Chronic Disease Self-Management Program: An Effective Tool for Increasing Patient Activation for Persons with Disabilities

2014 ◽  
Vol 95 (10) ◽  
pp. e87
Author(s):  
Nancy A. Flinn ◽  
Stephanie Foo ◽  
Tom Kelley
Keyword(s):  
Chronic Disease ◽  
Patient Activation ◽  
Management Program ◽  
Self Management ◽  
Persons With Disabilities

Implementation and evaluation of the chronic-disease self-management program among Chinese immigrant older adults in the U.S.

2014 ◽  
Vol 35 (6) ◽  
pp. 448-450 ◽  
Author(s):  
XiaoRong Wang ◽  
Heather K. Hardin ◽  
Lei Zhou ◽  
Lei Fang ◽  
Pan Shi ◽  
...  
Keyword(s):  
Older Adults ◽  
Chronic Disease ◽  
Management Program ◽  
Self Management ◽  
Chinese Immigrant ◽  
The U.S

scholarly journals Standardising the Lay: Logics of Change in Programs of Disease Self-management

2012 ◽  
Vol 4 (3) ◽  
pp. 425-442 ◽  
Author(s):  
Annegrete Juul Nielsen ◽  
Lone Grøn
Keyword(s):  
Chronic Disease ◽  
Role Models ◽  
Chronic Condition ◽  
Expert Knowledge ◽  
Management Program ◽  
The Self ◽  
Self Management ◽  
Social Settings ◽  
Patient Centric ◽  
Forms Of Knowledge

The health political discourse on self-care is dominated by the view that the selfmanaging patient represents a more democratic and patient-centric perspective, as he or she is believed to renegotiate the terms on which patient participation in health care has hitherto taken place. The self-managing patient is intended as a challenge to traditional medical authority by introducing lay methods of knowing disease. Rather than a meeting between authoritative professionals and vulnerable patients, the self-managing patient seeks to open up new spaces for a meeting between experts. The present paper questions these assumptions through an ethnographic exploration of a patient-led self-management program called the Chronic Disease Self-Management Program. The program is concerned with what its developers call the social and mental aspects of living with a chronic disease and uses trained patients as role models and program leaders. Drawing inspiration from Annemarie Mol’s term ’logic’, we explore the rationale of ’situations of selfmanagement’ and identify what we call a ’logic of change’, which involves very specific ideas on how life with a chronic condition should be dealt with and directs attention towards particular manageable aspects of life with a chronic condition. This logic of change entails, we argue, a clash not between ’medical’ and ’lay’ forms of knowledge but between different logics or perceptions of how transformation can be achieved: through open-ended and ongoing reflection and experimentation in social settings or through standardised trajectories of change. Returning to the literature on lay forms of knowledge and illness perspectives, we question whether programs such as the Chronic Disease Self-Management Program – despite its apparent patient-centric perspective – reproduces classical hierarchical relations between lay and expert knowledge, albeit in new forms.

Chronic Disease Self-Management Program Interview

2006 ◽  
Author(s):  
Dongbo Fu ◽  
Yongming Ding ◽  
Patrick McGowan ◽  
Hua Fu
Keyword(s):  
Chronic Disease ◽  
Management Program ◽  
Self Management

scholarly journals Benefits for elders with vulnerable health from the Chronic Disease Self-management Program (CDSMP) at short and longer term

2015 ◽  
Vol 15 (1) ◽  
Author(s):  
Angèle A. G. C. Jonker ◽  
Hannie C. Comijs ◽  
Kees C. P. M. Knipscheer ◽  
Dorly J. H. Deeg
Keyword(s):  
Chronic Disease ◽  
Management Program ◽  
Self Management

scholarly journals Predictors of Health Self-Management Program Preference Among Lower-to-Middle Wage Employed Adults With Chronic Health Conditions

2019 ◽  
Vol 33 (2) ◽  
pp. 172-182
Author(s):  
Shawn M. Kneipp ◽  
Lindsey Horrell ◽  
Ziya Gizlice ◽  
Matthew Lee Smith ◽  
Laura Linnan ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Chronic Disease ◽  
Disease Burden ◽  
Multinomial Logistic Regression ◽  
Controlled Trial ◽  
Management Program ◽  
Financial Strain ◽  
Self Management ◽  
Cross Sectional ◽  
Chronic Disease Burden

Purpose: We examined the extent to which demographic, chronic disease burden, and financial strain characteristics were associated with a preference for engaging in the Chronic Disease Self-Management Program (presented as a “health self-management program” [HSMP]) over a financial self-management program (FSMP) and a no program preference (NPP) group among employed adults. Design: Cross-sectional, correlation design using baseline data from a randomized controlled trial (RCT). Subjects: The analytic sample included 324 workers aged 40 to 64 years with 1 or more chronic disease conditions recruited into the RCT from 2015 to 2017. Measures: Chronic disease burden measures included the number of chronic conditions, body mass index (BMI), and the 8-item and 15-item Patient Health Questionnaire (PHQ-8 and PHQ-15). Financial strain was measured as the inability to purchase essentials and food assistance receipt. Both individual and household measures of income were assessed. Analyses: Multinomial logistic regression and post-hoc marginal effects models. Results: Moderate-to-severe depressive symptoms increased the likelihood of having an HSMP preference when compared with those preferring the FSMP (RR = 4.2, P < .05) but not those having NPP; while higher BMI marginally increased HSMP preference over FSMP preference, but not NPP groups (RR = 1.04, P < .05). Financial strain differentially, but significantly, reduces the likelihood of HSMP preference at varying levels of household poverty, depressive symptom severity, and financial strain. Conclusion: Middle-aged, lower-to-middle income workers with moderate-to-severe depressive symptoms opt for HSMPs over FSMPs, but preference for HSMPs significantly diminished when they are experiencing financial strain.

scholarly journals CHRONIC DISEASE SELF-MANAGEMENT PROGRAM ATTENDANCE AMONG AFRICAN AMERICANS WITH ARTHRITIS AND COMORBIDITIES

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S69-S69
Author(s):  
Chivon A Mingo ◽  
Tiffany R Washington ◽  
Matthew L Smith
Keyword(s):  
Chronic Disease ◽  
African Americans ◽  
Complex Disease ◽  
Multinomial Logistic Regression ◽  
Management Program ◽  
Self Management ◽  
Healthcare Organizations ◽  
Faith Based ◽  
Specific Program ◽  
Program Attendance

Abstract African Americans (AA) are 17% less likely to be diagnosed with arthritis compared to Whites, yet disproportionately burdened by arthritis symptoms. AA are overrepresented in the diagnosis and burden of other chronic conditions (diabetes, heart disease), highlighting the need to engage them in evidence-based Chronic Disease Self-Management Education (CDSME) Programs. This study examines how disease profiles may influence program attendance. Using a multinomial logistic regression, data were analyzed from AA with arthritis (N=20,541) who attended CDSME programs in 48 states. Relative to those with only arthritis, participants with more complex disease profiles were less likely to attend an arthritis-specific program (P&lt;0.001) and more likely to attend a diabetes-specific program (P&lt;0.001). Those with more complex disease profiles were more likely to attend programs at healthcare organizations and residential facilities, and less likely to attend in faith-based organizations (P&lt;0.001). Understanding barriers and facilitators to program attendance have policy and public health implications.

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