Strategies for recruiting populations to participate in the chronic disease self-management program (CDSMP): A systematic review

Introduction: Elderly population is increasing in Pakistan. Majority of people aged 50 – 64, suffer from two or more chronic conditions. Care of elderly people is sub-optimal. Healthcare system has limited resources to provide healthcare support to elderly people. Thus, there is need to empower the elderly to self-manage their health conditions. Chronic Disease Self-Management Program (CDSMP) is the most widely accepted self-management patient education program. It is designed to help people to gain confidence and skills to better manage their chronic conditions. Evidence of the effectiveness of CDSMP specifically for elderly people aged 60 years and above is lacking. Therefore, the aim of this systematic review was to determine the effects of the program among chronically ill elderly people. Methods: MEDLINED, CINHAL, EMBASE, PSYINFO, JBI and ASSIA were searched between April and May, 2020 for studies that tested the effects of generic CDSMP. A total of 750 articles were identified, of which 5 were included in the core review (four randomized controlled trials and one quasi-experimental). Results: Eligible 5 studies yielded 2971 participants (mean aged 60.4 to 76.0 years). Elder people who participated in CDSMP improved their self-efficacy to manage disease in general and to manage symptoms. The effects on health status were mixed. Self-rated health and health distress showed significant improvement. Some health behaviours showed improvement, particularly exercise component showed significant improvement. For health services utilization, there was no improvement. Conclusion: The result of this review suggests that CDSMP is beneficial for elderly people who attended the structured CDSMP either through a trained care provider or layman. Experimental studies in low and middle income countries, with large sample sizes are suggested to further understand the impact of CDSMP.

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Harvest Health: A Chronic Disease Self-Management Program

PsycEXTRA Dataset ◽

10.1037/e515812006-002 ◽

2005 ◽

Keyword(s):

Chronic Disease ◽

Management Program ◽

Self Management

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A Meta-Analysis of Health Status, Health Behaviors, and Health Care Utilization Outcomes of the Chronic Disease Self-Management Program

Preventing Chronic Disease ◽

10.5888/pcd10.120112 ◽

2013 ◽

Vol 10 ◽

Cited By ~ 134

Author(s):

Teresa J. Brady ◽

Louise Murphy ◽

Benita J. O’Colmain ◽

Danielle Beauchesne ◽

Brandy Daniels ◽

...

Keyword(s):

Health Care ◽

Chronic Disease ◽

Health Status ◽

Health Care Utilization ◽

Health Behaviors ◽

Meta Analysis ◽

Management Program ◽

Self Management ◽

Care Utilization

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

Geriatric Nursing ◽

10.1016/j.gerinurse.2014.07.002 ◽

2014 ◽

Vol 35 (6) ◽

pp. 448-450 ◽

Cited By ~ 5

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

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

Culture Unbound Journal of Current Cultural Research ◽

10.3384/cu.2000.1525.124425 ◽

2012 ◽

Vol 4 (3) ◽

pp. 425-442 ◽

Cited By ~ 9

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.

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