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.  

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.

The process of implementing the Stanford Model Chronic Disease Self-Management Program: The Northern Hospital experience

2003 ◽  
Vol 9 (3) ◽  
pp. 127 ◽  
Author(s):  
M Murph y ◽  
J Saunder s ◽  
M Campbel l ◽  
B Jackso n ◽  
D Berlowit z
Keyword(s):  
Chronic Disease ◽  
Adjuvant Therapy ◽  
Chronic Conditions ◽  
Management Program ◽  
Self Management ◽  
Research Centre ◽  
Australian Population ◽  
Admission Rates ◽  
Successful Program ◽  
Stanford Model

In March 2002, The Northern Clinical Research Centre (NCRC), Epping, implemented the Stanford model Chronic Disease Self-Management Program (CDSMP). The NCRC is the first health facility to implement the CDSMP for all cause chronic conditions in the northern suburbs of Melbourne. This paper outlines the establishment, marketing, co-ordination and personnel for a successful program as identified by the NCRC. Barriers to participation in a program were identified by the NCRC and steps to minimise these were implemented. The evaluation of this program in a scientific manner enables the effect of this adjuvant therapy to be examined in the Australian population. Fifty-two participants have graduated from the CDSMP at The Northern Hospital since the program commenced. This paper reviews the unplanned re-admission rates for people who have participated in the CDSMP as part of an ongoing study.

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

Conversational Agents for Chronic Disease Self-Management: A Systematic Review (Preprint)

2019 ◽  
Author(s):  
Ashley Clara Griffin ◽  
Zhaopeng Xing ◽  
Saif Khairat ◽  
Yue Wang ◽  
Stacy Bailey ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Disease ◽  
Randomized Controlled Trials ◽  
Experimental Studies ◽  
Evidence Base ◽  
Self Management ◽  
Controlled Trials ◽  
Conversational Agents ◽  
Patient Centered ◽  
Randomized Controlled

BACKGROUND Conversational agents have the potential to deliver patient-centered interventions that focus on goal setting, feedback, and education. However, little is known how these agents may be utilized to assist patients with chronic disease self-management. OBJECTIVE The objective of this study was to systematically review the literature to assess how conversational agents have been used to facilitate chronic disease self-management and to identify gaps in the evidence base. METHODS The systematic review utilized Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines across five databases. We included full-text journal articles or conference proceedings that contained primary research findings for text-based conversational agents focused on self-management for chronic diseases in adults. Two reviewers independently extracted information from the included studies, analyzed the data, grouped the studies into themes, and rated the quality of the studies. RESULTS 1,606 studies were identified, and 12 studies met inclusion criteria. There were five randomized controlled trials, five quasi-experimental studies, and two non-experimental studies. Studies were heterogeneous in design and many lacked methodological rigor. Participants mostly reported positive attitudes towards conversational agents, and there were improvements on the Patient Health Questionnaire (P<.05), Generalized Anxiety Disorder Scale (P=.004), Perceived Stress Scale (P=.048), Flourishing Scale (P=.032), and Overall Anxiety Severity and Impairment Scale (P<.05) between the conversational agent intervention and control groups in three randomized controlled trials. Major themes related to user perceptions were personalization, engagement, and social support. The majority of conversational agents were based upon theoretical grounding, but few studies reported using established design principles and no studies used heuristic evaluation. CONCLUSIONS Our findings suggest that conversational agents are acceptable and have the potential to support self-management particularly for mental health conditions. As this is an emerging area of research, efficacy of long-term use of conversational agents for chronic disease self-management is unknown but shows promise. Future studies should assess the characteristics of agents that may be most useful for self-management based on the patient’s clinical and sociodemographic characteristics, motivation, and preferences.

Participation and chronic disease self-management: Are we risking inequitable resource allocation?

