{"title":"骨质疏松性椎体骨折患者使用定制辅助工具进行健康教育——一项非随机对照研究","authors":"Lifang Huang, Chengyi Chang, Borren Huang","doi":"10.1007/s00586-025-09023-4","DOIUrl":null,"url":null,"abstract":"<p><strong>Purpose: </strong>This study aimed to assess the impact of customized educational tools for improving disease awareness, shared decision-making effectiveness, and medical satisfaction among patients with osteoporotic vertebral fractures.</p><p><strong>Methods: </strong>This prospective non-randomized controlled study included patients with radiographically confirmed vertebral fractures, with bone density T-score below - 2.5 as an independent inclusion criterion, inadequate medication response, and no prior surgical treatment who were treated at the neurosurgery outpatient department of a regional hospital in central Taiwan from June 2022 to October 2022. The experimental group received customized educational tools including a multimedia video, detailed leaflets, and a spinal model demonstration. In contrast, the control group's education was limited to colorful graphic leaflets. Three scales for outcome measurement were used: the Disease Care Awareness Scale, the Shared Decision-Making Effectiveness Scale, and the Shared Decision-Making Satisfaction Scale.</p><p><strong>Results: </strong>A total of 128 participants were included (control group: 64; experimental group: 64). Significant post-intervention improvements were observed in the experimental group for disease awareness (pre-intervention mean: 6.11, post-intervention mean: 9.03, p < 0.001), shared decision-making effectiveness (pre-intervention mean: 30.06, post-intervention mean: 40.88, p < 0.001), and medical satisfaction (pre-intervention mean: 19.81, post-intervention mean: 27.70, p < 0.001). The control group showed significant improvement only in shared decision-making effectiveness.</p><p><strong>Conclusions: </strong>Although customized educational tools show significant improvements in disease awareness, shared decision-making effectiveness, and medical satisfaction, these findings are based on within-group comparisons and should be interpreted with caution. Tailored health education may have the potential to improve patient outcomes in osteoporosis care.</p>","PeriodicalId":12323,"journal":{"name":"European Spine Journal","volume":" ","pages":""},"PeriodicalIF":2.6000,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Health education using customized aids for patients with osteoporotic vertebral fractures- a non-randomized controlled study.\",\"authors\":\"Lifang Huang, Chengyi Chang, Borren Huang\",\"doi\":\"10.1007/s00586-025-09023-4\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Purpose: </strong>This study aimed to assess the impact of customized educational tools for improving disease awareness, shared decision-making effectiveness, and medical satisfaction among patients with osteoporotic vertebral fractures.</p><p><strong>Methods: </strong>This prospective non-randomized controlled study included patients with radiographically confirmed vertebral fractures, with bone density T-score below - 2.5 as an independent inclusion criterion, inadequate medication response, and no prior surgical treatment who were treated at the neurosurgery outpatient department of a regional hospital in central Taiwan from June 2022 to October 2022. The experimental group received customized educational tools including a multimedia video, detailed leaflets, and a spinal model demonstration. In contrast, the control group's education was limited to colorful graphic leaflets. Three scales for outcome measurement were used: the Disease Care Awareness Scale, the Shared Decision-Making Effectiveness Scale, and the Shared Decision-Making Satisfaction Scale.</p><p><strong>Results: </strong>A total of 128 participants were included (control group: 64; experimental group: 64). Significant post-intervention improvements were observed in the experimental group for disease awareness (pre-intervention mean: 6.11, post-intervention mean: 9.03, p < 0.001), shared decision-making effectiveness (pre-intervention mean: 30.06, post-intervention mean: 40.88, p < 0.001), and medical satisfaction (pre-intervention mean: 19.81, post-intervention mean: 27.70, p < 0.001). The control group showed significant improvement only in shared decision-making effectiveness.</p><p><strong>Conclusions: </strong>Although customized educational tools show significant improvements in disease awareness, shared decision-making effectiveness, and medical satisfaction, these findings are based on within-group comparisons and should be interpreted with caution. Tailored health education may have the potential to improve patient outcomes in osteoporosis care.</p>\",\"PeriodicalId\":12323,\"journal\":{\"name\":\"European Spine Journal\",\"volume\":\" \",\"pages\":\"\"},\"PeriodicalIF\":2.6000,\"publicationDate\":\"2025-06-26\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"European Spine Journal\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1007/s00586-025-09023-4\",\"RegionNum\":3,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"CLINICAL NEUROLOGY\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"European Spine Journal","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1007/s00586-025-09023-4","RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"CLINICAL NEUROLOGY","Score":null,"Total":0}
Health education using customized aids for patients with osteoporotic vertebral fractures- a non-randomized controlled study.
Purpose: This study aimed to assess the impact of customized educational tools for improving disease awareness, shared decision-making effectiveness, and medical satisfaction among patients with osteoporotic vertebral fractures.
Methods: This prospective non-randomized controlled study included patients with radiographically confirmed vertebral fractures, with bone density T-score below - 2.5 as an independent inclusion criterion, inadequate medication response, and no prior surgical treatment who were treated at the neurosurgery outpatient department of a regional hospital in central Taiwan from June 2022 to October 2022. The experimental group received customized educational tools including a multimedia video, detailed leaflets, and a spinal model demonstration. In contrast, the control group's education was limited to colorful graphic leaflets. Three scales for outcome measurement were used: the Disease Care Awareness Scale, the Shared Decision-Making Effectiveness Scale, and the Shared Decision-Making Satisfaction Scale.
Results: A total of 128 participants were included (control group: 64; experimental group: 64). Significant post-intervention improvements were observed in the experimental group for disease awareness (pre-intervention mean: 6.11, post-intervention mean: 9.03, p < 0.001), shared decision-making effectiveness (pre-intervention mean: 30.06, post-intervention mean: 40.88, p < 0.001), and medical satisfaction (pre-intervention mean: 19.81, post-intervention mean: 27.70, p < 0.001). The control group showed significant improvement only in shared decision-making effectiveness.
Conclusions: Although customized educational tools show significant improvements in disease awareness, shared decision-making effectiveness, and medical satisfaction, these findings are based on within-group comparisons and should be interpreted with caution. Tailored health education may have the potential to improve patient outcomes in osteoporosis care.
期刊介绍：
"European Spine Journal" is a publication founded in response to the increasing trend toward specialization in spinal surgery and spinal pathology in general. The Journal is devoted to all spine related disciplines, including functional and surgical anatomy of the spine, biomechanics and pathophysiology, diagnostic procedures, and neurology, surgery and outcomes. The aim of "European Spine Journal" is to support the further development of highly innovative spine treatments including but not restricted to surgery and to provide an integrated and balanced view of diagnostic, research and treatment procedures as well as outcomes that will enhance effective collaboration among specialists worldwide. The “European Spine Journal” also participates in education by means of videos, interactive meetings and the endorsement of educative efforts.
Official publication of EUROSPINE, The Spine Society of Europe
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