Factors Associated with the Initiation and Retention of Patients with Lupus in the Chronic Disease Self-Management Program

Details

• Alternative Title:
  Arthritis Care Res (Hoboken)
• Personal Author:
  Falasinnu, Titilola ; Bao, Gaobin ; Brady, Teresa J. ; Lim, S. Sam ; Drenkard, Cristina
• Description:
  Objective ; The Chronic Disease Self-Management Program (CDSMP) is designed to enhance patients self-efficacy and skills to manage their chronic illness. There is compelling evidence for the benefits of the CDSMP among patients with systemic lupus erythematosus (SLE); however, little is known about predictors of participation among Black women with SLE. We examined factors associated with CDSMP initiation and completion in this population. ; Methods ; We studied 228 Black women with SLE who consented to attend a CDSMP workshop. We used logistic regression to calculate unadjusted and adjusted ORs for being a CDSMP initiator (a participant registered into the CDSMP who attended at least one of the first two weekly classes) and a CDSMP completer (a participant who completed ≥4 of 6 weekly classes). ; Results ; Majority of partipants were CDSMP initiators (74%, n=168). Of them, 126 (75%) were CDSMP completers. Older age aOR: 1.03, 95% CI:1.00-1.06 and unemployment/disability aOR: 2.05, 95% CI: 1.05-4.14 increased the odds of being a CDSMP initiator. The odds of initiating CDSMP decreased by 22% for each additional child in the household OR: 0.78, 95% CI:0.62-0.98 but this association became non-significant in the adjusted model aOR: 0.89, 95% CI:0.68-1.18. The only factor that differed significantly between CDSMP completers and non-completers was age, with 4% higher odds of being a completer for each additional year of age (aOR: 1.04, 95% CI: 1.00-1.07). ; Conclusion ; Our findings suggest that young Black women with SLE face barriers to attend and complete in-person CDSMP workshops, possibly in relation to work and childcare demands.
• Subjects:
  • Chronic Disease
  • Female
  • Humans
  • Lupus Erythematosus, Systemic
  • Self Care
  • Self Efficacy
  • Self-Management
• Keywords:
  • systemic lupus erythematosus
  • self-management
  • CDSMP
  • Black women
  • Naltrexone
  • Buprenorphine
  • Methadone
  • Mortality
  • Treatment
• Source:
  Arthritis Care Res (Hoboken). 75(3):519-528
• Pubmed ID:
  34738339
• Pubmed Central ID:
  PMC9065209
• Document Type:
  Text
• Funding:
  K01 AR079039/AR/NIAMS NIH HHSUnited States/ ; R01 MD010455/MD/NIMHD NIH HHSUnited States/ ; U01 DP005119/DP/NCCDPHP CDC HHSUnited States/ ; U01 DP006488/DP/NCCDPHP CDC HHSUnited States/
• Genre:
  Journal Article
• Volume:
  75
• Issue:
  3
• Download URL:
  https://stacks.cdc.gov/view/cdc/117051/cdc_117051_DS1.pdf
• File Type:
  [PDF - 570.06 KB]
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:084c6a968a89dbfe4943fa4e505c051bf56c011ea9d7c85f33496f2450a20bd836c97419db1eb432a656b4b818e4c37a3daed93f3fef22cc026878e3ab29ec75