Abstract

BackgroundOsteoporosis is one of the most common chronic musculoskeletal diseases. Osteoporosis-related knowledge is an important contributor in to prevent osteoporosis. There is no validated reliable questionnaire to measure the knowledge in Hungary. The aim of the study was to validate the Osteoporosis Knowledge Assessment Tool (OKAT) Hungarian version.MethodsThe research was a randomized validation study of a new Hungarian language instrument. The questionnaire was administered to 557 randomly selected healthy women (age between 25 and 44 years) from December 2018 to July 2019 in Baranya county, Hungary. The reliability was examined by the Flesch reading ease and McNemar’s test. We examined item discrimination and item-total correlations, inter-item consistency (Cronbach’s alpha coefficient) and principal component factor analysis.ResultsSignificant differences (p < 0.001) were reported between total scores and the age categories. Significant (p < 0.001) correlation (r = 0.25) was found between the education level and the knowledge. Significantly (p < 0.001) higher knowledge were found in health care profession (14.53 ± 3.58) than the non-health care profession (9.99 ± 4.04). Participants with osteoporosis or fracture in family history had better knowledge (p < 0.001). Flesch reading ease was 44, the questionnaire had a Ferguson’s sigma of 0.94 and a Cronbach’s alpha of 0.81. There were no negative inter-item correlations psychometric properties of the OKAT, all items had more than 70% of correlations (p < 0.001).ConclusionsThe Hungarian version of the Osteoporosis Knowledge Assessment Tool is a reliable and objective questionnaire to measure women’s knowledge in Hungary.

Highlights

  • Osteoporosis is one of the most common chronic musculoskeletal diseases

  • Osteoporosis is a disease affecting the structure of the skeleton as a result low bone mineral density and microarchitectural deterioration of bone tissue is generated

  • In the United States of America 10.2 million adults were diagnosed with osteoporosis and 43.4 million adults with low bone mass

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Summary

Introduction

Osteoporosis is one of the most common chronic musculoskeletal diseases. Osteoporosis-related knowledge is an important contributor in to prevent osteoporosis. Osteoporosis is a disease affecting the structure of the skeleton as a result low bone mineral density and microarchitectural deterioration of bone tissue is generated. Due to the bone mineral density reduction the risk of fragility increases and because of the muscle mass and muscle strength deterioration the risk of falls increases which results in higher risk of fractures [1]. It is widely accepted hat this disease is associated with impairments of quality of life following fracture, and increased mortality [2,3,4,5]. In Hungary 10% of the total population is suffering from osteoporosis [9]

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