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Implementing a chronic disease self-management program into China: the Happy Life Club™

Browning, Colette Joy, Yang, Hui, Zhang, Tuohong, Chapman, Anna, Liu, Shuo, Enticott, Joanne and Thomas, Shane Andrew 2014, Implementing a chronic disease self-management program into China: the Happy Life Club™, Frontiers in public health, vol. 2, pp. 1-5, doi: 10.3389/fpubh.2014.00181.

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Title Implementing a chronic disease self-management program into China: the Happy Life Club™
Author(s) Browning, Colette Joy
Yang, Hui
Zhang, Tuohong
Chapman, Anna
Liu, Shuo
Enticott, Joanne
Thomas, Shane Andrew
Journal name Frontiers in public health
Volume number 2
Article ID 181
Start page 1
End page 5
Total pages 5
Publisher Frontiers Research Foundation
Place of publication Lausanne, Switzerland
Publication date 2014
ISSN 2296-2565
Keyword(s) China
chronic disease self-management
diabetes
motivational interviewing
older people
Summary China is experiencing population aging, increased prevalence of chronic diseases, and reductions in the frequency of healthy lifestyle behaviors. In response to these significant transitions, China is implementing major reforms in health care services with a focus on strengthening primary health care. In this paper, we describe a 12-month diabetes management program, the Happy Life Club™ (HLC™), implemented in a primary health care setting in Beijing, that uses doctor and nurse health coaches trained in behavior change techniques and motivational interviewing (MI). This paper reports the results of this pilot study and discusses issues involved in the implementation of Chronic Diseases Self-Management Programs in China. The intervention group showed improvements in HbA1c levels at 6 months and both the control and intervention groups showed reductions in waist circumference over time. Systolic blood pressure improved over time in the intervention group. The intervention group showed improvement in quality of life across the intervention period and both groups showed decreases in psychological distress across the intervention. Doctor visits increased between baseline and 6 months, but there was no change in doctor visits between 6 and 12 months for both groups. The effects were modest, and further investigations are required to evaluate the long-term impact of health coach approaches in China.
Language eng
DOI 10.3389/fpubh.2014.00181
Field of Research 111799 Public Health and Health Services not elsewhere classified
HERDC Research category C1.1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2015, The Authors
Free to Read? Yes
Use Rights Creative Commons Attribution licence
Persistent URL http://hdl.handle.net/10536/DRO/DU:30104276

Document type: Journal Article
Collections: School of Nursing and Midwifery
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Every reasonable effort has been made to ensure that permission has been obtained for items included in DRO. If you believe that your rights have been infringed by this repository, please contact drosupport@deakin.edu.au.