Pilot Study of Precise Education and Shared Decision-Making to Prevent Fragility Fractures in Patients 50 and Older

What this Trial Is About

Fragility fractures and osteoporosis are increasing health concerns, especially among people aged 50 and older in China, where the aging population is rapidly growing. This research aims to test a program called Precise Education Shared Decision-Making designed to help patients with fragility fractures actively participate in their osteoporosis management to prevent further fractures. The study is a pilot cluster randomized controlled trial conducted in several hospitals to assess the programs acceptability, feasibility, and preliminary effectiveness. Participants are divided into two groups. One group receives a multifaceted intervention that includes education for both clinicians and patients, a shared decision-making booklet, and a mobile app to promote better osteoporosis management and fracture care. The control group receives usual medical care along with a leaflet. The study follows participants over time to observe how these different approaches impact treatment and fracture prevention. During the study, participants will be monitored for recruitment success, retention, and how acceptable they find the program and shared decision-making process. Researchers will also track osteoporosis treatment rates, medication adherence, bone density tests, refracture occurrences, and patient knowledge at multiple follow-ups ranging from one month to two years. This thorough monitoring helps evaluate how well the program supports ongoing osteoporosis care and fracture prevention.

PRevention of OsTEoporotiC FracTure 2 Pilot Study