TY - JOUR
T1 - Application and Effect of Mobiletype-Bone Health Intervention in Korean Young Adult Women with Low Bone Mass
T2 - A Randomized Control Trial
AU - Park, Young Joo
AU - Lee, Sook Ja
AU - Shin, Nah Mee
AU - Shin, Hyunjeong
AU - Jeon, Songi
AU - Lee, Jungwoo
AU - Cho, Inhae
N1 - Publisher Copyright:
© 2017
PY - 2017/3/1
Y1 - 2017/3/1
N2 - Purpose This randomized control trial was designed to examine the effect on the self-managing ability for promoting bone health of mobile type–bone health intervention (mobile type–BHI). Methods The mobile type–BHI consisted of a mobile application called “Strong bone, Fit body” (SbFb) and group education. A total of 82 college women with low bone mass (Z score < –1) participated. They were assigned randomly to three groups, experimental group I, (n = 28), experimental group II (n = 32), and control group (n = 22). This study ran from June 2014 to January 2015. The outcome variables were bone mineral density, minerals related to bone metabolism (calcium, phosphorus, vitamin D), biochemical markers related to bone remodeling (osteocalcin, C-terminal telopeptide, sclerostin), food intake diary by 24 hours recall, and psychosocial variables related to bone health (knowledge, health belief and self-efficacy). Data were analyzed using SAS program and a computer aided nutritional analysis program. Results Both the experimental group I, who used mobile type–BHI, and experimental group II, who only received group education, showed outcomes regarding knowledge of the benefits of exercise and calcium as compared with the control group. The two experimental groups also demonstrated results in the serum levels of calcium, vitamin D, and sclerostin compared to those of the control group. Conclusion Although both experimental groups exhibited positive outcomes in regards to the promotion of bone health, this study did not show an additional effect of the mobile application on self-management ability for the promotion of bone health. Nonetheless, the SbFb application is very meaningful as it is the first application developed with the aim of improving women's bone health.
AB - Purpose This randomized control trial was designed to examine the effect on the self-managing ability for promoting bone health of mobile type–bone health intervention (mobile type–BHI). Methods The mobile type–BHI consisted of a mobile application called “Strong bone, Fit body” (SbFb) and group education. A total of 82 college women with low bone mass (Z score < –1) participated. They were assigned randomly to three groups, experimental group I, (n = 28), experimental group II (n = 32), and control group (n = 22). This study ran from June 2014 to January 2015. The outcome variables were bone mineral density, minerals related to bone metabolism (calcium, phosphorus, vitamin D), biochemical markers related to bone remodeling (osteocalcin, C-terminal telopeptide, sclerostin), food intake diary by 24 hours recall, and psychosocial variables related to bone health (knowledge, health belief and self-efficacy). Data were analyzed using SAS program and a computer aided nutritional analysis program. Results Both the experimental group I, who used mobile type–BHI, and experimental group II, who only received group education, showed outcomes regarding knowledge of the benefits of exercise and calcium as compared with the control group. The two experimental groups also demonstrated results in the serum levels of calcium, vitamin D, and sclerostin compared to those of the control group. Conclusion Although both experimental groups exhibited positive outcomes in regards to the promotion of bone health, this study did not show an additional effect of the mobile application on self-management ability for the promotion of bone health. Nonetheless, the SbFb application is very meaningful as it is the first application developed with the aim of improving women's bone health.
KW - biomarkers
KW - bone density
KW - mobile applications
KW - nutrition assessment
KW - women
UR - http://www.scopus.com/inward/record.url?scp=85016504349&partnerID=8YFLogxK
U2 - 10.1016/j.anr.2017.03.005
DO - 10.1016/j.anr.2017.03.005
M3 - Article
C2 - 28388981
AN - SCOPUS:85016504349
SN - 1976-1317
VL - 11
SP - 56
EP - 64
JO - Asian Nursing Research
JF - Asian Nursing Research
IS - 1
ER -