The journal of nutrition, health & aging

, Volume 15, Issue 3, pp 209–214

Evaluation of chronic disease self-management programme (CDSMP) for older adults in Hong Kong

  • Wayne L. S. Chan
  • E. Hui
  • C. Chan
  • D. Cheung
  • S. Wong
  • R. Wong
  • S. Li
  • J. Woo
JNHA: Clinical Trials and Aging

DOI: 10.1007/s12603-010-0257-9

Cite this article as:
Chan, W.L.S., Hui, E., Chan, C. et al. J Nutr Health Aging (2011) 15: 209. doi:10.1007/s12603-010-0257-9

Abstract

Objectives

To evaluate the locally-adapted CDSMP for older adults with chronic diseases in Hong Kong in the primary care setting.

Design

A longitudinal, quasi-experimental study.

Setting

Community-based and primary care setting.

Participants

Seven hundred and seventy-two participants aged 55 or above with at least one chronic disease and were living in the community.

Intervention

The 6-weeks programme consisted of 6 group sessions, with each session lasting for 2.5 hours. Trained professional and elder lay leaders facilitated participants to gain essential self-management knowledge and skills for the effective management of chronic diseases.

Measurements

At baseline and 6 months, four categories of outcome measures were documented, covering self-management behaviours, self-efficacy, health status, and health care utilization.

Results

302 and 298 participants in the intervention and control groups completed 6 months follow-up respectively. Participants in the intervention group reported significant improvements in all self-management behaviours and self-efficacy measures, and 5 health status measures (social role limitation, depressive symptoms, health distress, symptoms of pain and discomfort, and self-rated health) when compared with those in the control group.

Conclusions

The locally-adapted CDSMP may improve self-management behaviours, self-efficacy and health status among older adults with chronic diseases in Hong Kong. CDSMP may be integrated into primary care services for older adults.

Key words

Self-management chronic disease primary care elderly 

Copyright information

© Serdi and Springer Verlag France 2011

Authors and Affiliations

  • Wayne L. S. Chan
    • 1
    • 4
  • E. Hui
    • 2
  • C. Chan
    • 1
  • D. Cheung
    • 1
  • S. Wong
    • 3
  • R. Wong
    • 3
  • S. Li
    • 3
  • J. Woo
    • 1
  1. 1.Department of Medicine and Therapeutics, Faculty of MedicineThe Chinese University of Hong Kong, Prince of Wales HospitalShatin, New Territories, Hong KongChina
  2. 2.Medical & Geriatric UnitShatin HospitalShatin, New Territories, Hong KongChina
  3. 3.Social Services DepartmentThe Salvation ArmyYaumatei, Kowloon, Hong KongChina
  4. 4.Department of Medicine and TherapeuticsPrince of Wales HospitalShatin, New Territories, Hong KongChina

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