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Can Educational Interventions Improve Osteoporotic Women's Adherence to Treatment? A Literature Review

Alvaro, Rosaria; D'Agostino, Fabio; Cittadini, Noemi; Zannetti, Emanuela Basilici; Rao, Cecilia; Feola, Maurizio; Vellone, Ercole; Pennini, Annalisa; Tarantino, Umberto

doi: 10.1097/NOR.0000000000000192
Original Articles
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Poor adherence to medication and an unhealthy lifestyle increase risk of fracture, hospitalization, and medical costs in osteoporotic individuals. Therefore, a literature review was conducted using PubMed, CINAHL, Cochrane Library, and Scopus databases to identify educational interventions that improve adherence to medications and healthy lifestyles in osteoporotic women. The search was limited to the articles published between January 2002 and January 2015, and they were selected only if they were interventional studies. Twelve studies were included, in which 7 studies were focused on interventions to improve medication adherence, 4 studies on improving adherence to healthy lifestyles, and 1 study was focused on both. Educational interventions, such as tailored interventions with counseling sessions, were effective in improving adherence to medications and healthy lifestyles; however, educational materials such as leaflets did not improve adherence. Further studies are needed to investigate adherence to healthy lifestyles because this is poorly described in the literature.

Rosaria Alvaro, MSN, RN, Associate Professor, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Fabio D'Agostino, PhD, RN, Research fellow, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Noemi Cittadini, MSN, RN, PhD candidate in Nursing, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Emanuela Basilici Zannetti, MSN, RN, PhD candidate in Nursing, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Cecilia Rao, MD, Resident in Orthopaedics and Traumatology, Department of Orthopaedics and Traumatology Policlinico Tor Vergata Foundation, University of Rome Tor Vergata, Rome, Italy.

Maurizio Feola, MD, Resident in Orthopaedics and Traumatology, Department of Orthopaedics and Traumatology Policlinico Tor Vergata Foundation, University of Rome Tor Vergata, Rome, Italy.

Ercole Vellone, PhD, RN, Research fellow, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Annalisa Pennini, MSN, RN, PhD candidate in Nursing, Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Umberto Tarantino, MD, PhD, Ordinary Professor, Department of Orthopaedics and Traumatology Policlinico Tor Vergata Foundation, University of Rome Tor Vergata, Rome, Italy.

This work was funded by the Center of Excellence for Nursing Scholarship.

© 2015 National Association of Orthopaedic Nurses