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Contact the study team using the details below to take part. If there are no contact details below please ask your doctor in the first instance.
Dr
Muhammad
Javaid
kassim.javaid@ndorms.ox.ac.uk
Zaineb
Mohsin
zaineb.mohsin@ndorms.ox.ac.uk
Zaineb
Mohsin
zaineb.mohsin@ndorms.ox.ac.uk
Disorders of bone density and structure
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Each year,500,000 adults in the UK break a bone after a minor fall. For some patients,this could be the first sign of osteoporosis. Osteoporosis is a condition where bones become weakened and studies have shown that without treatment,the bones get weaker and are more likely to break again.
The NHS funds teams of doctors,nurses and other healthcare providers to work as a Fracture Liaison Service (FLS) to provide osteoporosis checks for patients after they have broken a bone. This is so patients identified as being at risk,can be started on treatment to prevent further broken bones.
It has been calculated that,in a population of 300,000 adults,an effective FLS will prevent around 250 fractures over 5 years,of which about 140 would be hip fractures. This is important,as it is estimated that one in 10 patients with a hip fracture are admitted to a care home rather than returning home. The total expected local savings to the NHS and social care of these prevented fractures is estimated at ÂŁ2.1 million over 5 years for a service cost of around ÂŁ640,000,a net benefit of ÂŁ1.46 million.
Currently,Fracture Liaison Services across the NHS work in different ways with a variable degree of performance. Due to this,it is estimated that each year,90,000 patients who should be on anti-osteoporosis therapy are not receiving it. This results in thousands of avoidable admissions for fractures,long term loss of independence and a higher risk of dying.
Key Performance Indicators (KPIs) are ways of measuring performance that show some FLSs are more “effective” than others in identifying,recommending treatment and ensuring patients stay on treatment. This study was designed to listen to patients and staff from “effective” and “ineffective” FLSs,to find out what helps or challenges them when they receive or deliver care. We will ask patients and staff what they think are the most important organisational factors that lead to the best care. We will also see if this leads to finding new organisational factors that may help improve the service.
The study will be rigorous in its approach to interviews and analysis. Interviews will be recorded and transcribed. Participants will be given a number so they cannot be identified,and data will be stored safely. Analysis will build on each individual interview to develop themes. These will reflect the experience of the participants. We will include a diverse range of participants,including men and adults who have Urdu as their first language. Privacy and dignity of the participants will be ensured.
Following individual interviews,we will explore the findings in a group discussion (focus group) to review any new organisational factors that should be included as KPIs.
The outcome of this research will be discussed with patient and public representatives. The results of this study will be published in journals,presented at conferences and circulated to patient and professional networks. This would help plan systematic changes within Fracture Liaison Services to help patients get better care.
Start dates may differ between countries and research sites. The research team are responsible for keeping the information up-to-date.
The recruitment start and end dates are as follows:
Observational type: Qualitative;
You can take part if:
You may not be able to take part if:
Participants may not enter the study if any of the following apply: • Unable to commit sufficient time for the interview. • Unable to participate in a telephone or digital audio/visual interview including the presence of significant hearing impairment.
Below are the locations for where you can take part in the trial. Please note that not all sites may be open.
Zaineb
Mohsin
zaineb.mohsin@ndorms.ox.ac.uk
Dr
Muhammad
Javaid
kassim.javaid@ndorms.ox.ac.uk
Zaineb
Mohsin
zaineb.mohsin@ndorms.ox.ac.uk
The study is sponsored by University of Oxford and funded by ROYAL OSTEOPOROSIS SOCIETY .
Your feedback is important to us. It will help us improve the quality of the study information on this site. Please answer both questions.
Read full details
for Trial ID: CPMS 61271
You can print or share the study information with your GP/healthcare provider or contact the research team directly.
