Successes of a National Study of the Chronic Disease Self-Management Program

Meeting the Triple Aim of Health Care Reform

Bibliographic Data

ID9104311
AuthorsMarcia G Ory (0000-0001-8036-2383, Texas A&M Health Science Center, corresponding author), Sangnam Ahn (0000-0002-5690-7627, Texas A&M Health Science Center, corresponding author), Luohua Jiang (0000-0002-2281-7260, Texas A&M Health Science Center), Matthew Lee Smith (0000-0002-8232-9285, Texas A&M Health Science Center, corresponding author), Philip L Ritter (0000-0002-2528-6354, Stanford University), Nancy Whitelaw (National Council on Aging), Kate Lorig (0000-0001-6516-2308, Stanford University)
Year2013
Volume51
Issue11
Pages992-998
Publication date2013-11-01
Peer ReviewedYes
Open AccessNo
TypeARTICLE
VenueMedical Care (JOURNAL)
Journal identifiersISSN: 0025-7079 • E-ISSN: 1537-1948
PublisherOvid Technologies (Wolters Kluwer Health) (PUBLISHER)
DOI10.1097/mlr.0b013e3182a95dd1
PMID24113813
OpenAlexW2146146778
LanguageEN
Citations received27
References cited14

BACKGROUND: Emerging health care reform initiatives are of growing importance amidst concerns about providing care to increasing numbers of adults with multiple chronic conditions. Evidence-based self-management strategies are recognized as central to managing a variety of chronic diseases by improving the medical, emotional, and social role management demands of chronic conditions. OBJECTIVES: To examine the effectiveness of the Chronic Disease Self-Management Program (CDSMP) among a national sample of participants organized around the Triple Aim goals of better health, better health care, and better value in terms of reduced health care utilization. RESEARCH DESIGN: Utilizing data collected from small-group CDSMP workshops, baseline, 6-month, and 12-month assessments were examined using 3 types of mixed-effects models to provide unbiased estimates of intervention effects. SUBJECTS: Data were analyzed from 1170 community-dwelling CDSMP participants. MEASURES: Triple Aim-related outcome measures: better health (eg, self-reported health, pain, fatigue, depression), better health care (eg, patient-physician communication, medication compliance, confidence completing medical forms), and better value [eg, reductions in emergency room (ER) visits and hospitalizations in the past 6 mo]. RESULTS: Significant improvements for all better health and better health care outcome measures were observed from baseline to 12-month follow-up. The odds of ER visits significantly reduced from baseline to 12-month follow-up, whereas significant reductions in hospitalization were only observed from baseline to 6-month follow-up. CONCLUSIONS: This National Study of CDSMP (National Study) demonstrates the successful translation of CDSMP into widespread practice and its potential for helping the nation achieve the triple aims of health care reform

Alternative medicine · Baseline (sea) · Chronic condition · Chronic disease · Disease · Disease management · Family medicine · Health care · Health management system · Intervention (counseling) · Logistic regression · Odds · Physical therapy · Chronic Disease Management Strategies · Diabetes Management and Education · Medicine · Nursing · Primary Care and Health Outcomes · Gerontology

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