OsteoporosisTINEPCAWONCT06969313
Telemedicine Intention, Need, Expectations, and Perceived Challenges Among Women With Osteoporosis
An observational study of Osteoporosis and Telemedicine, run by Antalya Training and Research Hospital at 2 sites in Turkey (Türkiye).
Trial summary
This study aims to explore the needs and expectations of women with postmenopausal osteoporosis regarding telemedicine services. Osteoporosis is a common condition among postmenopausal women that increases the risk of fractures and significantly affects quality of life. Read more about this study
- Who is it for?
- Ages 50 to 85 years, women onlyHealthy volunteers can take part
- Conditions the study is for
- Osteoporosis, Telemedicine
- What is being tested?
- Structured Questionnaire on Telemedicine Needs
- How many people
- 197 participants
- Where
- 2 sitesTurkey (Türkiye)
- Study dates
- 1 Feb 2025to 9 May 2025
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 50 to 85 years
- Women only
- Healthy volunteers accepted
- Adult, Older adult
Study population: The study population will include postmenopausal women aged 50 to 85 years with a confirmed diagnosis of osteoporosis. Participants will be recruited from patients attending the Physical Medicine and Rehabilitation Department of Antalya City Hospital and the Gynecology Department of Antalya Anadolu Hospital. To reduce selection bias, a systematic sampling method was employed, whereby every third consecutive woman with osteoporosis who presented to the outpatient clinics during the data collection period was invited to participate in the study.
Who may be able to join
- Female patients aged 50 to 85 years. Diagnosed with osteoporosis (based on clinical evaluation and prior diagnosis). Able to understand and complete the study questionnaire (adequate cognitive function).
- Willing and able to provide informed consent and voluntarily participate in the study.
Who cannot join
- Presence of severe medical conditions that may interfere with participation, including:
- Severe cardiac diseases (e.g., advanced heart failure). Severe pulmonary diseases (e.g., advanced chronic obstructive pulmonary disease).
- Advanced-stage cancer or other life-limiting illnesses. Cognitive impairment preventing understanding or completion of the questionnaire.
- Participation in another clinical or interventional study at the same time. Recent significant trauma (physical or psychological) that may interfere with study participation.
- Individuals who cannot understand the study goals and risks, or who refuse informed consent.
Trial locations and contacts
2 sites in 1 country.
Turkey (Türkiye)2 sites
Antalya City Hospital
Antalya, 07080
Antalya Anatolia Hospital
Antalya
About this study
This study aims to explore the needs and expectations of women with postmenopausal osteoporosis regarding telemedicine services. Osteoporosis is a common condition among postmenopausal women that increases the risk of fractures and significantly affects quality of life. Many patients do not receive enough information about their disease and treatments during routine clinic visits, which may affect their ability to manage osteoporosis effectively. Participants will be divided into two age groups: those younger than 65 and those aged 65 or older. These subgroups will be compared in terms of their willingness to use telemedicine, their perceived need for such services, their expectations, preferred service topics, and anticipated barriers.
Telemedicine-including video consultations, remote monitoring, and online health education-can offer support to patients, especially for those facing difficulties in accessing healthcare, such as elderly individuals, those living in rural areas, or people with mobility issues.
Read more
In this research, women aged 50 to 85 who have been diagnosed with postmenopausal osteoporosis will be asked to complete a survey. The survey includes questions about their needs for telemedicine services, including which types of services (such as medication counseling, exercise programs, dietary advice, psychological support) would be most helpful for them.
The study will also examine if age, education level, past fractures, or family history of osteoporosis influence patients' preferences for telemedicine. By identifying these needs, this research aims to improve access to healthcare and develop personalized telemedicine services for women with osteoporosis in Turkey.
This is a non-interventional, observational, and anonymous survey-based study that will take approximately 10-15 minutes to complete. No medications, treatments, or physical tests will be applied.
