Internet-Based Chronic Disease Self-Management
A Randomized Trial
Datos Bibliográficos
| ID | 9101044 |
|---|---|
| Autores | Kate Lorig (0000-0001-6516-2308, Twitter (United States)), Kate R Lorig, Philip L Ritter (0000-0002-2528-6354, Twitter (United States)), Diana D Laurent, Diana Laurent (0000-0002-5925-465X, Twitter (United States)), Kathryn Plant (0000-0003-1248-7146, Twitter (United States)) |
| Año | 2006 |
| Volumen | 44 |
| Número | 11 |
| Páginas | 964-971 |
| Fecha de publicación | 2006-11-01 |
| Peer Reviewed | Sí |
| Open Access | No |
| Tipo | ARTICLE |
| Revista | Medical Care (JOURNAL) |
| Identificadores de la revista | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Editorial | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/01.mlr.0000233678.80203.c1 |
| PMID | 17063127 |
| OpenAlex | W2043770015 |
| Idioma | EN |
| Citas recibidas | 22 |
| Referencias citadas | 22 |
BACKGROUND: The small-group Chronic Disease Self-Management Program (CDSMP) has proven effective in changing health-related behaviors and improving health statuses. An Internet-based CDSMP was developed to reach additional chronic-disease patients. OBJECTIVES: We sought to determine the efficacy of the Internet-based CDSMP. DESIGN: We compared randomized intervention participants with usual-care controls at 1 year. We compared intervention participants with the small-group CDSMP at 1 year. SUBJECTS: Nine-hundred fifty-eight patients with chronic diseases (heart, lung, or type 2 diabetes) and Internet and e-mail access were randomized to intervention (457) or usual care control (501). MEASURES: Measures included 7 health status variables (pain, shortness of breath, fatigue, illness intrusiveness, health distress, disability, and self-reported global health), 4 health behaviors (aerobic exercise, stretching and strengthening exercise, practice of stress management, and communication with physicians), 3 utilization variables (physician visits, emergency room visits, and nights in hospital), and self-efficacy. RESULTS: At 1 year, the intervention group had significant improvements in health statuses compared with usual care control patients. The intervention group had similar results to the small-group CDSMP participants. Change in self-efficacy at 6 months was found to be associated with better health status outcomes at 1 year. CONCLUSIONS: The Internet-based CDSMP proved effective in improving health statutes by 1 year and is a viable alternative to the small-group Chronic Disease Self Management Program
Chronic condition · Disease · eHealth · Family medicine · Health care · Intervention (counseling) · Physical therapy · Randomized controlled trial · Self-management · Stress management · Chronic Disease Management Strategies · Clinical Psychology · Diabetes Management and Education · Internal Medicine · Medicine · Mobile Health and mHealth Applications · Nursing
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| Obras citantes distintas | 22 |
|---|---|
| Citas por año | 1,1 |
| Intervalo de citas | 2006 - 2025 (20) |
| Velocidad de citación | recent |
| Altamente citado | No |
| Tipos de cita | Neutras: 21 |