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Chronic Disease Self-Management Program

An Evidence-Based Practice

Description

The Chronic Disease Self-Management Program (CDSMP) is a workshop for people with chronic health problems. The program is presented by trained non-health professionals with chronic diseases in community settings over the course of six weeks. Individuals with heart disease, lung disease, stroke, or arthritis attend group sessions where interactive programming and support help them gain confidence in their ability to manage their health. Workshop programming includes the following subjects: 1) techniques to deal with frustration, fatigue, pain, and isolation, 2) appropriate exercises, 3) use of medications, 4) communicating effectively with family, friends, and health professionals, 5) nutrition, and 6) how to evaluate new treatments. Participants also receive a companion book and an audio relaxation tape.

Goal / Mission

The goal of the CDSMP is to improve personal management of chronic disease.

Results / Accomplishments

Individuals with chronic disease who participated in the program had improvements in exercise, cognitive symptom management, communication with physicians, and self-reported general health when compared to a control group. Participants also had decreased health distress, fatigue, disability, and social activity limitations when compared to a control group. Workshop attendees spent fewer days in the hospital, and had a trend toward fewer hospitalizations and outpatient visits. At two years following the intervention, participants had significantly reduced ER visits (p < 0.05), and improved self efficacy (p < 0.05) when compared to baseline.

About this Promising Practice

Organization(s)
Stanford Patient Education Research Center
Primary Contact
PO Box 219
Aptos CA 95001
(650) 242-8040
smrc@selfmanagementresource.com
https://selfmanagementresource.com/programs/small-...
Topics
Health / Heart Disease & Stroke
Health / Other Conditions
Organization(s)
Stanford Patient Education Research Center
Date of publication
2001
Date of implementation
1996
Location
USA
For more details
https://www.cdc.gov/arthritis/interventions/progra...
https://www.cdc.gov/arthritis/marketing-support/1-...
Target Audience
Adults, Older Adults

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Related Content for: Chronic Disease Self-Management Program

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.