Read the detailed description
This observational, cross-sectional study investigates the actual needs, preferences, and expectations of postmenopausal women with osteoporosis regarding the use of telemedicine services. Osteoporosis is a chronic, progressive condition characterized by decreased bone density and increased fracture risk, which can significantly impair mobility, and overall quality of life. Access to ongoing medical support is crucial for these patients, yet many-particularly older individuals-encounter substantial barriers such as physical limitations, transportation difficulties, limited caregiver availability, or lack of local specialist services.
Telemedicine has gained prominence as a solution to these challenges, offering remote access to healthcare services through technologies like video consultations, telephone check-ins, and online education tools. While telemedicine has been widely implemented during the COVID-19 pandemic, there remains a lack of data on how women with postmenopausal osteoporosis view these services, what features they find most useful, and what obstacles they anticipate.
The primary objective of this study is to evaluate which types of telemedicine services are most needed and preferred by this patient population-for example, support related to medication use, exercise programs, and dietary advice. The study also aims to determine whether specific sociodemographic and clinical variables-such as age, education level, marital status-are associated with participants' willingness to use telemedicine and their actual need for it.
To examine age-related differences, participants will be divided into two subgroups: those under 65 years of age and those aged 65 or older. These subgroups will be compared across multiple domains, including their interest in using telemedicine, actual necessity for such services (calculated according to parameters living alone, not driving/owning a car, having a chronic disease other than osteoporosis), expectations for care delivery, preferred content areas, and potential barriers (such as lack of internet access or digital literacy).
Data will be collected using a structured, self-administered questionnaire developed through expert consultation and adapted from validated tools in previous telehealth research. The questionnaire includes closed-ended questions and will be distributed during routine outpatient visits at two regional hospitals. Participants will be informed about the purpose of the study and assured of full anonymity and confidentiality. Completing the questionnaire is voluntary and is estimated to take approximately 10-15 minutes.
By identifying telemedicine-related needs specific to postmenopausal women with osteoporosis, this study seeks to support the creation of age-appropriate, patient-centered telehealth models. These findings may also inform healthcare providers and policymakers on how to design and implement accessible, effective, and equitable digital healthcare interventions to improve long-term disease management and patient outcomes in this growing patient population.
- Conditions
- Osteoporosis, Telemedicine
- Being tested
- Structured Questionnaire on Telemedicine Needs
- Keywords
- telemedicine, telehealth, patient needs, osteoporosis
- Medical subject headings
- Osteoporosis
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
Structured Questionnaire on Telemedicine NeedsOther
Also called There is no other intervention.
Participants will complete a structured questionnaire designed to assess their telemedicine needs, expectations, and current knowledge. The questionnaire includes items on demographics, osteoporosis management, and telemedicine service expectations. No clinical or pharmacological intervention will be applied.
| Study group | Role | What they receive |
|---|---|---|
| Younger age group | Participants will be divided into two age groups. The younger age group will include participants below 65. Receives: Other: Structured Questionnaire on Telemedicine Needs | |
| Older age group | Participants will be divided into two age groups. The older age group will include participants equal to or above 65. Receives: Other: Structured Questionnaire on Telemedicine Needs |
What is being measured
The primary outcome is the main question the study is designed to answer.
Intention to Use Telemedicine Services
Participants were directly asked in the questionnaire about their willingness to use telemedicine services. Response options included "Yes," "Not sure," and "No."
Measured: Day 1
Telemedicine Needs Index
The Telemedicine Need Index was calculated based on three demographic factors: living alone (scored 1), not driving or owning a car (scored 1), and having a chronic disease other than osteoporosis (scored 1). These scores were summed, yielding a total score ranging from 0 to 3. A score of 2 or higher indicated a high need for telemedicine services. Higher scores reflected a greater need for telemedicine.
Measured: Day 1
Differences of telemedicine willingness and need between age groups
Intention to use telemedicine services (answers as yes, not and not sure) and the need for telemedicine (Telemedicine Need Index (scored 0 to 3)) were compared between younger (below 65) older (equal to or above 65) participant.
Measured: Day 1
Secondary outcomes (3)
Patient-reported barriers to telemedicine use
Identification of barriers via questionnaire (technological, privacy, etc.).
