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Self-management support and training for patients with chronic and complex conditions improves health-related behaviour and health outcomes

Harvey, Peter W, Petkov, John N, Misan, Gary, Fuller, Jeffrey, Battersby, Malcolm W, Cayetano, Teofilo N, Warren, Kate and Holmes, Paul 2008, Self-management support and training for patients with chronic and complex conditions improves health-related behaviour and health outcomes, Australian health review, vol. 32, no. 2, pp. 330-338, doi: 10.1071/AH080330.

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Title Self-management support and training for patients with chronic and complex conditions improves health-related behaviour and health outcomes
Author(s) Harvey, Peter WORCID iD for Harvey, Peter W orcid.org/0000-0003-2983-663X
Petkov, John N
Misan, Gary
Fuller, Jeffrey
Battersby, Malcolm W
Cayetano, Teofilo N
Warren, Kate
Holmes, Paul
Journal name Australian health review
Volume number 32
Issue number 2
Start page 330
End page 338
Total pages 9
Publisher CSIRO Publishing
Place of publication Clayton, Vic.
Publication date 2008
ISSN 0156-5788
1449-8944
Summary The Sharing Health Care SA chronic disease self-management (CDSM) project in rural South Australia was designed to assist patients with chronic and complex conditions (diabetes, cardiovascular disease and arthritis) to learn how to participate more effectively in the management of their condition and to improve their self-management skills. Participants with chronic and complex conditions were recruited into the Sharing Health Care SA program and offered a range of education and support options (including a 6-week peer-led chronic disease self-management program) as part of the Enhanced Primary Care care planning process. Patient self-reported data were collected at baseline and subsequent 6-month intervals using the Partners in Health (PIH) scale to assess self-management skill and ability for 175 patients across four data collection points. Health providers also scored patient knowledge and self-management skills using the same scale over the same intervals. Patients also completed a modified Stanford 2000 Health Survey for the same time intervals to assess service utilisation and health-related lifestyle factors. Results show that both mean patient self-reported PIH scores and mean health provider PIH scores for patients improved significantly over time, indicating that patients demonstrated improved understanding of their condition and improved their ability to manage and deal with their symptoms. These results suggest that involvement in peer-led self-management education programs has a positive effect on patient self-management skill, confidence and health-related behaviour.
Language eng
DOI 10.1071/AH080330
Field of Research 111799 Public Health and Health Services not elsewhere classified
1117 Public Health And Health Services
1605 Policy And Administration
1110 Nursing
Socio Economic Objective 920499 Public Health (excl. Specific Population Health) not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2008, CSIRO Publishing
Persistent URL http://hdl.handle.net/10536/DRO/DU:30083849

Document type: Journal Article
Collection: School of Medicine
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