Development, Acceptability, and Usability of a Virtual Intervention for Vertebral Fractures.

Objective: This project aimed to develop a virtual intervention for vertebral fractures (VIVA) to implement the international recommendations for the nonpharmacological management of osteoporotic vertebral fractures and to test its acceptability and usability.

Methods: VIVA was developed in accordance with integrated knowledge translation principles and was informed by the Behavioral Change Wheel, the Theoretical Domains Framework, and the affordability, practicability, effectiveness and cost-effectiveness, acceptability, side effects/safety, and equity (APEASE) criteria. The development of the prototype of VIVA involved 3 steps: understanding target behaviors, identifying intervention options, and identifying content and implementation options.

Non-pharmacological management of osteoporotic vertebral fractures: health-care professional perspectives and experiences.

Purpose: To understand experiences and perceptions on non-pharmacological treatment of vertebral fractures and virtual-care from the perspective of care professionals' (HCPs).

Design And Setting: We conducted semi-structured interviews with 13 HCPs within Canada (7 F, 6 M, aged 46 ± 12 years) and performed a thematic and content analysis from a post-positivism perspective.

Results: Two themes were identified: acuity matters when selecting appropriate interventions; and roadblocks to receiving non-pharmacological interventions.

International consensus on the non-pharmacological and non-surgical management of osteoporotic vertebral fractures.

Unlabelled: We identified a knowledge gap in the non-pharmacological and non-surgical management of osteoporotic vertebral fractures.

Main Results: This international consensus process established multidisciplinary biopsychosocial recommendations on pain, nutrition, safe movement, and exercise for individuals with acute and chronic vertebral fractures.

Significance: These recommendations will guide clinical practice and inform interventions for future research.

Non-pharmacological management of osteoporotic vertebral fractures: Patient perspectives and experiences.

Objective: To understand perceptions on rehabilitation after vertebral fracture, non-pharmacological strategies, and virtual care from the perspective of individuals living with vertebral fractures.

Design And Setting: We conducted semi-structured interviews online and performed a thematic and content analysis from a post-positivism perspective.

Participants: Ten individuals living with osteoporotic vertebral fractures (9F, 1 M, aged 71  ±  8 years).