A national dissemination of an evidence-based self-management program: a process evaluation study

While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Progra...

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Bibliographic Details
Published in:Patient education and counseling 2005-10, Vol.59 (1), p.69-79
Main Authors: Lorig, Kate R., Hurwicz, Margo-Lea, Sobel, David, Hobbs, Mary, Ritter, Philip L.
Format: Article
Language:English
Subjects:
Aged
Chronic Disease
Data Collection - methods
Diffusion of Innovation
Dissemination
Evidence-Based Medicine
Female
Health Maintenance Organizations
Humans
Male
Middle Aged
Nursing
Process Assessment (Health Care)
Self Care
Self-management
Translation
United States
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Summary:While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Program, throughout a large health-care system, Kaiser Permanente. We describe the dissemination process and, using qualitative analysis of interviews and surveys, discuss the factors that aided and hindered this process and make recommendations for similar dissemination projects. Six years after the beginning of the dissemination process, the program is integrated in most of the Kaiser Permanente regions and is being offered to several thousand people a year.
ISSN:0738-3991
1873-5134
DOI:10.1016/j.pec.2004.10.002