Osteoporosis LTC Research

We are creating change in long-term care

The Ontario LTC Strategy has pioneered the implementation of a multifaceted osteoporosis knowledge translation (KT) model to deliver best-evidence practices in long-term care homes. This model validated educational and quality improvement strategies to improve practices in long-term care by interdisciplinary teams.

Our Projects


An interdisciplinary, multifaceted KT intervention that improved vitamin D and calcium prescription uptake in LTC homes in Ontario


A KT intervention targeting interdisciplinary teams in 50 LTC homes across Ontario, to improve appropriate osteoporosis prescribing and identification of frail older adults 

Predicting Fracture in LTC

A study designed to explore which factors, identified from MDS-RAI items are associated with incident fracture in one year among long-term care residents 

Prescribing in LTC

Polypharmacy and medication interaction are common challenges in LTC. Learn more about studies that reviewed appropriate prescribing and management of medications for older adults in long-term care.

Knowledge Translation Strategies for Implementation of Guidelines

Small Group Learning

Whether in person or by webinar, small group learning facilitates knowledge translation of key topics in the management of osteoporosis and fracture prevention in LTC. These meetings are normally one hour in length and are facilitated by opinion leaders.

Opinion Leaders

Expert physicians are key in delivering standardized presentations to interdisciplinary teams and administrative staff. Opinion Leaders review best practices for osteoporosis management and fracture prevention (including case studies) with an emphasis on the importance of Vitamin D for preventing falls and fractures.

Learning Modules

Educational videos are another KT strategy that contributes to facilitate learning and transfer of knowledge and skills for healthcare professionals.

Audit and Feedback

A KT strategy widely used to improve professional practice either as stand alone or as a component of combined quality improvement interventions. Healthcare professionals may modify their practice if and when given performance feedback showing that their clinical practice is not consistent with a desirable target and in comparison to their peers.

Action Planning

​Action planning is based on the use of PDSA (plan-do-study-act) cycles. Action planning sheets can be developed and be used during educational meetings to discuss facilitators and barriers in implementing evidence-based strategies in LTC. These can include specific steps and strategies to implement, organizational changes and policy changes.

Point of Care Tools

Facilitate knowledge transfer and dissemination of best-evidence in clinical settings. These are commonly designed for rapid consultation at point of care, can be used as evidence-based clinical decision support aids with links to relevant literature or as alerts set in electronic medical records.

Did You Know? 

According to the Canadian Institute of Health Information, 2/3 of Canadians 65+ who live in LTC homes take 10 or more prescription drugs.