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Quasi-experimental study improves knowledge and self-management in perimenopausal women with osteoporosis, suggesting effective intervention.
Osteoporosis is a significant health concern among perimenopausal women due to hormonal changes that accelerate bone loss. Early intervention through education and lifestyle modification is essential to reduce the risk and progression of osteoporosis. This pilot study aimed to evaluate the effectiveness of a structured training module designed for the prevention and management of osteoporosis in perimenopausal women. Methods: A quasi-experimental pilot study was conducted among a purposive sample of 30 perimenopausal women diagnosed with or at risk of osteoporosis. Participants underwent a baseline assessment of their knowledge, attitudes, and practices (KAP) related to osteoporosis using a validated questionnaire. A comprehensive training module, including information on bone health, dietary guidance, physical activity, was administered. Post-intervention assessment was conducted after four weeks (33days) to evaluate changes in KAP scores. Data were analysed using repeated measure of ANOVA to determine statistical significance. Participants reported increased awareness about calcium and vitamin D intake, regular weight-bearing exercise, and the importance of early screening and medical follow-up. Result: The pilot study confirmed the validity and reliability of the instruments (I-CVI ≥0.80, S-CVI ≥0.90, CVR ≥0.86; Cronbach's α = 0.916; KR-20 = 0.87; test–retest = 0.95), ensuring robust measurement. Repeated-measure ANOVA revealed highly significant improvements (p < 0.001) in the experimental group across multiple domains: knowledge scores increased from 7.6 ± 2.3 to 15.5 ± 1.4 (η² = 0.596), physical functioning from 21 ± 22.3 to 68.7 ± 8.3 (η² = 0.649), energy/fatigue from 14 ± 9.1 to 72.7 ± 10.2 (η² = 0.896), and emotional well-being from 15.5 ± 8.8 to 71.2 ± 8.4 (η² = 0.878). Significant gains were also noted in social functioning (η² = 0.668), pain reduction (η² = 0.838), general health (η² = 0.785), and self-management practices (gain = 1.20 vs. 0.30, p < 0.001). Post-hoc comparisons confirmed that improvements were sustained at follow-up. Baseline demographic equivalence between groups strengthened internal validity Conclusion: The pilot study indicates that a structured training module can effectively improve awareness and self-care practices among perimenopausal women for the prevention and management of osteoporosis
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Shylaja et al. (2025) studied this question.
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