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August 22, 2026JMIR NursingOpen Access

Multicomponent Supportive-Educative mHealth Intervention for Self-Care Among Individuals With Osteoporosis in Thailand: Exploratory Pretest-Posttest Pilot Study

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Authors

NPNatthida PanguthaSJS JittimaneePSPorramat Saksaen

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Overview

A pilot pretest-posttest study demonstrates enhanced self-care and medication adherence in older adults with osteoporosis, highlighting the utility of mobile health education.

Key Points

  • To evaluate the effect of a 4-week multicomponent supportive-educative mobile health intervention on self-care behaviors among older individuals diagnosed with osteoporosis compared with usual care.
  • Conducted an exploratory pretest-posttest pilot study with a matched nonequivalent control group of 46 individuals aged ≥50 years with osteoporosis at a university hospital in Bangkok, Thailand.
  • Allocated participants to either usual care (n=23) or a 4-week Orem theory-based intervention (n=23) delivered via a closed Facebook group with educational videos, psychological support, family involvement, and remote nurse interaction.
  • Assessed outcomes using the Self-Care of Osteoporosis Scale and analyzed group differences with ANCOVA and MANCOVA adjusting for baseline scores.
  • Participants in the intervention group achieved significantly higher overall postintervention self-care scores than those receiving usual care (F1,43 = 459.29; P < .001).
  • The intervention group demonstrated significant domain-specific improvements over controls in diet and physical activity (F1,41 = 245.04; P < .001), safety performance (F1,41 = 171.20; P < .001), and medication adherence (F1,41 = 144.54; P < .001).

Cite This Study

Pangutha et al. (2026) studied this question.

synapsesocial.com/papers/6a895fc4ca7ade938187ea70https://doi.org/10.2196/101025
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Implementation of a Web-Based Application (Wellhealth) for Osteoporosis Medication Management in Older Adults: Prospective Feasibility Study2026
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  4. 4A Nurse-Led Intervention Program Using the LINE Official Account (OA) Application to Improve Self-Care and Clinical Outcomes in Patients With Diabetes and Comorbidities2025
  5. 5Online Disease Management Training for Older Adults With Osteoarthritis: A Randomized Controlled Trial2024