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Uptake of an exercise class and use of bone density measurement after advice by the health insurance fund: results from the osteoporotic fracture prevention program in rural areas (OFRA)

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Abstract

Background

OFRA is a large health insurance fund-driven program which aims to reduce the risk of falls and fractures in older people living in rural areas. The programme offered specific mobility and falls prevention classes and bone density measurement by a DXA scan free of charge to more than 10,000 people, and was promoted by staff of the health insurance fund either by a visit at home, or a phone call, or a visit at home and a subsequent phone call. The aim of this study was to analyse the uptake of an exercise class and the use of a DXA scan after advice.

Methods

Telephone interviews were conducted in a randomly selected subgroup of 780 persons 9 months after first contact. Rates of uptake of an exercise class or use of a DXA scan were calculated. Predictors of uptake and use were analysed applying logistic regression models.

Results

The rate of uptake after advice for specific mobility and fall prevention class was 29.6%. For DXA scan, the rate of use after advice was 16.7%. Rates of uptake and use increased if the first contact by a visit at home or a phone call was followed by an additional subsequent phone call.

Conclusion

A direct motivational approach in older people by a health insurance fund is feasible and results in relevant participation and utilization rates in exercise classes and DXA scans.

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Data availability

The data that support the findings of this study are available, but restrictions apply to the availability of these data, which were used under license for the current study, and are, therefore, not publicly available. However, data may be obtained on reasonable request by the authors and with permission of the SVLFG and the University of Ulm–Institute of Epidemiology and Medical Biometry.

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Acknowledgements

We thank Michael Holzer and Daniel Stöger from the Sozialversicherung für Landwirtschaft, Forsten und Gartenbau (SVLFG); Ulrike Krause, Daniela Ruhe, and Agnes Witschen from the Deutsche LandFrauenverband e.V. (dlv); and Miriam Schreck, Verena Haier, Jörn Rühl, and Pia Pauly from the Deutsche Turner-Bund e.V. (DTB) for the support and close cooperation in the osteoporotic fracture prevention programme in rural areas (OFRA).

Funding

The analysis of the study is supported by the Federal Ministry of Education and Research (BMBF), funding code: 01 EC1404A; 01EC1404D; 01EC1404E.

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Authors and Affiliations

  1. Department of Clinical Gerontology and Rehabilitation, Robert-Bosch-Hospital, Auerbachstraße 110, 70376, Stuttgart, Germany

    Patrick Roigk, Clemens Becker & Kilian Rapp

  2. Institute of Epidemiology and Medical Biometry, Ulm University, Ulm, Germany

    Gisela Büchele & Martin Rehm

  3. Department of Health Economics and Health Services Research, University Medical Center Hamburg-Eppendorf, Hamburg, Germany

    Claudia Schulz & Hans-Helmut König

Authors
  1. Patrick Roigk
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  2. Gisela Büchele
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  5. Hans-Helmut König
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  6. Clemens Becker
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  7. Kilian Rapp
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Contributions

PR was involved in the education of the interviewees and the interviews itself. Furthermore, he was involved in the analyses and interpretation of the data, and was the major contributor in writing the manuscript. KR was involved in the development of the questionnaire for the telephone interviews, the analyses, and interpretation of the data, and gave input for the first draft of the manuscript, all subsequent drafts and contributed in writing the manuscript. GB and MR were involved in the analyses and interpretation of the data and critically reviewed the manuscript. CB, CS, and HHK were involved in the critical revision of the manuscript for publication.

Corresponding author

Correspondence to Patrick Roigk.

Ethics declarations

Conflict of interest

The authors declare that they have no competing interests.

Ethics approval

The study was approved by the ethics committee of Ulm University (proposal 120/15; date: 22.07.2015). OFRA is a health insurance fund-driven programme in a routine health care setting.

Informed consent

Participants gave informed consent to be additionally contacted for evaluation purposes.

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Roigk, P., Büchele, G., Rehm, M. et al. Uptake of an exercise class and use of bone density measurement after advice by the health insurance fund: results from the osteoporotic fracture prevention program in rural areas (OFRA). Aging Clin Exp Res 32, 1255–1262 (2020). https://doi.org/10.1007/s40520-020-01506-2

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  • DOI: https://doi.org/10.1007/s40520-020-01506-2

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