Intermediate Outcomes of Chronic Disease Self-Management Program Offered by Members of the Healthy Aging Regional Collaborative in South Florida

Currently, 80% of adults over the age of 65 have at least one chronic disease. The Chronic Disease Self-management Program (CDSMP) focuses on increasing self-efficacy for managing chronic disease. Few studies have evaluated the effectiveness of CDSMP when offered by multiple agencies, as a collabora...

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Bibliographic Details
Published in:Research on aging 2014-07, Vol.36 (4), p.431-449
Main Authors: Melchior, Michael A., Seff, Laura R., Albatineh, Ahmed N., McCoy, H. Virginia, Page, Timothy F., Palmer, Richard C.
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Ageing
Aging
Chronic Disease - therapy
Chronic illnesses
Community-Institutional Relations
Cooperation
Cooperative Behavior
Disease management
Diseases
Emotions
Empowerment
Female
Florida
Health Education - organization & administration
Health Problems
Health Services for the Aged - organization & administration
Humans
Linear Analysis
Male
Older people
Physical activity
Physical Fitness
Self Care - methods
Self Efficacy
Self-management
Teaching
Treatment Outcome
U.S.A
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Summary:Currently, 80% of adults over the age of 65 have at least one chronic disease. The Chronic Disease Self-management Program (CDSMP) focuses on increasing self-efficacy for managing chronic disease. Few studies have evaluated the effectiveness of CDSMP when offered by multiple agencies, as a collaborative effort, in community-based settings. Seven agencies delivered 108 CDSMP workshops at 81 sites from October 1, 2008, to December 31, 2010. A total of 811 participants were eligible for analysis. Participants completed surveys at baseline and week 6, the end of instruction. Controlling for agency effect and general health at baseline, the general linear model was used to assess the significance of outcomes at 6 weeks. Outcomes showing significant improvement included self-efficacy to manage disease (p = .001), self-efficacy to manage emotions (p = .026), time spent walking (p = .008), and perceived social/role activities limitations (p = .001). Findings showed that CDSMP is an effective program at improving self-efficacy, increasing physical activity, and decreasing limitations.
ISSN:0164-0275
1552-7573
DOI:10.1177/0164027513500054