Measured: Day 1
Preferred topics for telemedicine services
Patient preferences for telemedicine content (e.g., medication, diet).
Measured: Day 1
Perceived impact of telemedicine on Quality of Life
Likert-scale rating of expected impact of telemedicine on quality of life. Participants rated the perceived impact of telemedicine on their quality of life using a 5-point Likert scale: 1 = Not effective at all, 2 = Slightly effective, 3 = Moderately effective, 4 = Very effective, 5 = Extremely effective. Higher scores indicate a stronger belief that telemedicine services will improve quality of life.
Measured: Day 1
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted13 May 2025
- Study start1 Feb 2025
- Primary completion1 May 2025
- Study completion9 May 2025
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (3)Papers the sponsor has linked to this study.
- Other trials for OsteoporosisStudies of the same condition, open and under way.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Other
- Time perspective
- Cross-sectional
- Enrolment
- 197 participants (actual)
Sponsor and investigators
- Lead sponsor
- Antalya Training and Research Hospital
- Sponsor type
- Other government
- Responsible party
- Principal investigator, Selkin Yılmaz Muluk, Antalya Training and Research Hospital
- Investigators
- Selkin Yilmaz Muluk, MD, Study chair, Antalya City Hospital
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT06969313
- Sponsor's protocol ID
- Antalya City Hospital
- Acronym
- TINEPCAWO
- Status last verified
- May 2025
- First submitted
- 28 Apr 2025
- Last updated
- 25 May 2025
- Results posted
- No
- Data monitoring committee
- Yes
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: IPD related to demographics (such as age and education level, marital status), and responses to the telemedicine needs questionnaire will be available upon reasonable request from the corresponding author. No personally identifiable information will be shared.
Publications
Sasaki R, Yunoki T, Nakano Y, Fukui Y, Takemoto M, Morihara R, Abe K, Yamashita T. Actual Telemedicine Needs of Japanese Patients with Neurological Disorders in the COVID-19 Pandemic. Intern Med. 2023 Feb 1;62(3):365-371. doi: 10.2169/internalmedicine.9702-22. Epub 2022 Nov 23.
PubMed 36418105Palacios S, Neyro JL, Fernandez de Cabo S, Chaves J, Rejas J. Impact of osteoporosis and bone fracture on health-related quality of life in postmenopausal women. Climacteric. 2014 Feb;17(1):60-70. doi: 10.3109/13697137.2013.808182. Epub 2013 Jul 30.
PubMed 23710562Sood S, Mbarika V, Jugoo S, Dookhy R, Doarn CR, Prakash N, Merrell RC. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health. 2007 Oct;13(5):573-90. doi: 10.1089/tmj.2006.0073.
PubMed 17999619
Study at a glance
From the registry record, last updated by the sponsor on 25 May 2025. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Telemedicine Intention, Need, Expectations, and Perceived Challenges Among Women With Osteoporosis
- ClinicalTrials.gov ID
- NCT06969313
- Acronym / sponsor ID
- TINEPCAWO / Antalya City Hospital
- Conditions
- Osteoporosis, Telemedicine
- Keywords
- telemedicine, telehealth, patient needs, osteoporosis
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 197 participants (actual)
- Lead sponsor
- Antalya Training and Research HospitalOther government
- Study start
- 1 Feb 2025 (actual)
- Primary completion
- 1 May 2025 (actual)
- Study completion
- 9 May 2025 (actual)
- First posted
- 13 May 2025 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This study aims to explore the needs and expectations of women with postmenopausal osteoporosis regarding telemedicine services. Osteoporosis is a common condition among postmenopausal women that increases the risk of fractures and significantly affects quality of life. Many patients do not receive enough information about their disease and treatments during routine clinic visits, which may affect their ability to manage osteoporosis effectively. Participants will be divided into two age groups: those younger than 65 and those aged 65 or older. These subgroups will be compared in terms of their willingness to use telemedicine, their perceived need for such services, their expectations, preferred service topics, and anticipated barriers.
