Trial Outcomes & Findings for Dissemination of a Theory-Based Bone Health Program in Online (NCT NCT01963169)

NCT ID: NCT01963169

Last Updated: 2022-05-06

Results Overview

The 16-item knowledge on osteoporosis was measured using the revised Osteoporosis Knowledge Test (Range: 0 - 23 \[higher better\]) The 11-item self-efficacy for calcium intake subscale of the Osteoporosis Health Belief Scale. (Range: 11 - 110 \[higher better\]) The 9-item self-efficacy for Exercise scale. (Range: 0 - 90 \[higher better\]) The 6-item calcium intake outcome expectation subscale of the Osteoporosis Health Belief Scale (Range: 6 -30\[higher better\]) The 9-item outcome expectations for Exercise Scale. (scoring: range: 9 - 45 \[higher better\])

Recruitment status

COMPLETED

Study phase

NA

Target enrollment

866 participants

Primary outcome timeframe

8 weeks

Results posted on

2022-05-06

Participant Flow

Participant milestones

Participant milestones
Measure
TO-BoneHealth Group
The group will use the 8-week TO-BoneHealth program, which includes: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment. After 8 weeks, participants will receive a monthly e-mail informing them of the upcoming surveys. TO-BoneHealth Program (Bone Power Program): The 8-week TO-BoneHealth program include: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment.
TO-BoneHealth Plus Group
The group will use the TO-BoneHealth Plus program intervention, which includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months. TO-BoneHealth Plus Program (Bone Power Plus Program): This intervention includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months.
Control Group
No specific intervention will be provided to the control group participants. To keep in contact with participants, a monthly e-mail will be sent to inform them of upcoming follow-up surveys. At the end of the study (upon completion of all five surveys), the control group participants will receive a CD version of the TO-BoneHealth program via mail.
Overall Study
STARTED
301
302
263
Overall Study
COMPLETED
242
220
237
Overall Study
NOT COMPLETED
59
82
26

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

Dissemination of a Theory-Based Bone Health Program in Online

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
TO-BoneHealth Group
n=301 Participants
The group will use the 8-week TO-BoneHealth program, which includes: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment. After 8 weeks, participants will receive a monthly e-mail informing them of the upcoming surveys.
TO-BoneHealth Plus Group
n=302 Participants
TO-BoneHealth Plus Program (Bone Power Plus Program): This intervention includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months.
Control Group
n=263 Participants
No specific intervention will be provided to the control group participants.
Total
n=866 Participants
Total of all reporting groups
Age, Categorical
<=18 years
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
Age, Categorical
Between 18 and 65 years
213 Participants
n=5 Participants
197 Participants
n=7 Participants
168 Participants
n=5 Participants
578 Participants
n=4 Participants
Age, Categorical
>=65 years
88 Participants
n=5 Participants
105 Participants
n=7 Participants
95 Participants
n=5 Participants
288 Participants
n=4 Participants
Age, Continuous
62.1 years
STANDARD_DEVIATION 8.5 • n=5 Participants
63 years
STANDARD_DEVIATION 8.5 • n=7 Participants
63.5 years
STANDARD_DEVIATION 8.5 • n=5 Participants
62.8 years
STANDARD_DEVIATION 8.5 • n=4 Participants
Sex: Female, Male
Female
118 Participants
n=5 Participants
108 Participants
n=7 Participants
91 Participants
n=5 Participants
317 Participants
n=4 Participants
Sex: Female, Male
Male
183 Participants
n=5 Participants
194 Participants
n=7 Participants
172 Participants
n=5 Participants
549 Participants
n=4 Participants
Region of Enrollment
United States
301 Participants
n=5 Participants
302 Participants
n=7 Participants
263 Participants
n=5 Participants
866 Participants
n=4 Participants

PRIMARY outcome

Timeframe: 8 weeks

Population: Participants who completed the 8-week survey.

