Intermediate Outcomes of a Chronic Disease Self-Management Program for Spanish-Speaking Older Adults in South Florida, 2008–2010

Details

• Journal Article:
  Preventing Chronic Disease (PCD)
• Personal Author:
  Melchior, Michael A. ; Seff, Laura R. ; Bastida, Elena ; Albatineh, Ahmed N. ; Page, Timothy F. ; Palmer, Richard C.
• Description:
  Introduction
  
  The prevalence and negative health effects of chronic diseases are disproportionately high among Hispanics, the largest minority group in the United States. Self-management of chronic conditions by older adults is a public health priority. The objective of this study was to examine 6-week differences in self-efficacy, time spent performing physical activity, and perceived social and role activities limitations for participants in a chronic disease self-management program for Spanish-speaking older adults, Tomando Control de su Salud (TCDS).
  
  Methods
  
  Through the Healthy Aging Regional Collaborative, 8 area agencies delivered 82 workshops in 62 locations throughout South Florida. Spanish-speaking participants who attended workshops from October 1, 2008, through December 31, 2010, were aged 55 years or older, had at least 1 chronic condition, and completed baseline and post-test surveys were included in analysis (N = 682). Workshops consisted of six, 2.5-hour sessions offered once per week for 6 weeks. A self-report survey was administered at baseline and again at the end of program instruction. To assess differences in outcomes, a repeated measures general linear model was used, controlling for agency and baseline general health.
  
  Results
  
  All outcomes showed improvement at 6 weeks. Outcomes that improved significantly were self-efficacy to manage disease, perceived social and role activities limitations, time spent walking, and time spent performing other aerobic activities.
  
  Conclusion
  
  Implementation of TCDS significantly improved 4 of 8 health promotion skills and behaviors of Spanish-speaking older adults in South Florida. A community-based implementation of TCDS has the potential to improve health outcomes for a diverse, Spanish-speaking, older adult population.
  
  
• Subjects:
  Aged Chronic Disease Education Female Health Promotion Health Services For The Aged Hispanic Or Latino Humans Male Self Care Self Efficacy Treatment Outcome

  More +
• Source:
  Prev Chronic Dis. 10.
• ISSN:
  1545-1151
• Document Type:
  Journal Article
• Place as Subject:
  Florida
• Location:
  North America
• Volume:
  10
• Collection(s):
  Preventing Chronic Disease
• Main Document Checksum:
  urn:sha-512:9f0c4a445a11cbb20468c1cc4f888ca3658656e34a95c8aff24c2aaf5af6b64757bb8c585bdf481ffe7b754a098247a95329435e8d89a279755f1cf4e807f257
• Download URL:
  https://stacks.cdc.gov/view/cdc/20999/cdc_20999_DS1.pdf
• File Type:
  [PDF - 422.50 KB ]