Telemedicine-including video consultations, remote monitoring, and online health education-can offer support to patients, especially for those facing difficulties in accessing healthcare, such as elderly individuals, those living in rural areas, or people with mobility issues.
In this research, women aged 50 to 85 who have been diagnosed with postmenopausal osteoporosis will be asked to complete a survey. The survey includes questions about their needs for telemedicine services, including which types of services (such as medication counseling, exercise programs, dietary advice, psychological support) would be most helpful for them.
The study will also examine if age, education level, past fractures, or family history of osteoporosis influence patients' preferences for telemedicine. By identifying these needs, this research aims to improve access to healthcare and develop personalized telemedicine services for women with osteoporosis in Turkey.
This is a non-interventional, observational, and anonymous survey-based study that will take approximately 10-15 minutes to complete. No medications, treatments, or physical tests will be applied.
Detailed description
This observational, cross-sectional study investigates the actual needs, preferences, and expectations of postmenopausal women with osteoporosis regarding the use of telemedicine services. Osteoporosis is a chronic, progressive condition characterized by decreased bone density and increased fracture risk, which can significantly impair mobility, and overall quality of life. Access to ongoing medical support is crucial for these patients, yet many-particularly older individuals-encounter substantial barriers such as physical limitations, transportation difficulties, limited caregiver availability, or lack of local specialist services.
Telemedicine has gained prominence as a solution to these challenges, offering remote access to healthcare services through technologies like video consultations, telephone check-ins, and online education tools. While telemedicine has been widely implemented during the COVID-19 pandemic, there remains a lack of data on how women with postmenopausal osteoporosis view these services, what features they find most useful, and what obstacles they anticipate.
The primary objective of this study is to evaluate which types of telemedicine services are most needed and preferred by this patient population-for example, support related to medication use, exercise programs, and dietary advice. The study also aims to determine whether specific sociodemographic and clinical variables-such as age, education level, marital status-are associated with participants' willingness to use telemedicine and their actual need for it.
To examine age-related differences, participants will be divided into two subgroups: those under 65 years of age and those aged 65 or older. These subgroups will be compared across multiple domains, including their interest in using telemedicine, actual necessity for such services (calculated according to parameters living alone, not driving/owning a car, having a chronic disease other than osteoporosis), expectations for care delivery, preferred content areas, and potential barriers (such as lack of internet access or digital literacy).
Data will be collected using a structured, self-administered questionnaire developed through expert consultation and adapted from validated tools in previous telehealth research. The questionnaire includes closed-ended questions and will be distributed during routine outpatient visits at two regional hospitals. Participants will be informed about the purpose of the study and assured of full anonymity and confidentiality. Completing the questionnaire is voluntary and is estimated to take approximately 10-15 minutes.
By identifying telemedicine-related needs specific to postmenopausal women with osteoporosis, this study seeks to support the creation of age-appropriate, patient-centered telehealth models. These findings may also inform healthcare providers and policymakers on how to design and implement accessible, effective, and equitable digital healthcare interventions to improve long-term disease management and patient outcomes in this growing patient population.
Study design
- Observational model
- Other
- Time perspective
- Cross-sectional
- Number of arms
- 2
| Arm | Type | Receives |
|---|---|---|
| Younger age group | – | Other: Structured Questionnaire on Telemedicine NeedsParticipants will be divided into two age groups. The younger age group will include participants below 65. |
| Older age group | – | Other: Structured Questionnaire on Telemedicine NeedsParticipants will be divided into two age groups. The older age group will include participants equal to or above 65. |
Who may qualify
- Ages
- 50 to 85 years
- Sex
- Female only
- Healthy volunteers
- Accepted
- Age groups
- Adult, Older adult
- Study population
- The study population will include postmenopausal women aged 50 to 85 years with a confirmed diagnosis of osteoporosis. Participants will be recruited from patients attending the Physical Medicine and Rehabilitation Department of Antalya City Hospital and the Gynecology Department of Antalya Anadolu Hospital. To reduce selection bias, a systematic sampling method was employed, whereby every third consecutive woman with osteoporosis who presented to the outpatient clinics during the data collection period was invited to participate in the study.