The 16-item knowledge on osteoporosis was measured using the revised Osteoporosis Knowledge Test (Range: 0 - 23 \[higher better\]) The 11-item self-efficacy for calcium intake subscale of the Osteoporosis Health Belief Scale. (Range: 11 - 110 \[higher better\]) The 9-item self-efficacy for Exercise scale. (Range: 0 - 90 \[higher better\]) The 6-item calcium intake outcome expectation subscale of the Osteoporosis Health Belief Scale (Range: 6 -30\[higher better\]) The 9-item outcome expectations for Exercise Scale. (scoring: range: 9 - 45 \[higher better\])

Outcome measures

Outcome measures
Measure
TO-BoneHealth Group
n=234 Participants
The group will use the 8-week TO-BoneHealth program, which includes: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment. After 8 weeks, participants will receive a monthly e-mail informing them of the upcoming surveys. TO-BoneHealth Program (Bone Power Program): The 8-week TO-BoneHealth program include: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment.
TO-BoneHealth Plus Group
n=226 Participants
The group will use the TO-BoneHealth Plus program intervention, which includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months. TO-BoneHealth Plus Program (Bone Power Plus Program): This intervention includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months.
Control Group
n=245 Participants
No specific intervention will be provided to the control group participants. To keep in contact with participants, a monthly e-mail will be sent to inform them of upcoming follow-up surveys. At the end of the study (upon completion of all five surveys), the control group participants will receive a CD version of the TO-BoneHealth program via mail.
Changes in Osteoporosis Knowledge, Self-efficacy/Outcome Expectations for Calcium Intake and Exercise, Health Behaviors (Calcium Intake, Exercise)
Osteoporosis Knowledge
19.8 units on a scale
Standard Deviation 3.8
19.3 units on a scale
Standard Deviation 4.1
16.7 units on a scale
Standard Deviation 4.4
Changes in Osteoporosis Knowledge, Self-efficacy/Outcome Expectations for Calcium Intake and Exercise, Health Behaviors (Calcium Intake, Exercise)
CA Intake Self-Efficacy
89.9 units on a scale
Standard Deviation 17.8
90.8 units on a scale
Standard Deviation 16.1
82.7 units on a scale
Standard Deviation 21.2
Changes in Osteoporosis Knowledge, Self-efficacy/Outcome Expectations for Calcium Intake and Exercise, Health Behaviors (Calcium Intake, Exercise)
CA Intake Outcome Expectations
23.3 units on a scale
Standard Deviation 3.6
22.9 units on a scale
Standard Deviation 4.0
22.5 units on a scale
Standard Deviation 3.7
Changes in Osteoporosis Knowledge, Self-efficacy/Outcome Expectations for Calcium Intake and Exercise, Health Behaviors (Calcium Intake, Exercise)
Exercise Self-Efficacy
51.3 units on a scale
Standard Deviation 26.4
50.8 units on a scale
Standard Deviation 25.0
47.5 units on a scale
Standard Deviation 26.4
Changes in Osteoporosis Knowledge, Self-efficacy/Outcome Expectations for Calcium Intake and Exercise, Health Behaviors (Calcium Intake, Exercise)
Exercise Outcome Expectations
37.8 units on a scale
Standard Deviation 7.1
37.2 units on a scale
Standard Deviation 7.0
36.6 units on a scale
Standard Deviation 7.6

PRIMARY outcome

Timeframe: 8 weeks

Population: Participants who completed the 8-week survey.

Dietary calcium intake was estimated using a short screening tool developed by Blalock et al. 4. It includes 22 items that assess both frequency and portions various foods that contain calcium and vitamin D. (Higher values are better.)

Outcome measures

Outcome measures
Measure
TO-BoneHealth Group
n=234 Participants
The group will use the 8-week TO-BoneHealth program, which includes: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment. After 8 weeks, participants will receive a monthly e-mail informing them of the upcoming surveys. TO-BoneHealth Program (Bone Power Program): The 8-week TO-BoneHealth program include: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment.
TO-BoneHealth Plus Group
n=226 Participants
The group will use the TO-BoneHealth Plus program intervention, which includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months. TO-BoneHealth Plus Program (Bone Power Plus Program): This intervention includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months.
Control Group
n=245 Participants
No specific intervention will be provided to the control group participants. To keep in contact with participants, a monthly e-mail will be sent to inform them of upcoming follow-up surveys. At the end of the study (upon completion of all five surveys), the control group participants will receive a CD version of the TO-BoneHealth program via mail.
Changes in Calcium Intake
1538.4 mg
Standard Deviation 1289.2
1513.3 mg
Standard Deviation 1367.6
1278.1 mg
Standard Deviation 1059.6

PRIMARY outcome

Timeframe: 8 weeks

Population: Participants who completed the 8-week survey.

