Attrition in Chronic Disease Self-Management Programs and Self-Efficacy at Enrollment

2014 ◽  
Vol 41 (6) ◽  
pp. 590-598 ◽  
Author(s):  
Nina Verevkina ◽  
Yunfeng Shi ◽  
Veronica Alejandra Fuentes-Caceres ◽  
Dennis Patrick Scanlon
Keyword(s):  
Chronic Disease ◽  
Self Efficacy ◽  
Social Role ◽  
Community Setting ◽  
Chronically Ill ◽  
Management Program ◽  
Self Management ◽  
Program Attrition ◽  
The Individual ◽  
Additional Support

Among other goals, the Chronic Disease Self-Management Program (CDSMP) is designed to improve self-efficacy of the chronically ill. However, a substantial proportion of the enrollees often leave CDSMPs before completing the program curriculum. This study examines factors associated with program attrition in a CDSMP implemented in a community setting. We used data from the Our Pathways to Health program, implemented in Humboldt County, California, from 2008 to 2011. Our conceptual framework is based on Bandura’s self-efficacy theory, and we used logistic regression to investigate whether baseline self-efficacy and other members’ efficacy are associated with participants dropping out of the CDSMP. Twenty-three percent of the participants did not complete the program similar to previous studies. Lower baseline self-efficacy increased the odds of dropout, but other members’ efficacy was not associated with differential odds of dropout. Age, educational difference between the individual and the group, weekday sessions, and social/role activity limitations are also found to be associated with program attrition. Our results suggest that participants with low starting self-efficacy may need extra help to complete the program. Further research is needed to understand how to effectively provide additional support to this group.

scholarly journals Exploring Changes in Two Types of Self-Efficacy Following Participation in a Chronic Disease Self-Management Program

2016 ◽  
Vol 4 ◽  
Author(s):  
Kay Graham ◽  
Matthew Lee Smith ◽  
Jori N. Hall ◽  
Kerstin G. Emerson ◽  
Mark G. Wilson
Keyword(s):  
Chronic Disease ◽  
Self Efficacy ◽  
Management Program ◽  
Self Management

Outcomes of Border Health Spanish/English Chronic Disease Self-management Programs

2005 ◽  
Vol 31 (3) ◽  
pp. 401-409 ◽  
Author(s):  
Kate R. Lorig ◽  
Philip L. Ritter ◽  
Anna Jacquez
Keyword(s):  
New Mexico ◽  
Chronic Disease ◽  
Self Efficacy ◽  
El Paso ◽  
Management Program ◽  
Self Management ◽  
Community Based ◽  
Language Version ◽  
Mexico Border ◽  
Different Populations

Purpose The purpose of this study was to evaluate the community-based Chronic Disease Self-management Program (CDSMP) and the Spanish-language version (Tomando Control de Su Salud) programs as delivered in settings along the Texas/New Mexico/Mexico border. The programs had proven effective in randomized trials, and the authors wished to determine if they would be as effective when administered by others to different populations. Methods The El Paso Diabetes Association administered the CDSMP and Tomando to 445 persons with chronic illness (two thirds with diabetes) in Texas, New Mexico, and Mexico. Four-month and 1-year outcomes were compared to baseline using t tests of change scores. Regression models were used to test whether baseline demographics and self-efficacy were associated with positive outcomes of the programs. Results Participants showed improvements in health behaviors, health status, and self-efficacy at both 4 month and 1 year. Baseline self-efficacy and 4-month change in self-efficacy were significantly associated with improved 1- year outcomes. Conclusions The CDSMP and Tomando are effective when used in settings other than that of the original study for populations other than those for which they were initially developed.

Engaging Adults With Chronic Disease in Online Depressive Symptom Self-Management

2017 ◽  
Vol 40 (6) ◽  
pp. 834-853 ◽  
Author(s):  
Marian Wilson ◽  
Casey Hewes ◽  
Celestina Barbosa-Leiker ◽  
Anne Mason ◽  
Katherine A. Wuestney ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Chronic Disease ◽  
Treatment Group ◽  
Self Efficacy ◽  
Management Program ◽  
Self Management ◽  
Control Group ◽  
Number Needed To Treat ◽  
Participant Engagement ◽  
Patient Health

The main purpose of this study was to evaluate participant engagement and effects of an Internet-based, self-directed program for depressive symptoms piloted among adults with a chronic disease. Eligible participants ( N = 47) were randomly assigned to either the “Think Clearly About Depression” online depression self-management program or the control group. The Patient Health Questionnaire–8 and Chronic Disease Self-Efficacy Scales were administered at baseline and at Weeks 4 and 8 after initiating the intervention. Number Needed to Treat analysis indicated that one in every three treatment group participants found clinically significant reductions in depressive symptoms by Week 8. Paired-sample t tests showed that depressive symptoms and self-efficacy in management of depressive symptoms improved over time for those in the treatment group and not for those in the control group. Participants’ engagement and satisfaction with the online program were favorable.

scholarly journals Evaluation of the chronic disease self-management program (CDSMP) among chronically ill older people in the Netherlands

2007 ◽  
Vol 64 (9) ◽  
pp. 1832-1841 ◽  
Author(s):  
Henrike Elzen ◽  
Joris P.J. Slaets ◽  
Tom A.B. Snijders ◽  
Nardi Steverink
Keyword(s):  
Chronic Disease ◽  
The Netherlands ◽  
Older People ◽  
Chronically Ill ◽  
Management Program ◽  
Self Management

scholarly journals The Effectiveness of a Chronic Disease Self-Management Program for Elderly People: a Systematic Review

2020 ◽  
Author(s):  
Khairunnisa Mansoor ◽  
Hussain Maqbool Ahmed Khuwaja
Keyword(s):  
Systematic Review ◽  
Chronic Disease ◽  
Elderly People ◽  
Chronic Conditions ◽  
Experimental Studies ◽  
Health Behaviours ◽  
Chronically Ill ◽  
Management Program ◽  
Self Management ◽  
The Impact

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.  

