Oral Presentation ANZBMS-MEPSA-ANZORS 2022

A 6-month digital health osteoporosis self-management intervention delivered via Amazon Alexa improved osteoporosis knowledge and falls self-efficacy in postmenopausal women with osteoporosis (#74)

David Scott 1 , Paul Jansons 1 , Belinda De Ross 1 , Nicole Kiss 1 , Peter R Ebeling 2 , Robin M Daly 1
  1. Deakin University, Burwood, VIC, Australia
  2. Monash University, Clayton, VICTORIA, Australia

Background: Emerging digital health tools may support self-management of osteoporosis. We aimed to determine whether a 6-month digital health intervention could improve osteoporosis knowledge, medication behaviours, health-related quality of life and falls efficacy in postmenopausal women with osteoporosis.

Methods: Fifty postmenopausal women currently prescribed anti-osteoporosis medication were randomised to receive 6 months of automated education sessions (video/audio/text) on medication, nutrition, and exercise (including 3 sessions/week home-based strength, balance and impact training) for osteoporosis, broadcast via a provided voice-activated Amazon Alexa Echo Show (Alexa) device located in their home (Figure), or automated monthly emails only (control). Outcomes included changes in Osteoporosis Knowledge Assessment Tool (OKAT), Adherence Evaluation of Osteoporosis Treatment Questionnaire (ADEOS), EQ-5D-5L, and Modified Falls Efficacy Scale (MFES) scores.

Results: Forty-seven (94%) women (mean±SD age 64.3±6.1 years) completed follow-up (23 Alexa group; 24 control group). The Alexa group completed 68±­25 of 72 (94%) prescribed education/exercise sessions and demonstrated significantly greater (between-group difference: P=0.038) improvements in osteoporosis knowledge (OKAT; out of 20) compared with controls (Alexa: 10.4±2.6 baseline vs 13.0±3.1 6-months; P<0.001; controls: 10.8±3.0 baseline vs 11.9±2.8 6-months; P=0.06). Change in adherence to osteoporosis treatment (ADEOS) scores did not differ between groups (P=0.114), but improved within the Alexa group only (18.7±3.3 baseline vs 19.9±2.0 6-months; P=0.041). There were no differences between groups for most quality of life (EQ-5D-5L) domains, but the proportion of women experiencing no problems performing usual activities at 6-months was significantly greater for the Alexa group compared with controls (83% vs 54%; P=0.023). Average falls efficacy (MFES; out of 10) scores improved significantly (P=0.032) for the Alexa group (9.70±0.70 baseline vs 9.94±0.20 6-months) compared with controls (9.37±1.67 baseline vs 9.26±1.77 6-months).

Conclusions: A 6-month, remotely-delivered digital health intervention, supporting osteoporosis self-management and including home-based exercise, significantly improved osteoporosis knowledge and falls efficacy in postmenopausal women with osteoporosis.6285cc706568a-ANZBMS+2022+Abstract+Figure.jpg