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

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.

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

Western Journal of Nursing Research ◽

10.1177/0193945916689068 ◽

2017 ◽

Vol 40 (6) ◽

pp. 834-853 ◽

Cited By ~ 3

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.

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

Health Education & Behavior ◽

10.1177/1090198114529590 ◽

2014 ◽

Vol 41 (6) ◽

pp. 590-598 ◽

Cited By ~ 10

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.

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

Social Science & Medicine ◽

10.1016/j.socscimed.2018.03.007 ◽

2018 ◽

Vol 208 ◽

pp. 172-179 ◽

Cited By ~ 8

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

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

Procedia - Social and Behavioral Sciences ◽

10.1016/j.sbspro.2011.10.158 ◽

2011 ◽

Vol 30 ◽

pp. 817-821 ◽

Cited By ~ 5

Author(s):

Rouhieh H. Bazargani ◽

Mohammad Ali Besharat ◽

Hadi ◽

Bahrami Ehsan ◽

Mostafa Nejatian ◽

...

Keyword(s):

Chronic Disease ◽

Self Efficacy ◽

Management Program ◽

Self Management

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The South Australia Health Chronic Disease Self-Management Internet Trial

Health Education & Behavior ◽

10.1177/1090198112436969 ◽

2012 ◽

Vol 40 (1) ◽

pp. 67-77 ◽

Cited By ~ 46

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.

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

Journal of Occupational Rehabilitation ◽

10.1007/s10926-021-09983-6 ◽

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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Self-management factors associated with quality of life among women with endometriosis: a cross-sectional Australian survey

Human Reproduction ◽

10.1093/humrep/deaa330 ◽

2020 ◽

Author(s):

Rebecca O’Hara ◽

Heather Rowe ◽

Jane Fisher

Keyword(s):

Quality Of Life ◽

Chronic Disease ◽

Disease Management ◽

Self Efficacy ◽

Chronic Disease Management ◽

Self Management ◽

Cross Sectional ◽

Female Population ◽

Management Factors

Abstract STUDY QUESTION What self-management factors are associated with quality of life among women with endometriosis? SUMMARY ANSWER Greater self-efficacy was associated with improved physical and mental quality of life. WHAT IS KNOWN ALREADY Women with endometriosis have an impaired quality of life compared to the general female population. However, most studies have investigated quality of life in a hospital or clinic setting rather than a community setting and the association between self-management factors and quality of life have not, to date, been investigated. STUDY DESIGN, SIZE, DURATION A cross-sectional, population-based online survey was performed, which was advertised through women’s, community and endometriosis-specific groups. PARTICIPANTS/MATERIALS, SETTING, METHODS A total of 620 women completed the survey for this study. Mental and physical quality of life was assessed using the standardized SF36v2 questionnaire. Self-management factors included self-efficacy, partners in health (active involvement in managing the condition) and performance of self-care activities. Treatment approaches included the use of hormonal treatment, pain medications and complementary therapies and whether the participant had a chronic disease management plan. Hierarchical regression analyses were used to examine whether self-management and treatment factors were associated with quality of life. MAIN RESULTS AND THE ROLE OF CHANCE Both physical and mental quality of life were significantly lower among women with endometriosis compared to the mean scores of the general Australian female population (P < 0.001). Physical quality of life was positively associated with income sufficiency (P < 0.001) and greater self-efficacy (P < 0.001), but negatively associated with age (P < 0.001), pain severity (P < 0.001), use of prescription medications (P < 0.001), having a chronic disease management plan (P < 0.05) and number of self-care activities (P < 0.05). Mental quality of life was positively associated with being older (P < 0.001), partnered (P < 0.001), having a university education (P < 0.05), increasing self-efficacy (P < 0.001) and higher partners in health scores (P < 0.001). LIMITATIONS, REASONS FOR CAUTION Results are derived from a cross-sectional study and can only be interpreted as associations not as causal relationships. The sample was more educated, more likely to speak English and be born in Australia than the general Australian female population of the same age, which may influence the generalizability of these results. WIDER IMPLICATIONS OF THE FINDINGS This study investigated a knowledge gap by investigating quality of life of women with endometriosis in a large community sample. Self-efficacy was significantly associated with both physical and mental quality of life. Supporting women with endometriosis to improve self-efficacy through a structured chronic disease management programme may lead to improvements in this aspect of wellbeing. STUDY FUNDING/COMPETING INTEREST(S) R.O. undertook this research as part of her PhD at Monash University, which was supported by an Australian Government Research Training Program Stipend. J.F. is the Finkel Professor of Global Public Health, which was supported by the Finkel Family Foundation. There are no conflicts of interest to declare. TRIAL REGISTRATION NUMBER NA.

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