“In this together”: Social identification predicts health outcomes (via self-efficacy) in a chronic disease self-management program

2018 ◽  
Vol 208 ◽  
pp. 172-179 ◽  
Author(s):  
James E. Cameron ◽  
Jennifer Voth ◽  
Susan B. Jaglal ◽  
Sara J.T. Guilcher ◽  
Gillian Hawker ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Outcomes ◽  
Self Efficacy ◽  
Management Program ◽  
Social Identification ◽  
Self Management

scholarly journals The Efficacy of Chronic Disease Self Management Program and Tele- Health on Adherence by Increasing Self Efficacy in Patients with CABG

2011 ◽  
Vol 30 ◽  
pp. 817-821 ◽  
Author(s):  
Rouhieh H. Bazargani ◽  
Mohammad Ali Besharat ◽  
Hadi ◽  
Bahrami Ehsan ◽  
Mostafa Nejatian ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Self Efficacy ◽  
Management Program ◽  
Self Management

The South Australia Health Chronic Disease Self-Management Internet Trial

2012 ◽  
Vol 40 (1) ◽  
pp. 67-77 ◽  
Author(s):  
Kate Lorig ◽  
Philip L. Ritter ◽  
Kathryn Plant ◽  
Diana D. Laurent ◽  
Pauline Kelly ◽  
...  
Keyword(s):  
Health Care ◽  
Chronic Disease ◽  
Health Status ◽  
Health Behaviors ◽  
Self Efficacy ◽  
South Australia ◽  
Management Program ◽  
Self Management ◽  
Large Numbers ◽  
Health Status Measures

Objectives. To evaluate the effectiveness of an online chronic disease self-management program for South Australia residents. Method. Data were collected online at baseline, 6 months, and 12 months. The intervention was an asynchronous 6-week chronic disease self-management program offered online. The authors measured eight health status measures, seven behaviors, and four utilization measures; self-efficacy; and health care satisfaction. Results. Two hundred fifty-four South Australian adults with one or more chronic conditions completed baseline data. One hundred forty-four completed 6 months and 194 completed 1 year. Significant improvements ( p < .05) were found at 6 months for four health status measures, six health behaviors, self-efficacy, and visits to emergency departments. At 12 months, five health status indicators, six health behaviors, self-efficacy, and visits to emergency departments remained significant. Satisfaction with health care trended toward significance. Discussion. The peer-led online program was both acceptable and useful for this population. It appeared to decrease symptoms, improve health behaviors, self-efficacy, and reduce health care utilization up to 1 year. This intervention also has large potential implications for the use of a public health education model for reaching large numbers of people. It demonstrates that an Internet self-management program, which includes social media, can reach rural and underserved people as well as be effective and reduce health care costs. If this intervention can be brought to scale, it has the potential for improving the lives of large numbers of people with chronic illness. It represents a way the medical care and public health sectors can interact.

scholarly journals A Worksite Self-management Program for Workers with Chronic Health Conditions Improves Worker Engagement and Retention, but not Workplace Function

2021 ◽  
Author(s):  
William S. Shaw ◽  
Robert K. McLellan ◽  
Elyssa Besen ◽  
Sara Namazi ◽  
Michael K. Nicholas ◽  
...  
Keyword(s):  
Job Satisfaction ◽  
Work Engagement ◽  
Self Efficacy ◽  
Management Program ◽  
Chronic Health Conditions ◽  
Health Conditions ◽  
Self Management ◽  
Chronic Health ◽  
Work Limitation

AbstractPurpose An increasing number of workers in the US have chronic health conditions that limit their ability to work, and few worksite interventions have been tested to improve worker coping and problem solving at work. The purpose of this study was to evaluate a worksite-based health self-management program designed to improve workplace function among workers with chronic health conditions. Methods We conducted a randomized, controlled trial of a worksite self-management program (“Manage at Work”) (clinicaltrials.gov #NCT01978392) for workers with chronic health conditions (N = 119; 82% female, ages 20–69). Most workers were recruited from the health care or light manufacturing industry sectors. Workers attended a 5-session, facilitated psychoeducational program using concepts of health self-management, self-efficacy, ergonomics, and communication. Changes on outcomes of work engagement, work limitation, job satisfaction, work fatigue, work self-efficacy, days absent, and turnover intention at 6-month follow-up were compared to wait-list controls. Results The most prevalent chronic health conditions were musculoskeletal pain, headaches, vision problems, gastrointestinal disorders, respiratory disorders, and mental health disorders. The self-management program showed greater improvement in work engagement and turnover intent at 6-month follow-up, but there was no evidence of a parallel reduction in perceived work limitation. Trends for improved outcomes of work self-efficacy, job satisfaction, and work fatigue in the intervention group did not reach statistical significance in a group x time interaction test. Conclusions Offering a worksite self-management program to workers with chronic health conditions may be a feasible and beneficial strategy to engage and retain skilled workers who are risking disability.Clinical trial registration: Clinicaltrials.gov #NCT01978392.

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