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. 2019 Dec 6;2019(12):CD011207. doi: 10.1002/14651858.CD011207.pub2

Yuksel 2010.

Methods Design: RT
Groups: intervention group (osteoporosis risk management); control group (usual care)
Participants Pharmacy worker: not targeted
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Pharmacy user: 262 patients with osteoporosis (129 intervention; 133 control)
  • mean age: intervention 61 years; control 63 years

  • % female: intervention 62%; control 67%


Setting: unclear
Country: Canada
Interventions Pharmacy worker‐directed intervention: not reported
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Pharmacy user‐directed intervention: patients received tailored education program on aspects of osteoporosis; including risk factors, bone mineral density testing, lifestyle measures, calcium and vitamin D intake, and medications and written information, and discussion of heel ultrasound
  • Delivered by: pharmacists

  • Type: behaviour change

  • Mode of delivery: individual face‐to‐face; written materials

  • TDF: knowledge, environment, context, resources

  • Duration: 30‐minute consultation


Pharmacy user control: usual treatment and information provided by pharmacy
Outcomes Pharmacy worker: not assessed
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Pharmacy user:
  • Clinical: bone mineral density

  • Psychological health: not assessed

  • Behavioural: calcium and Vitamin D intake

  • Quality of life: SF‐12 and Osteoporosis Targeted Quality of Life questionnaire (OPTQoL)

  • Process: not assessed

  • Costs: not assessed

Notes Study/intervention name: OSTEOPHARM (no expansion of acronym provided).
By a grant from the Institute of Health Economics (Edmonton) and Faculty Start Up Grant to Nesé Yuksel from the Faculty of Pharmacy and Pharmaceutical Sciences (University of Alberta)
Yuksel 2006 (cited under Yuksel 2010) also refers to this study.
Risk of bias
Bias Authors' judgement Support for judgement
Random sequence generation (selection bias) Low risk Internet randomisation
Allocation concealment (selection bias) Low risk Internet randomisation
Baseline outcome measures similar Low risk Similar
Baseline characteristics similar Low risk Similar ‐ control group had higher family history of osteoporosis but unlikely to change result
Incomplete outcome data (attrition bias) 
 All outcomes Low risk Used intention‐to‐treat analysis; similar dropout in both groups
Blinding of outcome assessment (detection bias) 
 All outcomes Low risk Blinded
Protection against contamination High risk Both groups were based in the same pharmacies
Selective reporting (reporting bias) Low risk Not noted
Other bias Low risk Not noted
Blinding of participants and personnel (performance bias) 
 All outcomes High risk Not blinded

BMI: body‐mass index; BP: blood pressure; cluster‐RT: cluster randomised trial; COPD: chronic obstructive pulmonary disease; CV: cardiovascular; CVD: cardiovascular disease; DBP: diastolic blood pressure; EQ‐5D: Euroqol Measure of quality of life; FEV1: forced expiratory volume in 1 second; FVC: forced vital capacity; GP: general practitioner (family doctor); HbA1c: glycosylated haemoglobin; HCU: health care utilisation; HDL: high‐density lipoprotein; HDL‐C: high‐density lipoprotein cholesterol; LDL: low‐density lipoprotein; LDL‐C: low‐density lipoprotein cholesterol; NHS: National Health Service; PEF: peak expiratory flow; PEFR: peak expiratory flow rate; RT: randomised trial; SBP: systolic blood pressure; SD: standard deviation; SF‐12: short form‐12; STD: sexually transmitted disease; TC: total cholesterol; TDF: theoretical domains framework; WHO: World Health Organization