{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T17:29:33Z","timestamp":1787246973130,"version":"build-2736575974"},"reference-count":20,"publisher":"JMIR Publications Inc.","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["JMIR Nursing"],"abstract":"Abstract<\/jats:title>\n \n Background<\/jats:title>\n Poor self-care impairs osteoporosis management. Disease-related knowledge and family support have influenced self-care; however, the combined association of these factors with self-care remains insufficiently understood.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study aimed to compare self-care among individuals with osteoporosis who received a multicomponent supportive-educative mobile health intervention with that of individuals who received usual care.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n \n This exploratory pilot study using a pretest-posttest design with a nonequivalent control group included 46 individuals aged 50 years and older who had been diagnosed with osteoporosis and were receiving care at the orthopedic outpatient department of a university hospital in Bangkok. Participants were matched by sex, age, and back pain scores and then sequentially allocated to an intervention group (n=23, 50%) and a comparison group (n=23, 50%). The intervention group received a 4-week multicomponent supportive-educative intervention based on Orem\u2019s self-care theory, delivered partly through a closed Facebook group. The intervention included educational guidance, video-based teaching, psychological support, family involvement, and remote nurse interaction. The comparison group received usual care. Self-care was measured using the Self-Care of Osteoporosis Scale. Chi-square tests, Fisher exact tests, independent-sample 2-tailed\n t<\/jats:italic>\n tests, analysis of covariance, and multivariate analysis of covariance were used to examine differences between groups.\n <\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n After controlling for baseline self-care scores, participants in the intervention group had significantly higher postintervention self-care scores than those in the comparison group (\n F<\/jats:italic>\n 1,43<\/jats:sub>\n =459.29;\n P<\/jats:italic>\n <.001). Significant group differences were also observed across all 3 domains of self-care after controlling for baseline scores. Compared with the control group, the intervention group demonstrated significantly higher postintervention scores in diet and physical activity (\n F<\/jats:italic>\n 1,41<\/jats:sub>\n =245.04;\n P<\/jats:italic>\n <.001), safety performance (\n F<\/jats:italic>\n 1,41<\/jats:sub>\n =171.20;\n P<\/jats:italic>\n <.001), and medication adherence (\n F<\/jats:italic>\n 1,41<\/jats:sub>\n =144.54;\n P<\/jats:italic>\n <.001).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The multicomponent supportive-educative intervention delivered partly through Facebook was associated with improvements in self-care among individuals with osteoporosis. Future rigorous trials are needed to confirm its efficacy.<\/jats:p>\n <\/jats:sec>","DOI":"10.2196\/101025","type":"journal-article","created":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T17:11:05Z","timestamp":1787245865000},"page":"e101025-e101025","source":"Crossref","is-referenced-by-count":0,"title":["Multicomponent Supportive-Educative mHealth Intervention for Self-Care Among Individuals With Osteoporosis in Thailand: Exploratory Pretest-Posttest Pilot Study"],"prefix":"10.2196","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0009-0003-7826-3134","authenticated-orcid":false,"given":"Natthida","family":"Pangutha","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3828-5075","authenticated-orcid":false,"given":"Sirinapha","family":"Jittimanee","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-4884-0932","authenticated-orcid":false,"given":"Porramat","family":"Saksaen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1010","published-online":{"date-parts":[[2026,8,20]]},"reference":[{"issue":"1","key":"R1","doi-asserted-by":"publisher","DOI":"10.1186\/s13018-021-02772-0","article-title":"The global prevalence of osteoporosis in the world: a comprehensive systematic review and meta-analysis","volume":"16","author":"Salari","journal-title":"J Orthop Surg Res"},{"issue":"1","key":"R2","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-020-00872-8","article-title":"Prevalence of osteoporosis among the elderly population of Iran","volume":"16","author":"Fahimfar","journal-title":"Arch Osteoporos"},{"issue":"1","key":"R3","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-020-00871-9","article-title":"SCOPE 2021: a new scorecard for osteoporosis in Europe","volume":"16","author":"Kanis","journal-title":"Arch Osteoporos"},{"issue":"1","key":"R4","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-12755-4","article-title":"The determinants of self-care behaviors and calcium-vitamin D intake in elderly women: a comparative study of osteoporosis and healthy counterparts","volume":"15","author":"Farshbaf-Khalili","journal-title":"Sci Rep"},{"issue":"10","key":"R5","doi-asserted-by":"publisher","first-page":"2049","DOI":"10.1007\/s00198-021-05900-y","article-title":"The clinician\u2019s guide to prevention and treatment of osteoporosis","volume":"33","author":"LeBoff","journal-title":"Osteoporos Int"},{"issue":"1","key":"R6","doi-asserted-by":"publisher","first-page":"40","DOI":"10.33808\/clinexphealthsci.533942","article-title":"Treatment adherence levels and factors affecting adherence in patients receiving osteoporosis treatment","volume":"10","author":"Pa\u015fali Ki\u0307li\u0307t","journal-title":"Clin Exp Health Sci"},{"issue":"1","key":"R7","doi-asserted-by":"publisher","first-page":"28","DOI":"10.57582\/IJBF.210101.028","article-title":"Development and testing of a new instrument to measure self-care in patients with osteoporosis: the Self-Care of Osteoporosis Scale","volume":"1","author":"Cittadini","journal-title":"Int J Bone Frag"},{"issue":"1","key":"R8","doi-asserted-by":"publisher","DOI":"10.1186\/s12905-023-02546-2","article-title":"The self-care behaviors and health literacy can play important preventive roles in older female osteoporosis","volume":"23","author":"Malekmirzaei","journal-title":"BMC Womens Health"},{"issue":"1","key":"R9","doi-asserted-by":"publisher","DOI":"10.1007\/s11657-021-00923-8","article-title":"Health information-seeking behavior and self-care in women with osteoporosis: a qualitative study","volume":"16","author":"Ansari","journal-title":"Arch Osteoporos"},{"issue":"2","key":"R10","doi-asserted-by":"publisher","DOI":"10.5812\/jhealthscope.57234","article-title":"Needs of women with osteoporosis in disease self-management: a qualitative study","volume":"8","author":"Fallahi","journal-title":"Health Scope"},{"issue":"4","key":"R11","doi-asserted-by":"publisher","first-page":"625","DOI":"10.1007\/s00198-019-05166-5","article-title":"Education intervention for older adults with osteoporosis: a systematic review","volume":"31","author":"Gai","journal-title":"Osteoporos Int"},{"issue":"5","key":"R12","doi-asserted-by":"publisher","first-page":"841","DOI":"10.1007\/s00198-023-06678-x","article-title":"Implementation and operationalization of Integrated People-Centred Health Services delivery strategies in integrated osteoporosis care (IOC) initiatives: a systematic review","volume":"34","author":"Verdonck","journal-title":"Osteoporos Int"},{"key":"R13","unstructured":"Orem DE Taylor SG Renpenning KM . 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