Research and evidence

Built with people.
Tested in practice.

Osteoporosis Options grew from the iFraP research programme: a rigorous, collaborative effort to make treatment conversations more person-centred and easier to understand.

From co-design to a four-site randomised controlled trial.

How we got here

Three phases of careful development

The Fracture Liaison Service consultation tool and consultation-skills training were developed and tested through the iFraP study.

Phase 01Resource development

Co-designing the resources with patients, carers and clinicians.

Phase 02Feasibility testing

Initial testing and refinement of the resources at one site.

Phase 03Main trial

Testing the complete intervention across four services in England.

2022—24347

patients took part in a randomised controlled trial across four Fracture Liaison Services.

Main trial findings

Patients reported better conversations and clearer decisions.

01

Easier decision-making about osteoporosis medicines

02

Increased person-centred care

03

Greater satisfaction with written and verbal information

04

More accurate perceptions of fracture risk

05

A clearer understanding of the need for treatment

Read the trial results leaflet

Continuing the work

Widening access and impact

Linked studies are helping adapt the resources for primary care and improve how bone-health information is communicated.

PHORM

Pharmacist-led osteoporosis review

Exploring the role, consultation model and training needs of practice-based pharmacists.

INDEX

Understanding bone density scans

Improving how patients and professionals understand and communicate DXA results.

CARE GAP

Osteoporosis in primary care

Mapping current practice and training needs through a national survey and interviews.

Other resources

Evidence you can use

We partnered with the Royal Osteoporosis Society to create ERO hub: a reviewed library of evidence-based osteoporosis resources for professionals and the public.

Scientific publications

Read the research

11 selected papers
Why we developed the resources+
  1. Quality and effectiveness of osteoporosis treatment decision aids: a systematic review and environmental scan.

  2. Public priorities for osteoporosis and fracture research: results from a focus group study.

  3. Expressed information needs of patients with osteoporosis and/or fragility fractures: a systematic review.

  4. Evaluation of quality and readability of online patient information on osteoporosis drug treatment.

How we developed the resources+
  1. Improving uptake of Fracture Prevention drug treatments: protocol for development of the iFraP consultation intervention.

  2. Developing a model Fracture Liaison Service consultation with patients, carers and clinicians.

  3. Variation in UK Fracture Liaison Service consultation conduct and content.

Testing and linked studies+
  1. A person-centred consultation intervention to improve shared decision-making about osteoporosis medicines: trial protocol.

  2. A person-centred primary care pharmacist-led osteoporosis review for optimising medicines (PHORM).

  3. Osteoporosis care in primary care settings: a national UK e-survey.

  4. Getting to what matters for people with osteoporosis in clinical consultations.