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The extent and breadth of benefits from participating in chronic disease self-management courses: a national patient-reported outcomes survey

Nolte, Sandra, Elsworth, Gerald, Sinclair, Andrew and Osborne, Richard 2007, The extent and breadth of benefits from participating in chronic disease self-management courses: a national patient-reported outcomes survey, Patient education counselling, vol. 65, no. 3, pp. 351-360.

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Title The extent and breadth of benefits from participating in chronic disease self-management courses: a national patient-reported outcomes survey
Author(s) Nolte, Sandra
Elsworth, Gerald
Sinclair, Andrew
Osborne, Richard
Journal name Patient education counselling
Volume number 65
Issue number 3
Start page 351
End page 360
Publisher Elsevier Ireland Ltd
Place of publication Clare, Ireland
Publication date 2007-03
ISSN 0738-3991
1873-5134
Keyword(s) patient education
self-management
chronic diseases
national survey
program evaluation
Summary Objective
To quantify the benefits that people receive from participating in self-management courses and identify subgroups that benefit most.

Methods
People with a wide range of chronic conditions attending self-management courses (N = 1341 individuals) were administered the Health Education Impact Questionnaire (heiQ). Baseline and follow-up data were collected resulting in 842 complete responses. Outcomes were categorized as substantial improvement (effect size, ES ≥ 0.5), minimal/no change (ES −0.49 to 0.49) and substantial decline (ES ≤ −0.5).

Results
On average, one third of participants reported substantial benefits at the end of a course and this ranged from 49% in the heiQ subscale Skill and technique acquisition to 27% in the heiQ subscale Health service navigation. Stratification by gender, age and education showed that younger participants were more likely to benefit, particularly young women. No further subgroup differences were observed.

Conclusion
While the well-being of people with chronic diseases tends to decline, about one third of participants from a wide range of backgrounds show substantial improvements in a range of skills that enable them to self-manage.

Practice implications
These data support the application of self-management courses indicating that they are a useful adjunct to usual care for a modest proportion of attendees.
Notes Available online 5 October 2006.
Language eng
Field of Research 111710 Health Counselling
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1 Refereed article in a scholarly journal
Copyright notice ©2006, Elsevier Ireland Ltd.
Persistent URL http://hdl.handle.net/10536/DRO/DU:30007089

Document type: Journal Article
Collection: School of Exercise and Nutrition Sciences
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