Exercise behavior was assessed using the 6-item exercise subscale that is part of the Yale Physical Activity Survey. (Higher value is better.)

Outcome measures

Outcome measures
Measure
TO-BoneHealth Group
n=234 Participants
The group will use the 8-week TO-BoneHealth program, which includes: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment. After 8 weeks, participants will receive a monthly e-mail informing them of the upcoming surveys. TO-BoneHealth Program (Bone Power Program): The 8-week TO-BoneHealth program include: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment.
TO-BoneHealth Plus Group
n=226 Participants
The group will use the TO-BoneHealth Plus program intervention, which includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months. TO-BoneHealth Plus Program (Bone Power Plus Program): This intervention includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months.
Control Group
n=245 Participants
No specific intervention will be provided to the control group participants. To keep in contact with participants, a monthly e-mail will be sent to inform them of upcoming follow-up surveys. At the end of the study (upon completion of all five surveys), the control group participants will receive a CD version of the TO-BoneHealth program via mail.
Changes in Exercise Time
160.6 minutes
Standard Deviation 196.0
137.1 minutes
Standard Deviation 203.8
125.6 minutes
Standard Deviation 177.9

Adverse Events

TO-BoneHealth Group

Serious events: 0 serious events
Other events: 14 other events
Deaths: 0 deaths

TO-BoneHealth Plus Group

Serious events: 0 serious events
Other events: 25 other events
Deaths: 0 deaths

Control Group

Serious events: 0 serious events
Other events: 7 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
TO-BoneHealth Group
n=301 participants at risk
The group will use the 8-week TO-BoneHealth program, which includes: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment. After 8 weeks, participants will receive a monthly e-mail informing them of the upcoming surveys. TO-BoneHealth Program (Bone Power Program): The 8-week TO-BoneHealth program include: (1) web learning modules, (2) moderated discussion boards, (3) an Ask-the-Experts section, and (4) a virtual library. In addition, a tool kit and video lecture library are also available to participants. The program will be closed after 8 weeks, and there will be no eNewsletter or bi-weekly follow-ups of bone health behavior goal attainment.
TO-BoneHealth Plus Group
n=302 participants at risk
The group will use the TO-BoneHealth Plus program intervention, which includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months. TO-BoneHealth Plus Program (Bone Power Plus Program): This intervention includes the 8-week TO-BoneHealth program followed by bi-weekly theory-based eNewsletters with follow-up of each individual's maintenance of bone health behaviors for 10 months.
Control Group
n=263 participants at risk
No specific intervention will be provided to the control group participants. To keep in contact with participants, a monthly e-mail will be sent to inform them of upcoming follow-up surveys. At the end of the study (upon completion of all five surveys), the control group participants will receive a CD version of the TO-BoneHealth program via mail.
General disorders
Not associated/unlikely to be associated to the investigational product/procedure, Unexpected
4.7%
14/301 • Number of events 14 • 12 months (throughout the data collection period)
Other Adverse Events: Specific adverse event terms are not collected (Reported as "Not associated/unlikely to be associated to the investigational product/procedure, Unexpected")
8.3%
25/302 • Number of events 25 • 12 months (throughout the data collection period)
Other Adverse Events: Specific adverse event terms are not collected (Reported as "Not associated/unlikely to be associated to the investigational product/procedure, Unexpected")
2.7%
7/263 • Number of events 7 • 12 months (throughout the data collection period)
Other Adverse Events: Specific adverse event terms are not collected (Reported as "Not associated/unlikely to be associated to the investigational product/procedure, Unexpected")

Additional Information

Eun-Shim Nahm

University of Maryland, Baltimore

Phone: 410-706-4913

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place