2003 ◽  
Vol 9 (3) ◽  
pp. 132 ◽  
Author(s):  
Michele Foster ◽  
Elizabeth Kendall ◽  
Paul Dickson ◽  
Wendy Chaboyer ◽  
Beth Hunter ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Chronic Conditions ◽  
Positive Impact ◽  
Evaluation Studies ◽  
Health Resources ◽  
Management Program ◽  
Self Management ◽  
Self Selection ◽  
Growing Body ◽  
English Speaking

The Ottawa Charter for Health Promotion supported the empowerment of individuals to participate in their health care and have control over their health. For older adults with chronic conditions, the Chronic Disease Self-Management Program has been widely adopted as an adjunct to existing healthcare options. A growing body of literature has supported the positive impact of self-management programs on outcomes for people with a range of chronic conditions. However, evidence also suggests that participation in these programs is biased. This paper draws on pilot data to describe the profile of those people who inquire, enrol, attend, and complete CDSM courses in Queensland, Australia. As expected, there was evidence that males, Indigenous people, people of non-English speaking background, and those with multiple responsibilities were less likely to participate. Most importantly, participation was affected by a self-selection bias associated with health status. Those who were either unwell or well at the time of the course were unlikely to attend, minimising the preventative value of the CDSM program. Further, CDSM evaluation studies are likely to be inherently flawed and the distribution of health resources can become inequitable.

scholarly journals The Impact of the Chronic Disease Self-Management Program on Health Literacy: A Pre-Post Study Using a Multi-Dimensional Health Literacy Instrument

2019 ◽  
Vol 17 (1) ◽  
pp. 58 ◽  
Author(s):  
Danielle Marie Muscat ◽  
Wenbo Song ◽  
Erin Cvejic ◽  
Jie Hua Cecilia Ting ◽  
Joanne Medlin ◽  
...  
Keyword(s):  
Chronic Disease ◽  
Health Literacy ◽  
Chronic Diseases ◽  
Management Program ◽  
Self Management ◽  
Post Intervention ◽  
South Wales ◽  
Diverse Area ◽  
Potential Impact ◽  
The Impact

This study assessed the impact of the Chronic Disease Self-Management Program (CDSMP) on different domains of health literacy using a pre-post study design. Participants aged over 16 years and with one or more self-reported chronic diseases were recruited for the CDSMP in western Sydney (a highly diverse area of New South Wales, Australia) between October 2014 and September 2018. Health literacy was assessed pre- and immediately post-intervention using the Health Literacy Questionnaire (HLQ), with differences in mean scores for each HLQ domain analysed using paired sample t-tests. A total of 486 participants were recruited into the CDSMP. Of those, 316 (65.0%) completed both pre- and post-intervention surveys and were included in the analysis. The median age of the participants was 68 years, the majority were female (62.5%), and most were born in a country other than Australia (80.6%). There were statistically significant (P < 0.001) improvements across all nine domains of the HLQ. This is the first study evaluating the potential impact of the CDSMP on improving different domains of health literacy amongst a diverse sample of participants with chronic diseases using a multi-dimensional instrument. The absence of a control population in this study warrants caution when interpreting the results.

Attendance, activation and health profiles of participants in a regional chronic disease self-management program in Laval, Canada

2020 ◽  
Author(s):  
Magali Girard ◽  
Janusz Kaczorowski ◽  
Marie-Thérèse Lussier ◽  
Vivianne Martin
Keyword(s):  
Chronic Disease ◽  
Waist Circumference ◽  
Chronic Conditions ◽  
Cardiovascular Health ◽  
Management Program ◽  
Self Management ◽  
Controlled Study ◽  
High Waist Circumference ◽  
Physical Measurements ◽  
High Level

Abstract Background : Chronic diseases are responsible for over 70% of all deaths globally. While some self-management programs have been shown to be efficacious in preventing or altering trajectories for some chronic conditions, scaling-up and sustaining such programs beyond tightly-controlled study conditions remain a major challenge. The objective of the current study was to describe the profile of attendees and the level of engagement of participants in a new, region-wide cardiometabolic disease self-management program offered in Laval, Canada. Methods : CISSS-Laval partnered with the Cardiovascular Health Awareness Program team to co-develop Cible-santé and evaluate the first cohort of participants enrolled in the program, in order to better understand the program's implementation and scope. Trained volunteers (supervised by a nurse) assisted participants with physical measurements (blood pressure, height, weight and waist circumference), a questionnaire on healthy habits, and assessment of cardiovascular disease and type 2 diabetes risk. Results : The evaluation of the first cohort of Cible-Santé participants showed very low attendance. Furthermore, only 1 in 10 of enrolled participants completed the full program. The program typically attracted adults with some risk factors associated with their chronic conditions (high waist circumference, obesity), but with an already high level of knowledge, skills and confidence to participate in self-management activities. Conclusion : A limitation of the study is the lack of data regarding the number of professionals who referred their patients to the program. This study provides a portrait of new participants to a self-management chronic disease program, which highlights the potential of supporting chronic disease patients ready to make changes but also exposes the difficulty of attracting a larger number and diversity of participants and in encouraging completion of the program.

