A Meta-Analysis of Health Status, Health Behaviors, and Health Care Utilization Outcomes of the Chronic Disease Self-Management Program

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Brady, Teresa J. ; Murphy, Louise ; O’Colmain, Benita J. ; Beauchesne, Danielle ; Daniels, Brandy ; Greenberg, Michael ; House, Marnie ; Chervin, Doryn
• Description:
  Introduction
  
  The Chronic Disease Self-Management Program (CDSMP) is a community-based self-management education program designed to help participants gain confidence (self-efficacy) and skills to better manage their chronic conditions; it has been implemented worldwide. The objective of this meta-analysis was to quantitatively synthesize the results of CDSMP studies conducted in English-speaking countries to determine the program’s effects on health behaviors, physical and psychological health status, and health care utilization at 4 to 6 months and 9 to 12 months after baseline.
  
  Methods
  
  We searched 8 electronic databases to identify CDSMP-relevant literature published from January 1, 1999, through September 30, 2009; experts identified additional unpublished studies. We combined the results of all eligible studies to calculate pooled effect sizes. We included 23 studies. Eighteen studies presented data on small English-speaking groups; we conducted 1 meta-analysis on these studies and a separate analysis on results by other delivery modes.
  
  Results
  
  Among health behaviors for small English-speaking groups, aerobic exercise, cognitive symptom management, and communication with physician improved significantly at 4- to 6-month follow-up; aerobic exercise and cognitive symptom management remained significantly improved at 9 to 12 months. Stretching/strengthening exercise improved significantly at 9 to 12 months. All measures of psychological health improved significantly at 4 to 6 months and 9 to 12 months. Energy, fatigue, and self-rated health showed small but significant improvements at 4 to 6 months but not at 9 to 12 months. The only significant change in health care utilization was a small improvement in the number of hospitalization days or nights at 4 to 6 months
  
  Conclusion
  
  Small to moderate improvements in psychological health and selected health behaviors that remain after 12 months suggest that CDSMP delivered in small English-speaking groups produces health benefits for participants and would be a valuable part of comprehensive chronic disease management strategy.
  
  
• Subjects:
  Chronic Disease Female Health Behavior Health Services Health Status Humans Male Outcome And Process Assessment (Health Care) Patient Education As Topic Program Evaluation Randomized Controlled Trials As Topic Reviews Self Care

  More +
• Source:
  Prev Chronic Dis. 10.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Volume:
  10
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:4c349c3bbce5a6783df47d3447e59b58eec3ab600e1618a694244bf1283dc7ad84f59a77897b61c44518517785ea4c4c7410f3468d7cb308ed83294f3e8c8605
• Download URL:
  https://stacks.cdc.gov/view/cdc/12181/cdc_12181_DS1.pdf
• File Type:
  [PDF - 318.13 KB ]