- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT06134908
PRevention of OsTEoporotiC FracTure 2 Pilot Study (PROTECT-2)
The Application of "Precise Education + Shared Decision-Making" Program for the Secondary Prevention of Fragility Fractures Based on Behavioral Theories: A Pilot Cluster Randomized Controlled Trial
With the aging of the world population, osteoporosis and fragility fractures have become global public health concerns. It has been estimated the population of people ≥60 years of age will increase from 229 million (16.2%) in 2017 to 479 million (35.1%) by 2050 in China. Because age is an important predictor of osteoporosis and fragility fracture, the incidence of fragility fracture has increased dramatically in China over the past decades. Timely treatment of osteoporosis is an effective way to decrease additional fracture risk among patients with fragility fractures, but anti-osteoporosis treatment rate is relatively low in China. Effective fracture prevention intervention is urgently needed in China.
As a potential way to achieve effective risk communication, shared decision-making allows patients to be active participants in the management of osteoporosis. The investigators designed a multifaceted intervention, which was named as "Precise Education + Shared Decision-Making" program for the secondary prevention of fragility fractures based on behavioral theories, and assessed the effectiveness for fracture prevention using a pilot cluster randomized controlled trial among several hospitals in China.
The aim of this pilot study is to test the acceptability and feasibility as well as preliminary efficacy of this program in patients with fragility fractures.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Jian Mo, MD
- Phone Number: +86 (020) 85252900
- Email: mojian3@mail.sysu.edu.cn
Study Locations
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-
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Guangzhou, China
- Recruiting
- Third Affiliated Hospital, Sun Yat-Sen University
-
Contact:
- Jian Mo, MD
- Phone Number: +86 (020) 85252900
- Email: mojian3@mail.sysu.edu.cn
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Local residents (live in the city where the hospital is located for half a year or more);
- Hospitalized patients with fractures aged 50 years and above;
- First fracture, without history of fracture;
- Never diagnosed as "osteoporosis" before admission;
- No fracture history, and never receive any bone mineral density test, and never take anti-osteoporosis medication in the 4 years before admission;
- Hospitalized patients with the following fractures: hip fracture, thoracic spine fracture, and lumbar spine fracture;
- New fragility fracture: fracture that occurs after minor trauma or daily activities, such as a fracture caused by a fall from standing height or less; fracture happened within 6 weeks;
- Not living in a nursing or rehabilitation institution before fracture;
- Possess reading ability, and can read and understand informed consent forms or medical materials independently.
Exclusion Criteria:
- Patients with pathological fractures caused by tumor or infection;
- Patients with cognitive dysfunction or mental disorder;
- AIDS patients;
- Patients who refuse to follow-up, or have poor compliance for follow-up, or fail to understand and cooperate for follow-up;
- Hearing or visual impairment, and unable to communicate or read materials;
- Patients who have participate in other studies;
- Other conditions that the investigator considered inappropriate to enroll.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Health Services Research
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Multifaceted Intervention
Group in the intervention arm will receive a multicomponent intervention at the clinician- and patient-level, with a shared decision-making booklet as well as a mobile application to promote osteoporosis management and fracture practice.
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The multicomponent intervention elements include education for clinicians and patients as well as a shared decision-making program among clinicians and patients.
A shared decision-making booklet and a mobile application will be used to promote osteoporosis management and fracture practice.
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No Intervention: Usual-care Control
Group in the control arm will receive a leaflet and routine medical care per their existing health care providers.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Trial feasibility - Recruitment
Time Frame: 3 months
|
Number or N (%) participants recruited within 3 months of trial initiation at each centre.
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3 months
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Trial feasibility - Acceptability of the multicomponent program component
Time Frame: 30 days after study recruitment
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Participants will be asked to evaluate the program with a questionnaire with questions about frequency, length, content, delivery, and duration of the booklet and the mobile application using a 5-point Likert scale.
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30 days after study recruitment
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Trial feasibility - Acceptability of the shared decision-making process
Time Frame: 7 days after study recruitment
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Both clinicians and patients will be asked to evaluate the shared decision-making process once they completed it.
A survey will be administered to evaluate the content and comprehension of the program using a 5-point Likert scale.
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7 days after study recruitment
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Trial feasibility - Retention
Time Frame: 30 days after study recruitment
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The retention rates will be assessed as the 30-day follow-up rate.
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30 days after study recruitment
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Anti-osteoporosis treatment rate
Time Frame: 1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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The patients will be followed up and asked whether they accept any anti-osteoporosis medication.
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1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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Shared decision-making process
Time Frame: 7 days after study recruitment
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Standardized questionnaires will be used to evaluated the shared decision-making process.
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7 days after study recruitment
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Bone mineral density test
Time Frame: 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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The patients will be followed up and asked whether they accept bone mineral density test.
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3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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Adherence of anti-osteoporosis medication
Time Frame: 1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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Adherence of anti-osteoporosis medication will be assessed with medication possession ratio and self-reported question.
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1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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Diagnosis, education, and follow-up practice of osteoporosis
Time Frame: 1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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The patients will be followed up with questionnaires about diagnosis, education, and follow-up of osteoporosis.
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1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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Refracture
Time Frame: 1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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The patients will be followed up and asked whether they have refracture.
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1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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Survival
Time Frame: 1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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The patients will be followed up about their survival status.
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1 month follow-up; 3 month follow-up; 6 month follow-up; 12 month follow-up; 24 month follow-up
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Patients' knowledge and attitude about osteoporosis and fragility fracture
Time Frame: baseline; 1 month follow-up; 6 month follow-up
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Patients' knowledge and attitude about osteoporosis and fragility fracture will be evaluated with standardized questionnaires.
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baseline; 1 month follow-up; 6 month follow-up
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Collaborators and Investigators
Investigators
- Principal Investigator: Jian Mo, MD, Third Affiliated Hospital, Sun Yat-Sen University
Study record dates
Study Major Dates
Study Start (Estimated)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Estimated)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- PROTECT-2 Pilot
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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