The effect of a community-based group intervention on chronic disease self-management in a vulnerable population
Datos Bibliográficos
| ID | 22070199 |
|---|---|
| Autores | Sophie A Korenhof (0000-0001-7646-9989, Erasmus MC), Ellen V Rouwet (0000-0002-9119-2938, Erasmus MC), Liset EM Elstgeest (0000-0002-6283-4719, Erasmus MC), Liset E M Elstgeest, Irene N Fierloos (0000-0002-3471-1666, Erasmus MC), Siok Swan Tan (0000-0002-9522-2321, Erasmus MC), Marta Pisano Gonzalez (0000-0002-6485-9370, Ministry of Health), Marta M Pisano-González, An Lieve Dirk Boone (0000-0001-5198-8889, Gobierno del Principado de Asturias), Yves‐Marie Pers (0000-0001-5927-3773, Inserm), Yves-Marie Pers, Alberto Pilotto (0000-0002-8615-1955, Ente Ospedaliero Ospedali Galliera), Mónica López-Ventoso (0000-0002-9190-6718, Ministry of Health), Isabel Diez Valcarce (Ministry of Health), Xuxi Zhang (0000-0003-1857-0063, Peking University), Hein Raat (0000-0002-6000-7445, Erasmus MC, autor de correspondencia) |
| Año | 2023 |
| Volumen | 11 |
| Páginas | 1221675-1221675 |
| Fecha de publicación | 2023-08-21 |
| Peer Reviewed | Sí |
| Open Access | Sí |
| Tipo | ARTICLE |
| Revista | Frontiers in Public Health (JOURNAL) |
| Identificadores de la revista | ISSN: 2296-2565 • E-ISSN: 2296-2565 |
| Editorial | Frontiers Media SA (PUBLISHER • CH) |
| DOI | 10.3389/fpubh.2023.1221675 |
| PMID | 37670825 |
| OpenAlex | W4386027396 |
| Idioma | EN |
| Citas recibidas | 1 |
| Referencias citadas | 62 |
Introduction Chronic non-communicable diseases (NCDs) are predominantly related to modifiable health behaviors and account for 74% of global deaths at present. Behavior modification through self-management is a strategy to prevent NCDs. Chronic Disease Self-Management Programs (CDSMPs) have demonstrated improvements in health behaviors, health status, and use of healthcare. Objective We evaluated the effects of a 6-week CDSMP on self-efficacy, health behaviors, mental health, health-related quality of life (HR-QoL), and health responsibilities among vulnerable populations with chronic disease in Europe. Methods A prospective cohort study with a 6-month pre-post single-group design was conducted in five European countries. The intervention targeted adults with chronic conditions and low socioeconomic status, as well as their caregivers. The intervention was a 6-week community-based CDSMP in a group setting. Outcomes were measured per self-report questionnaire at baseline and 6-month follow-up: self-efficacy, health behaviors, mental health, HR-QoL, and health responsibilities. Results Of 1,844 participants, 1,248 (67.7%) completed follow-up and attended ≥4 sessions. For the chronic condition group, the following outcome measures at follow-up significantly improved compared with baseline (all P < 0.002): self-efficacy (SEMCD-6 6.7 vs. 6.4), mental health (PHQ-8 6.3 vs. 7.0), HR-QoL (SF-12 PCS 42.3 vs. 40.2, SF-12 MCS 42.8 vs. 41.4), health utility (EQ-5D-5L 0.88 vs. 0.86), self-rated health (EQ-5D-5L 67.2 vs. 63.9), communication with healthcare providers (2.28 vs. 2.11), understanding information (3.10 vs. 3.02), number of doctor visits (3.61 vs. 4.97), accident and emergency department visits (0.25 vs. 0.48), total nights in a hospital (0.65 vs. 1.13), and perceived medical errors (19.6 vs. 28.7%). No significant changes were detected in dietary habits, physical activity, substance use, and sleep and fatigue. For caregivers without a chronic condition, only doctor visits significantly decreased (1.54 vs. 2.25, P < 0.001). Discussion This CDSMP was associated with improvement in self-efficacy, depression, HR-QoL, and health responsibilities over 6 months in a diverse European population with a chronic condition. However, additional interventions targeting lifestyle risk factors are needed to improve health outcomes
Chronic disease · Cohort · Cohort study · Disease · Environmental health · Family medicine · Mental health · Physical therapy · Population · Prospective cohort study · Psychiatry · Self-management · Self-rated health · Socioeconomic status · Chronic Disease Management Strategies · Diabetes Management and Education · Medication Adherence and Compliance · Medicine · Nursing · Gerontology · Internal Medicine
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| Citas por año | 1 |
| Intervalo de citas | 2025 - 2025 (1) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 1 |