Who benefits most from participating in chronic disease self-management programs?
Nolte, S., Elsworth, G.R., Springer, A.L., Sinclair, A.J. and Osborne, R.H. 2006, Who benefits most from participating in chronic disease self-management programs?, in The Australian Disease Management Association 2nd Annual National Conference - Evidence-based Disease Management in the 21st Century, Australian Disease Management Association, [Melbourne, Vic.], pp. 23-24.
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The Australian Disease Management Association 2nd Annual National Conference - Evidence-based Disease Management in the 21st Century
Australian Disease Management Association
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Objectives: To quantify the benefits that people receive from participating in self-management courses and identify subgroups that benefit most. Research Design: People with a wide range of chronic conditions attending self-management courses (N=1,341 individuals) were administered the generic Health Education Impact Questionnaire (HEI-Q). Data were collected before the first session (baseline) and at the end of courses (follow-up) resulting in 842 complete responses. The median (interquartile range) age was 64 (54 to 73) years and most participants were female (75%). 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 after attending a self-management course. Proportions of participants reporting substantial benefits ranged from 49% in Skill and technique acquisition to 27% in 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. Conclusions: Given that the health of people with chronic diseases tends to decline, this evaluation is reassuring in that about one third of participants coming from a wide range of backgrounds receive substantial improvements in their self-management skills.
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