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The effectiveness of an osteoporosis prevention education programme for women in Hong Kong: a randomized controlled trial


  • Moon Fai Chan BSc, PhD,

  • Chung Ying Ko BSc, RN,

  • Mary Christine Day BSc

Moon Fai Chan
School of Nursing
The Hong Kong Polytechnic University
Hung Hom
Hong Kong SAR
Telephone: (852) 2766 4090


Aims.  The purpose of this study was to evaluate whether a nurse-initiated education programme on four specific osteoporosis-prevention related behaviours leads to their adoption or positive attitude changes compared with women who did not participate in this programme.

Research method.  The design was a randomized controlled design and the setting was a local private beauty clinic.

Outcome measures.  Pre-, post- and follow-up education data compared attitudes and consumption frequency before and after the education programme.

Results.  The results showed significant increases in the reported follow-up for each behaviour: consumption of soya foods (mean = 4·3, SD = 0·5), milk (mean = 4·2, SD = 0·8), more exercise (mean = 4·3, SD = 0·5) and vitamin D/exposure to sunlight (mean = 4·2, SD = 0·9) for subjects in the case group compared with control group subjects (soya foods: mean = 3·3, SD = 0·9, P < 0·001; milk: mean = 3·0, SD = 0·9, P < 0·001; more exercise: mean = 3·4, SD = 1·0, P = 0·003; vitamin D/sunlight: mean = 2·7, SD = 0·9, P < 0·00). Most of the participants either disagreed (n = 11, 55·0%) or strongly disagreed (n = 9, 45·0%) that there was not enough information provided in the education programme to motivate them to change. On the satisfaction score, they rated the nurse's performance as either satisfactory (n = 11, 55·0%) or very satisfactory (n = 9, 45·0%) on presentation and ability to answer their questions and either satisfactory (n = 12, 60·0%) or very satisfactory (n = 8, 40·0%) on ability to describe each behaviour clearly.

Conclusion.  A targeted education programme conducted with Hong Kong women resulted in significantly increased consumption of calcium including soya-based foods, milk and vitamin D. According to the reported attitudinal and behavioural intentions, participants’ positive feedback suggests that women who participated in this educational programme were motivated to make changes and benefited from the support of this nurse-initiated education programme.

Relevance to clinical practice.  Osteoporosis was a serious health concern that most commonly affected women. As indicated by the results of this study, this educational programme can act as simple but effective nursing intervention to promote women's attitudinal and behavioural intentions towards osteoporosis-prevention.