Key inclusion criteria (2 listed)
- Female patients aged 50 to 85 years. Diagnosed with osteoporosis (based on clinical evaluation and prior diagnosis). Able to understand and complete the study questionnaire (adequate cognitive function).
- Willing and able to provide informed consent and voluntarily participate in the study.
Key exclusion criteria (5 listed)
- Severe cardiac diseases (e.g., advanced heart failure). Severe pulmonary diseases (e.g., advanced chronic obstructive pulmonary disease).
- Advanced-stage cancer or other life-limiting illnesses. Cognitive impairment preventing understanding or completion of the questionnaire.
- Participation in another clinical or interventional study at the same time. Recent significant trauma (physical or psychological) that may interfere with study participation.
- Individuals who cannot understand the study goals and risks, or who refuse informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| Structured Questionnaire on Telemedicine NeedsAlso: There is no other intervention.Participants will complete a structured questionnaire designed to assess their telemedicine needs, expectations, and current knowledge. The questionnaire includes items on demographics, osteoporosis management, and telemedicine service expectations. No clinical or pharmacological intervention will be applied. | Other | Older age group, Younger age group |
Primary outcome
Intention to Use Telemedicine Services
Time frame: Day 1
Participants were directly asked in the questionnaire about their willingness to use telemedicine services. Response options included "Yes," "Not sure," and "No."
Telemedicine Needs Index
Time frame: Day 1
The Telemedicine Need Index was calculated based on three demographic factors: living alone (scored 1), not driving or owning a car (scored 1), and having a chronic disease other than osteoporosis (scored 1). These scores were summed, yielding a total score ranging from 0 to 3. A score of 2 or higher indicated a high need for telemedicine services. Higher scores reflected a greater need for telemedicine.
Differences of telemedicine willingness and need between age groups
Time frame: Day 1
Intention to use telemedicine services (answers as yes, not and not sure) and the need for telemedicine (Telemedicine Need Index (scored 0 to 3)) were compared between younger (below 65) older (equal to or above 65) participant.
3 secondary outcomes
Patient-reported barriers to telemedicine use
Time frame: Day 1
Preferred topics for telemedicine services
Time frame: Day 1
Perceived impact of telemedicine on Quality of Life
Time frame: Day 1
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 25 May 2025.
- Background: PubMed 36418105Sasaki R, Yunoki T, Nakano Y, Fukui Y, Takemoto M, Morihara R, Abe K, Yamashita T. Actual Telemedicine Needs of Japanese Patients with Neurological Disorders in the COVID-19 Pandemic. Intern Med. 2023 Feb 1;62(3):365-371. doi: 10.2169/internalmedicine.9702-22. Epub 2022 Nov 23.
- Background: PubMed 23710562Palacios S, Neyro JL, Fernandez de Cabo S, Chaves J, Rejas J. Impact of osteoporosis and bone fracture on health-related quality of life in postmenopausal women. Climacteric. 2014 Feb;17(1):60-70. doi: 10.3109/13697137.2013.808182. Epub 2013 Jul 30.
- Background: PubMed 17999619Sood S, Mbarika V, Jugoo S, Dookhy R, Doarn CR, Prakash N, Merrell RC. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health. 2007 Oct;13(5):573-90. doi: 10.1089/tmj.2006.0073.
- Individual participant dataSharing planned: Yes. IPD related to demographics (such as age and education level, marital status), and responses to the telemedicine needs questionnaire will be available upon reasonable request from the corresponding author. No personally identifiable information will be shared.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Selkin Yilmaz Muluk, MD study chair
Antalya City Hospital
2 sites in 1 country: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Osteoporosis and Telemedicine, run by Antalya Training and Research Hospital at 2 sites in Turkey (Türkiye).
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 2 inclusion and 5 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 25 May 2025. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 2 sites in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Intention to Use Telemedicine Services (time frame: Day 1). The study lists 3 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT06969313, which also lists 3 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 25 May 2025.