implementing the chronic disease self-management program ...€¦ · • self-management programs...

• Self-managementprogramsarewidelyusedtomanagechronicsymptoms.

• TheChronicDiseaseSelf-ManagementProgram(CDSMP)hasbeenimplementedwithsuccessforavarietyofchronicconditionsacrossdemographicgroups.

• CDSMPshavebeenshowntoimproveempowermentandconfidence,aswellasteachself-managementskills.

• OutcomesforCDSMPsinruralandremoteregionsarenotwellunderstood.

• TounderstandthebenefitsandlimitationsofdeliveringaCDSMPtoadultsandolderadultslivinginruralandremoteregionsoftheRockyMountainWest.

Recruitment• Participantswereenrolledinandcompletedachronicdiseaseself-managementprogram.

Instruments• Demographicswereassessedusingaparticipantprofileformdesignedforthisstudy.

Analysis• SPSSversion24wasutilizedforanalysis.• Paired-samplest-testswereusedtocomparepre-andpost-evaluationresponses.

• Alphasettop <.05.

ParticipantCharacteristics• Wyomingresidents(n =50)StatisticalFindings• Resultsofpaired-samplest-testsrevealedparticipationinCDSMP:

• Significantlyreduceddepressivesymptoms,t(49)=2.397,p =.020.

• Significantlyimprovedself-efficacy,t(48)=-2.887,p =.006.

• Significantoutcomeswerenotfoundforchangesinactivitiesofdailyliving,medicalcareandassociatedbehaviors,qualityoflife,orotherpsychologicalmeasures.

1.INTRODUCTION

2.OBJECTIVES

3.METHODS

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4.RESULTS

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5.CONCLUSIONS• TheCDSMPappearstobeusefulinimprovingconfidenceinabilitytoself-managechronicsymptoms,aswellasimprovingsymptomsofdepression,inruralandremoteregions.

• Significantfindingswerenotfoundforotherassessedvariablessuchasutilizationofhealthcare,socialsupport,orphysicalsymptomslikefatigue,pain,andsleepquality.

• Futuredirectionsincludeinclusionofalargersamplewithalongerfollow-upperiod,aswellasqualitativereviewofbarriersandfacilitatorsofchangeswithinCDSMPs.

ImplementingtheChronicDiseaseSelf-ManagementPrograminRuralandRemoteAreas

MorganE.Longstreth,DominickDuhamel,CatherineP.Carrico,RobinA.Barry,AndreaE.Slosser,andChristineL.McKibbin

ThisprojectissupportedbytheHealthResourcesandServicesAdministration (HRSA)oftheU.S.DepartmentofHealthandHumanServices(HHS)underGrantNo.U1QHP28743,GeriatricWorkforceEnhancementProgram,$2,549,927. Thisinformationorcontentand conclusionsarethoseoftheauthorandshouldnotbeconstruedastheofficial positionorpolicyof,norshouldanyendorsementsbeinferredbyHRSA,HHSortheU.S.Government.

0.932

0.687

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0.4

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0.9

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MeanMoo

dSymptom

Score

ChangeinDepressiveSymptomsfromBaselinetoPost-Intervention

Baseline Post

6.608

7.605

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6

7

8

MeanSelf-EfficacyS

core

ChangeinSelf-EfficacyfromBaselinetoPost-Intervention

Baseline Post