A Qualitative Study Exploring Patients' Perspectives on Pharmacological Management of Osteoporosis Following Upper Extremity Fragility Fractures
Abstract
Osteoporosis, a significant medical and socioeconomic threat, frequently results in fragility fractures in both men and women. This thesis delves into the various factors that impact how patients with osteoporosis adhere to their medication regimens, as well as the decision-making processes they go through after experiencing upper extremity fragility fractures. Employing qualitative interpretive description methodology, data were collected through semi-structured interviews with fourteen older adult patients at Hand and Upper Limb Centre, St. Joseph’s Hospital, through purposeful sampling. Thematic analysis of the transcripts revealed vital factors such as social support, personal health beliefs, side effect management, and treatment accessibility that influence medication adherence. Findings indicate that clear communication, proactive side effect management, and logistical support are critical in enhancing medication adherence. This research underscores the importance of incorporating implementation science principles to develop targeted interventions, ultimately improving patient outcomes and reducing the incidence of osteoporotic fractures. The study’s insights contribute to developing comprehensive strategies for better osteoporosis management in older adults.