Osteoporosis-Related Health Behaviors in Men With Prostate Cancer and Survivors Exploring Osteoporosis Knowledge, Health Beliefs, and Self-Efficacy

Lassemillante, Annie-Claude M., Skinner, Tina L., Hooper, John D., Prins, John B. and Wright, Olivia R. L. (2017) Osteoporosis-Related Health Behaviors in Men With Prostate Cancer and Survivors Exploring Osteoporosis Knowledge, Health Beliefs, and Self-Efficacy. American Journal of Men’s Health, 11 1: 13-23. doi:10.1177/1557988315615956


Author Lassemillante, Annie-Claude M.
Skinner, Tina L.
Hooper, John D.
Prins, John B.
Wright, Olivia R. L.
Title Osteoporosis-Related Health Behaviors in Men With Prostate Cancer and Survivors Exploring Osteoporosis Knowledge, Health Beliefs, and Self-Efficacy
Journal name American Journal of Men’s Health   Check publisher's open access policy
ISSN 1557-9891
1557-9883
Publication date 2017-01-01
Year available 2015
Sub-type Article (original research)
DOI 10.1177/1557988315615956
Open Access Status DOI
Volume 11
Issue 1
Start page 13
End page 23
Total pages 11
Place of publication Thousand Oaks, CA, United States
Publisher Sage Publications
Language eng
Subject 3306 Health (social science)
2739 Public Health, Environmental and Occupational Health
Abstract This descriptive study aimed to (a) determine the extent of osteoporosis knowledge, perceived health beliefs, and self-efficacy with bone healthy behaviors in men with prostate cancer and survivors and (b) identify how dietary bone healthy behaviors are associated with these psychobehavioral and psychosocial factors. Three different questionnaires were used to measure osteoporosis knowledge, health beliefs, and self-efficacy in a group of men with prostate cancer and survivors. Bone health was assessed via dual-energy X-ray absorptiometry and calcium intake using a diet history. The prevalence of osteoporosis and low bone mass was high at over 70%. Participants had inadequate osteoporosis knowledge with a mean score of 43.3% (SD = 18%) on the Facts on Osteoporosis Quiz. Participants scored low on the subscale measuring barriers to exercise (median = 11; interquartile range [IQR] = 6.5), indicating minimal barriers to exercise participation, and the subscale measuring the benefits of exercise scored the highest (median = 24; IQR = 3.5) compared with the other subscales. Men with prostate cancer and survivors were highly confident in their exercise and calcium self-efficacy (83.0%, IQR = 24.0% and 85.7%, IQR = 27.0%, respectively). Participants did not meet their calcium requirements or consume enough dairy products for optimum bone health. Men with prostate cancer and survivors have poor osteoporosis knowledge, but are confident in their self-efficacy of undertaking bone healthy behaviors. This confidence did not translate to specific dietary behaviors as they did not meet their calcium or dairy intake requirements. Implications for cancer survivors is that there is a need for bone health education programs among prostate cancer survivors. These programs should go beyond education and empowerment to provide practical guidance to maximize uptake of bone healthy behaviors.
Formatted abstract
This descriptive study aimed to (a) determine the extent of osteoporosis knowledge, perceived health beliefs, and self-efficacy with bone healthy behaviors in men with prostate cancer and survivors and (b) identify how dietary bone healthy behaviors are associated with these psychobehavioral and psychosocial factors. Three different questionnaires were used to measure osteoporosis knowledge, health beliefs, and self-efficacy in a group of men with prostate cancer and survivors. Bone health was assessed via dual-energy X-ray absorptiometry and calcium intake using a diet history. The prevalence of osteoporosis and low bone mass was high at over 70%. Participants had inadequate osteoporosis knowledge with a mean score of 43.3% (SD = 18%) on the Facts on Osteoporosis Quiz. Participants scored low on the subscale measuring barriers to exercise (median = 11; interquartile range [IQR] = 6.5), indicating minimal barriers to exercise participation, and the subscale measuring the benefits of exercise scored the highest (median = 24; IQR = 3.5) compared with the other subscales. Men with prostate cancer and survivors were highly confident in their exercise and calcium self-efficacy (83.0%, IQR = 24.0% and 85.7%, IQR = 27.0%, respectively). Participants did not meet their calcium requirements or consume enough dairy products for optimum bone health. Men with prostate cancer and survivors have poor osteoporosis knowledge, but are confident in their self-efficacy of undertaking bone healthy behaviors. This confidence did not translate to specific dietary behaviors as they did not meet their calcium or dairy intake requirements. Implications for cancer survivors is that there is a need for bone health education programs among prostate cancer survivors. These programs should go beyond education and empowerment to provide practical guidance to maximize uptake of bone healthy behaviors.
Keyword Prostatic neoplasm
Survivors
Osteoporosis
Knowledge
Self-efficacy
Health behavior
Q-Index Code C1
Q-Index Status Provisional Code
Institutional Status UQ

 
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Created: Wed, 06 Jan 2016, 22:01:46 EST by Sandrine Ducrot on behalf of School of Human Movement and Nutrition Sciences