Acceptability of screening to prevent osteoporotic fractures: A qualitative study with older women

Emmett, Clare L., Redmond, Niamh M., Peters, Tim J., Clarke, Shane, Shepstone, Lee, Lenaghan, Elizabeth and Shaw, Alison R. G. (2012) Acceptability of screening to prevent osteoporotic fractures: A qualitative study with older women. Family Practice, 29 (2). pp. 235-242. ISSN 0263-2136

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Abstract

Background. Osteoporotic fractures have a detrimental impact on health and quality of life, are more common in older women and are costly to treat. Screening to identify older women at high risk of fracture has the potential to offer substantial benefits. Understanding women’s and professionals’ experiences of screening will inform the implementation of screening in routine care. Objective. To explore the views of older women and GPs about the acceptability of screening to prevent fractures. Methods. A qualitative study conducted within a multi-centre randomized controlled trial of the effectiveness and cost-effectiveness of screening women aged 70–85 years for the prevention of fractures; 30 women randomized to the trial screening group and 15 GPs were recruited from general practices in North Somerset and Norfolk, UK. All 30 women and 11 of the GPs participated in face-to-face semi-structured interviews. Four GPs participated in a focus group. Data were analysed thematically, using the Framework Approach. Results. Women and GPs viewed screening positively, recognizing its potential to improve fracture prevention and future health. Attending screening was not found to result in anxiety or excessive activity restriction. Demonstrating cost-effectiveness was key to the acceptability of screening amongst GPs. Implementing similar screening in routine care would require consideration of access to bone density scans, information provision to participants and mode of administration. Conclusions. Our findings suggest an effective and cost-effective screening programme to reduce osteoporotic fractures could be implemented in routine care and would be well received by women and GPs.

Item Type:	Article
Uncontrolled Keywords:	aged,aged, 80 and over,cost-benefit analysis,female,focus groups,great britain,humans,interviews as topic,mass screening,osteoporotic fractures,patient acceptance of health care,risk factors
Faculty \ School:	Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups:	Faculty of Medicine and Health Sciences > Research Groups > Epidemiology and Public Health Faculty of Medicine and Health Sciences > Research Groups > Norwich Clinical Trials Unit Faculty of Medicine and Health Sciences > Research Groups > Health Services and Primary Care Faculty of Medicine and Health Sciences > Research Groups > Public Health and Health Services Research (former - to 2023) Faculty of Science > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Groups > Norwich Epidemiology Centre Faculty of Medicine and Health Sciences > Research Centres > Population Health Faculty of Science > Research Groups > Statistics
Depositing User:	Pure Connector
Date Deposited:	06 Jan 2014 15:02
Last Modified:	28 Mar 2025 05:44
URI:	https://ueaeprints.uea.ac.uk/id/eprint/46790
DOI:	10.1093/fampra/cmr069

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