Improving patient experiences vertebral fractures V1

  • Research type

    Research Study

  • Full title

    Understanding and improving patient experiences of diagnosis for vertebral fracture: a qualitative study

  • IRAS ID

    287802

  • Contact name

    Sarah Drew

  • Contact email

    sarah.drew@bristol.ac.uk

  • Sponsor organisation

    The University of Bristol

  • Duration of Study in the UK

    1 years, 6 months, 30 days

  • Research summary

    Background

    Osteoporosis is a common disease in the over 50s that causes bones to become thinner and break (fracture). The most common osteoporotic fracture is a vertebral fracture (OVF). People with OVFs are at high risk of breaking other bones such as their hips. NHS guidelines recommend prescribing bone protection therapies to people who have experienced a fracture, to reduce the risk of further fractures by 30-50%. However, over two-thirds of people with OVFs remain undiagnosed. Understanding reasons for this will to help identify OVFs more effectively in the future.

    Aims and objectives

    1. To understand GPs and patients’ experiences and views of diagnosis for OVFs to identify factors that help of hinder diagnosis

    2. Use information to develop a series of recommendations to improve the identification of people with OVFs

    3. Co-produce an educational resource for patients and/ or healthcare professionals to improve identification of people with OVFs

    Methods

    We will:

    1. Conduct in-depth interviews with 20 - 26 patients aged over 50 who have been diagnosed with an OVF and 20 – 26 GPs, to gain an understanding of their experiences and views of diagnosis. Findings will be used to develop a list of factors that help or hinder diagnosis.

    2. Present factors that help or hinder diagnosis to a group of 20 people including patients, their partners and/ or carers, healthcare professionals and charity representatives. Based on findings, this group will develop recommendations to improve the identification of people with OVFs

    3. Hold two workshops with 10 people including patients, carers, healthcare professionals and charity representatives. The first workshop will use study findings to co-produce an educational resource. The second workshop will refine resources and decide the best ways of sharing this information.

    Dissemination

    We will produce an educational resource for patients and/ or healthcare professionals and share this in several different ways, including through a UK-wide charity.

    Summary of Results

    The study provides new findings about patient journeys to treatment. Resources are being shared with a range of
    groups so that identification of vertebral fractures can be improved.

  • REC name

    West Midlands - Black Country Research Ethics Committee

  • REC reference

    21/WM/0162

  • Date of REC Opinion

    21 Jul 2021

  • REC opinion

    Further Information Favourable Opinion