scholarly journals Distress Tolerance Intervention for Improving Self-Management of Chronic Conditions: A Systematic Review

2018 ◽  
Vol 37 (1) ◽  
pp. 74-86 ◽  
Author(s):  
Beth S. Russell ◽  
Courtney R. Lincoln ◽  
Angela R. Starkweather
Keyword(s):  
Systematic Review ◽  
Chronic Disease ◽  
Problem Solving ◽  
Chronic Conditions ◽  
Distress Tolerance ◽  
Holistic Approach ◽  
Self Management ◽  
High Level ◽  
Meta Analyses ◽  
Theory Practice Gap

Background: The inability to tolerate distress can negatively influence effective self-management (SM) of chronic conditions by interfering with the ability to focus on illness needs and impairing problem-solving and prioritizing capabilities, as well as engagement in SM activities. Interventions to increase distress tolerance offer a holistic approach to chronic disease SM and may enhance the individual’s ability to apply SM skills and resources to improve quality of life and overall health. The purpose of this systematic review was to deepen understanding of the relationships among distress tolerance and goal-oriented problem-solving as an aspect of chronic disease SM. Method: The Preferred Reporting Items for Systematic Reviews and Meta-Analyses recommendations were used to develop a search strategy, selection criteria, screening, and identification and extraction procedures. PubMed, CINAHL, PsychInfo, and Scopus were searched from 2006 to December 2017 using the following search terms: distress tolerance, chronic conditions, self-management. Results: Across the 11 studies included in the literature review, there was a high level of heterogeneity in the use of subjective and objective measures to assess distress tolerance, and only one study included instruments to measure goal-oriented problem-solving, the target of distress tolerance interventions that are assumed to influence the selected health outcome. Conclusion: Further research is needed on the efficacy of distress tolerance interventions for improving SM of chronic conditions. Theory-driven interventions that explicate the precise goal-oriented problem-solving and SM behaviors that are expected to change as a result of the distress tolerance intervention will provide insight on the efficacy of the intervention and help close the theory–practice gap.

scholarly journals The effects of health behaviours and beliefs based on message framing among patients with chronic diseases: a systematic review

BMJ Open ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. e055329
Author(s):  
Ruitong Gao ◽  
Hui Guo ◽  
Fei Li ◽  
Yandi Liu ◽  
Meidi Shen ◽  
...  
Keyword(s):  
Systematic Review ◽  
Chronic Disease ◽  
Chronic Diseases ◽  
Intervention Studies ◽  
Data Extraction ◽  
Message Framing ◽  
Health Behaviours ◽  
Educational Interventions ◽  
Gain And Loss ◽  
The Impact

ObjectiveThe effectiveness of integrating message framing into educational interventions to promote the health behaviour of patients with chronic diseases is still being debated in nursing research. The objective of this study was to assess the impact of educational interventions based on gain and loss frames on the health behaviours and beliefs of patients with chronic diseases and to identify the frame that achieves better outcomes.DesignThe systematic review was based on PRISMA guidelines for comprehensively searching, appraising and synthesising research evidence.Data sourcesWe searched the PubMed, Web of Science, PsycINFO and CINAHL databases for reports published from database inception until 26 March 2021.Eligibility criteriaIntervention studies, published in English, with adult patients with chronic disease conditions, and with intervention contents involved in the implementation of message framing, were considered. The outcomes were health behaviours or beliefs, such as knowledge, self-efficacy, intention or attitudes.Data extraction and synthesisData extraction and entry were performed using a predesigned data extraction form and assessed independently by two reviewers using the Cochrane Collaboration Risk of Bias I.ResultsA total of 11 intervention studies were included. We found that educational intervention based on both gain and loss frames could enhance the positive effects of communication, and promote healthy behaviours and beliefs in patients with chronic disease. Many of the studies we included here showed the advantage of loss framing messages. Due to the limited number of articles included and without quantitative analysis, this result should be interpreted cautiously.ConclusionsIntegrating message framing into health education might be a promising strategy to motivate patients with chronic disease to improve their health behaviours and beliefs. More extensive and well-designed trials are needed to support the conclusions and discuss the effective framing, moderators and mediators of framing.PROSPERO registration numberCRD42021250931.

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