Chronic Disease Self-Management Program
2-Year Health Status and Health Care Utilization Outcomes
Bibliographic Data
| ID | 9102626 |
|---|---|
| Authors | Kate Lorig (0000-0001-6516-2308, Stanford University, corresponding author), Kate R Lorig, Philip L Ritter (0000-0002-2528-6354, Stanford University, corresponding author), Philip Ritter, Anita L Stewart (0000-0002-4967-9013), David S Sobel, Byron William Brown, Albert Bandura, Virginia Gonzalez (0000-0003-4817-3288, Stanford University, corresponding author), Virginia M Gonzalez, Diana D Laurent, Diana Laurent (0000-0002-5925-465X, Stanford University, corresponding author), Halsted R Holman (Stanford University, corresponding author) |
| Year | 2001 |
| Volume | 39 |
| Issue | 11 |
| Pages | 1217-1223 |
| Publication date | 2001-11-01 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Medical Care (JOURNAL) |
| Journal identifiers | ISSN: 0025-7079 • E-ISSN: 1537-1948 |
| Publisher | Ovid Technologies (Wolters Kluwer Health) (PUBLISHER) |
| DOI | 10.1097/00005650-200111000-00008 |
| PMID | 11606875 |
| OpenAlex | W2038066162 |
| Language | EN |
| Citations received | 121 |
| References cited | 12 |
OBJECTIVES: To assess the 1- and 2-year health status, health care utilization and self-efficacy outcomes for the Chronic Disease Self-Management Program (CDSMP). The major hypothesis is that during the 2-year period CDSMP participants will experience improvements or less deterioration than expected in health status and reductions in health care utilization. DESIGN: Longitudinal design as follow-up to a randomized trial. SETTING: Community. PARTICIPANTS: Eight hundred thirty-one participants 40 years and older with heart disease, lung disease, stroke, or arthritis participated in the CDSMP. At 1- and 2-year intervals respectively 82% and 76% of eligible participants completed data. MAIN OUTCOME MEASURES: Health status (self-rated health, disability, social/role activities limitations, energy/fatigue, and health distress), health care utilization (ER/outpatient visits, times hospitalized, and days in hospital), and perceived self-efficacy were measured. MAIN RESULTS: Compared with baseline for each of the 2 years, ER/outpatient visits and health distress were reduced (P <0.05). Self-efficacy improved (P <0.05). The rate of increase is that which is expected in 1 year. There were no other significant changes. CONCLUSIONS: A low-cost program for promoting health self-management can improve elements of health status while reducing health care costs in populations with diverse chronic diseases
Disease · Disease management · Distress · Family medicine · Health care · Longitudinal study · Physical therapy · Randomized controlled trial · Self-efficacy · Self-management · Chronic Disease Management Strategies · Clinical Psychology · Diabetes Management and Education · Internal Medicine · Medicine · Nursing care and research · Psychology · Gerontology
Travelling Frictions
Effect of Practicing Health Behaviors on Unmet Needs among Patients with Chronic Diseases
Self-Management in Stroke Survivors
What Contributes to the Activeness of Ethnic Minority Patients with Chronic Illnesses Seeking Allied Health Services? A Cross-Sectional Study in Rural Western China
Biological Age Is Associated with the Active Use of Nutrition Data
When people live with multiple chronic diseases
Development of a Faith-Based Stress Management Intervention in a Rural African American Community
Addressing Chronic Disease Within Supportive Housing Programs
Medical insurance policy organized by Chinese government and the health inequity of the elderly
A sociological focus on 'expert patients
Evaluation of Recruitment of Older Adults of Color into a Community-Based Chronic Disease Self-Management Wellness Pathway Program in Los Angeles County
Evaluación de la costo-efectividad de un modelo integral de tratamiento ambulatorio en pacientes con síndrome coronario agudo
Successes of a National Study of the Chronic Disease Self-Management Program
Longitudinal impact of caregiver transition and family caregiving on psychiatric symptoms and psychosocial functioning among persons with schizophrenia in rural China
Using intervention mapping to develop a work-related guidance tool for those affected by cancer
Using intervention mapping (IM) to develop a self-management programme for employees with a chronic disease in the Netherlands
Improving the quality of health care for chronic conditions
Patient Self-management of Chronic Disease in Primary Care
Improving the prevention and management of chronic disease in low-income and middle-income countries
Prevention of chronic disease in the 21st century
Is patient empowerment the key to promote adherence? A systematic review of the relationship between self-efficacy, health locus of control and medication adherence
Is Self-Efficacy Associated With Diabetes Self-Management Across Race/Ethnicity and Health Literacy?
