bone densitometer.
- After heel ultrasound is conducted, include those individuals as participants in the study who present with a T-score equal to or less than -1.0.
You may not qualify if:
- Unable to participate in the follow-up survey conducted over the telephone.
- Age less than 45 years or over 65 years.
- Any individual currently taking biphosphonates for osteoporosis treatment.
- After heel ultrasound is conducted, if T-score is greater than -1.0.
- Males
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Duquesne Universitylead
- Warner Chilcottcollaborator
Study Sites (1)
Duquesne University Center for Pharmacy Care
Pittsburgh, Pennsylvania, 15282, United States
Related Publications (3)
Watts NB. The Fracture Risk Assessment Tool (FRAX(R)): applications in clinical practice. J Womens Health (Larchmt). 2011 Apr;20(4):525-31. doi: 10.1089/jwh.2010.2294. Epub 2011 Mar 25.
PMID: 21438699BACKGROUNDElias MN, Burden AM, Cadarette SM. The impact of pharmacist interventions on osteoporosis management: a systematic review. Osteoporos Int. 2011 Oct;22(10):2587-96. doi: 10.1007/s00198-011-1661-7. Epub 2011 Jul 1.
PMID: 21720894BACKGROUNDIzuora KE, Alazraki N, Byrd-Sellers J, Tangpricha V, Nanes MS. Fracture assessment tool risk scores in bone density reports do not change physician prescribing behavior for osteoporosis. Am J Med Sci. 2011 Jul;342(1):5-8. doi: 10.1097/MAJ.0b013e31820aba02.
PMID: 21412137RESULT
Related Links
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Hildegarde J Berdine, PharmD
Duquesne University
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- SINGLE
- Who Masked
- PARTICIPANT
- Purpose
- PREVENTION
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
- Responsible Party
- PRINCIPAL INVESTIGATOR
- PI Title
- Associate Professor of Pharmacy Practice
Study Record Dates
First Submitted
April 4, 2012
First Posted
April 6, 2012
Study Start
February 1, 2010
Primary Completion
November 1, 2010
Study Completion
February 1, 2011
Last Updated
April 6, 2012
Record last verified: 2012-04