{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T09:53:37Z","timestamp":1753869217916,"version":"3.41.2"},"reference-count":49,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2024,12,17]],"date-time":"2024-12-17T00:00:00Z","timestamp":1734393600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health and Aged Care, Australian Government","doi-asserted-by":"publisher","award":["GO3113"],"award-info":[{"award-number":["GO3113"]}],"id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Health Prom J of Aust"],"published-print":{"date-parts":[[2025,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Issue Addressed<\/jats:title><jats:p>The growing prevalence of osteoporosis requires preventative management starting from an early age as peak bone mass is typically reached by age 30. However, current Australian adolescents are not adequately addressing key osteoprotective factors. Alarmingly, around 17% have insufficient vitamin D levels, 55% consume insufficient dietary calcium, and 79% are insufficiently active. Addressing these insufficiencies via bone health education and promoting healthier lifestyle choices are crucial to mitigate the risk of osteoporosis later in life.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A mixed methods study was undertaken to assess the design and effectiveness of four bone health education modules implemented in PDHPE lessons across NSW secondary schools. Pre\u2010 and post\u2010module assessments included a multiple\u2010choice questionnaire on osteoporosis knowledge, and a survey based on the Theory of Planned Behaviour domains to examine influences on healthy bone behaviour. Statistical analysis, qualitative interviews, and focus groups were used to evaluate changes in knowledge and behaviour resulting from the modules.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Participation in bone health teaching modules improved students' knowledge and behaviours related to bone health. Subjective norms had the largest influence regarding behaviour changes. Both students and teachers engaged positively with the bone health modules, which were designed by clinicians and delivered by teachers.<\/jats:p><\/jats:sec><jats:sec><jats:title>So What?<\/jats:title><jats:p>The modules address knowledge gaps and provide strategies from an early age, empowering students and potentially contribute to improving long term bone health. There is a need to focus on promoting positive peer influence and facilitating easy access to bone\u2010healthy behaviours in secondary education settings.<\/jats:p><\/jats:sec>","DOI":"10.1002\/hpja.931","type":"journal-article","created":{"date-parts":[[2024,12,18]],"date-time":"2024-12-18T01:25:08Z","timestamp":1734485108000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The design and evaluation of a bone health teaching module for secondary school students in <scp>NSW<\/scp>, Australia"],"prefix":"10.1002","volume":"36","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0290-8229","authenticated-orcid":false,"given":"Jonathan","family":"Phuong","sequence":"first","affiliation":[{"name":"Sydney Pharmacy School, Faculty of Medicine and Health The University of Sydney"},{"name":"The Garvan Institute of Medical Research  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Lam","sequence":"additional","affiliation":[{"name":"Sydney Pharmacy School, Faculty of Medicine and Health The University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4043-6728","authenticated-orcid":false,"given":"Rebekah","family":"Moles","sequence":"additional","affiliation":[{"name":"Sydney Pharmacy School, Faculty of Medicine and Health The University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Deborah","family":"Mason","sequence":"additional","affiliation":[{"name":"The Garvan Institute of Medical Research  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7732-2206","authenticated-orcid":false,"given":"Christopher","family":"White","sequence":"additional","affiliation":[{"name":"Department of Endocrinology Prince of Wales Hospital  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5278-4527","authenticated-orcid":false,"given":"Jacqueline","family":"Center","sequence":"additional","affiliation":[{"name":"The Garvan Institute of Medical Research  Sydney New South Wales Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4670-0884","authenticated-orcid":false,"given":"Stephen","family":"Carter","sequence":"additional","affiliation":[{"name":"Sydney Pharmacy School, Faculty of Medicine and Health The University of Sydney"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2024,12,17]]},"reference":[{"key":"e_1_2_10_2_1","unstructured":"International Osteoporosis Foundation.Epidemiology: IOF.2023[cited 2023 20 July]. 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