Transferring disease management and health promotion programs to other countries
The Meaning and Significance of Self-Management Among Socioeconomically Vulnerable Older Adults
The Impact of the Chronic Disease Self-Management Program on Health Literacy
Impact of a Translated Disease Self-Management Program on Employee Health and Productivity
The effect on behavior and bone mineral density of individualized bone mineral density feedback and educational interventions in premenopausal women
Prevalence of Tobacco Smoking and Determinants of Success in Quitting Smoking among Patients with Chronic Diseases
The effectiveness of peer health coaching in improving glycemic control among low-income patients with diabetes
Proactive Health Support
The impact of chronic disease self-management programs
Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States
An examination of the socio-demographic correlates of patient adherence to self-management behaviors and the mediating roles of health attitudes and self-efficacy among patients with coexisting type 2 diabetes and hypertension
Self-Management Program Participation by Older Adults With Diabetes
Behavioral and technological interventions targeting glycemic control in a racially/ethnically diverse population
LiveWell Rerc State of the Science Conference Report on ICT Access to Support Community Living, Health and Function for People with Disabilities
Informing the development of an online self-management program for men living with HIV
Black Men and Health Literacy
Factors Associated With Successful Completion of the Chronic Disease Self-Management Program by Adults With Type 2 Diabetes
The positive outlook study- a randomised controlled trial evaluating the effectiveness of an online self-management program targeting psychosocial issues for men living with HIV
Restricted Social Engagement among Adults Living with Chronic Conditions
Assessing Diabetes and Factors Associated with Foregoing Medical Care among Persons with Diabetes
Stepped-Wedge Cluster Randomised Trial of Social Prescribing of Forest Therapy for Quality of Life and Biopsychosocial Wellbeing in Community-Living Australian Adults with Mental Illness
A large, multi-center survey assessing health, social support, literacy, and self-management resources in patients with heart failure
Instruments for measuring self-management and self-care in geriatric patients – a scoping review
The effect of a community-based group intervention on chronic disease self-management in a vulnerable population
Social Networks and Chronic Illness Management among Low-Income Tenants in Publicly Subsidized Housing
Introducing Healthy Together
Correlates of distress in young people with cystic fibrosis
Expert recommendations for an online, fall-prevention exercise program for older adults
Integrated Diabetes Care Delivered by Patients – A Case Study from Bulgaria
The Manage Care Model – Developing an Evidence-Based and Expert-Driven Chronic Care Management Model for Patients with Diabetes
Extinguishing the social
The Expert Patients Programme
An evaluation of self‐management outcomes among chronic care patients in community home‐based care programmes in rural Malawi
Self-Efficacy, Pulmonary Function, Perceived Health and Global Quality of Life of Cystic Fibrosis Patients
Self-management and Self-rated Health Among Middle-aged and Older Adults with Type 2 Diabetes in China
Recovery following stroke
Chronic Conditions May Be More Important Than Race or Ethnicity in Relation to Health Information Seeking and Use
The Pre-Adaptation of a Stroke-Specific Self-Management Program Among Older Adults
Chronic disease self-management education courses
Determinants of self-perceived health for Canadians aged 40 and older and policy implications
The Positive Outlook Study
Context and complexity
Actors, patients and agency
Implementation of Peer Providers in Integrated Mental Health and Primary Care Settings
Challenges facing online research
What is successful integration in primary health care
The chronic disease Self‐Management Programme
Analytic hierarchy process
Prevalência de doenças crônicas auto-referidas e utilização de serviços de saúde, PNAD/1998, Brasil
Common elements in self-management of HIV and other chronic illnesses
Impact of a Health Promotion Nurse Intervention on Disability and Health Care Costs Among Elderly Adults With Heart Conditions
Self-Efficacy and Health Status in Patients With Coronary Heart Disease
Inequities in Access to Medical Care Among Adults Diagnosed with Diabetes
O papel moderador do tipo de família na relação entre incapacidade funcional e qualidade de vida em doentes com lombalgia crônica
Chronic disease self-management within the monthly benefit cycle of the Supplemental Nutrition Assistance Program
Women Coping Successfully With Multiple Sclerosis and the Precursors of Change
Assessing Statewide Need for Older Adult Health Promotion Services
Cost effectiveness of the Expert Patients Programme (EPP) for patients with chronic conditions
Health Care Services and the Coproduction Puzzle
Development of a scale to measure adults' perceptions of health
Results of a Pilot Diabetes Prevention Intervention in East Harlem, New York City
Permanent Supportive Housing
Effectiveness of a Community Health Worker Intervention Among African American and Latino Adults With Type 2 Diabetes
El automanejo de las enfermedades crónicas
National Institutes of Health Approaches to Dissemination and Implementation Science
Self-Management
Why Effective Interventions Do Not Work for All Patients
Patient-centered Medical Home, Make Room for Your New Neighbor
Self-Report Adherence Measures in Chronic Illness
Internet-Based Chronic Disease Self-Management
Race/Ethnicity and Patient Confidence to Self-Manage Cardiovascular Disease
A Remarkable Legacy of Science
Effect of a Pragmatic, Cluster-randomized Controlled Trial on Patient Experience With Care
Differences Between Individual and Societal Health State Valuations
Framing the Problem of Measuring and Improving Healthcare Quality
Depressive Symptoms Moderated the Effect of Chronic Illness Self-Management Training on Self-Efficacy
The Effect of a Telephone-based Health Coaching Disease Management Program on Medicaid Members With Chronic Conditions
Can A Disease Self-Management Program Reduce Health Care Costs
| Unique citing works | 121 |
|---|---|
| Citations per year | 5,04 |
| Citation span | 2002 - 2025 (24) |
| Citation velocity | recent |
| Highly cited | Yes |
| Citation types | Neutral: 107 |