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A Bone Health Intervention for Chinese Immigrants in Santa Clara County.

Abstract Among Chinese immigrants, osteoporosis is undertreated, misdiagnosed, and a leading cause of fragility fractures. In orthopaedic surgery departments, prevention education and health behavior change programs are necessary to improve their bone health.
PMID
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Authors

Mayor MeshTerms
Keywords
Journal Title orthopedic nursing
Publication Year Start




PMID- 28737638
OWN - NLM
STAT- MEDLINE
DA  - 20170724
DCOM- 20170727
LR  - 20170727
IS  - 1542-538X (Electronic)
IS  - 0744-6020 (Linking)
VI  - 36
IP  - 4
DP  - 2017 Jul/Aug
TI  - A Bone Health Intervention for Chinese Immigrants in Santa Clara County.
PG  - 293-300
LID - 10.1097/NOR.0000000000000369 [doi]
AB  - BACKGROUND: Among Chinese immigrants, osteoporosis is undertreated, misdiagnosed,
      and a leading cause of fragility fractures. In orthopaedic surgery departments,
      prevention education and health behavior change programs are necessary to improve
      their bone health. PURPOSE: The purpose of this study was to examine the
      effectiveness of an osteoporosis prevention education program on participants'
      self-efficacy with regard to exercise and nutrition when provided by an
      orthopaedic surgery team during an annual Chinese Health Fair in Santa Clara
      County, CA. METHODS: This pilot study used a single-group pretest and posttest
      design. Chinese immigrants at risk of osteoporosis were recruited during a 1-day 
      health fair. The Bone Health Intervention (BHI) included orthopaedic surgeon
      consultation, visual aids including osteoporosis images and bone models, a video 
      that included a discussion on calcium and vitamin D in the Chinese diet and
      culturally-acceptable exercise, and osteoporosis educational handouts. The
      Osteoporosis Self-Efficacy Scale (OSES) was utilized to measure participants'
      confidence in the ability to participate in self-care behaviors related to
      physical activity and calcium intake before and after the intervention. Paired t 
      tests were used to compare participants' OSES scores pre- and postintervention.
      RESULTS: There was a significant increase in mean OSES scores postintervention,
      indicating that the intervention could be an effective method of increasing
      participants' self-efficacy regarding calcium intake and time spent in
      exercising. CONCLUSION: These results indicate that a culturally meaningful
      education program can potentially reduce fragility fracture risk. Orthopaedic
      health providers are ideal candidates to deliver preventive care education to
      improve outcomes for Chinese immigrants.
FAU - Zou, Joanne
AU  - Zou J
AD  - Joanne Zou, DNP, FNP-C, RNFA, Nursing Practitioner, Orthopaedic Trauma Institute 
      UCSF + San Francisco General Hospital, San Francisco, CA. Michelle DeCoux
      Hampton, PhD, MS, RN, Professor and Doctor of Nursing Practice Program Director, 
      School of Nursing, Samuel Merritt University, Oakland, CA. Kate Shade, PhD, RN,
      Assistant Professor, School of Nursing, Samuel Merritt University, Oakland, CA.
      Leonard Kaku, DNP, RN, FNP-BC, Assistant Professor, Samuel Merritt University,
      Oakland, CA.
FAU - Hampton, Michelle DeCoux
AU  - Hampton MD
FAU - Shade, Kate
AU  - Shade K
FAU - Kaku, Leonard
AU  - Kaku L
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Orthop Nurs
JT  - Orthopedic nursing
JID - 8409486
RN  - 0 (Bone Density Conservation Agents)
RN  - 0 (Calcium, Dietary)
SB  - N
MH  - Adult
MH  - Aged
MH  - Aged, 80 and over
MH  - Bone Density/physiology
MH  - Bone Density Conservation Agents/therapeutic use
MH  - Calcium, Dietary/therapeutic use
MH  - California
MH  - China/ethnology
MH  - Culturally Competent Care/*methods
MH  - Emigrants and Immigrants/*statistics & numerical data
MH  - Exercise
MH  - Female
MH  - Health Education/*methods
MH  - Health Promotion/*methods
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteoporosis/ethnology/*prevention & control
MH  - Pilot Projects
MH  - Risk Factors
MH  - Self Efficacy
EDAT- 2017/07/25 06:00
MHDA- 2017/07/28 06:00
CRDT- 2017/07/25 06:00
AID - 10.1097/NOR.0000000000000369 [doi]
AID - 00006416-201707000-00011 [pii]
PST - ppublish
SO  - Orthop Nurs. 2017 Jul/Aug;36(4):293-300. doi: 10.1097/NOR.0000000000000369.