Evaluation of chronic disease self-management programme (CDSMP) for older adults in Hong Kong
- 710 Downloads
To evaluate the locally-adapted CDSMP for older adults with chronic diseases in Hong Kong in the primary care setting.
A longitudinal, quasi-experimental study.
Community-based and primary care setting.
Seven hundred and seventy-two participants aged 55 or above with at least one chronic disease and were living in the community.
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.
At baseline and 6 months, four categories of outcome measures were documented, covering self-management behaviours, self-efficacy, health status, and health care utilization.
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.
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 wordsSelf-management chronic disease primary care elderly
Unable to display preview. Download preview PDF.
- 1.World Health Organization: Chronic diseases. 2009; Available at: http://www.who.int/topics/chronic_diseases/en/. Accessed December 8, 2009.
- 2.Census and Statistics Department: Thematic Household Survey Report No. 40. Hong Kong: Census and Statistics Department; 2009.Google Scholar
- 8.Department of Health. Promoting health in Hong Kong: a strategic framework for prevention and control of non-communicable diseases. Hong Kong: Department of Health; 2008.Google Scholar
- 9.Siu CF, Leung KT, Lee A, Chan CM, So TY, Liu KH, Lau L, Wong KK: Patient empowerment for management of chronic illness: study on diabetes mellitus. Hong Kong East Cluster Symposium on Community Engagement IV: Healthy Community: We Can Make a Difference. 2009; Available at: http://www.healthyhkec.org/cluster/events/SCE4/. Accessed 8 December 2009.
- 13.Yip YB, Sit JW, Fung KK, Wong DY, Chong SY, Chung LH, Ng TP: Impact of an Arthritis Self-Management Programme with an added exercise component for osteoarthritic knee sufferers on improving pain, functional outcomes, and use of health care services: An experimental study. Patient Educ Couns 2007 Jan; 65:113–121.PubMedCrossRefGoogle Scholar
- 14.Lorig KR, Sobel DS, Stewart AL, Brown BW,Jr, Bandura A, Ritter P, Gonzalez VM, Laurent DD, Holman HR: Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care 1999 Jan; 37:5–14.PubMedCrossRefGoogle Scholar
- 17.Kennedy A, Reeves D, Bower P, Lee V, Middleton E, Richardson G, Gardner C, Gately C, Rogers A: The effectiveness and cost effectiveness of a national lay-led self care support programme for patients with long-term conditions: a pragmatic randomised controlled trial. J Epidemiol Community Health 2007 Mar; 61:254–261.PubMedCrossRefGoogle Scholar
- 19.Swerissen H, Belfrage J, Weeks A, Jordan L, Walker C, Furler J, McAvoy B, Carter M, Peterson C: A randomised control trial of a self-management program for people with a chronic illness from Vietnamese, Chinese, Italian and Greek backgrounds. Patient Educ Couns 2006 Dec; 64:360–368.PubMedCrossRefGoogle Scholar
- 26.Bandura A: Self-efficacy:the exercise of control. New York: W.H. Freeman; 1997.Google Scholar
- 27.Kirkwood BR: Essentials of medical statistics. Oxford: Blackwell Scientific Publications; 1988.Google Scholar
- 28.Lorig K: Outcome measures for health education and other health care interventions. Thousand Oaks: Sage Publications; 1996.Google Scholar
- 30.Hospital Authority. Hospital Authority Annual Plan 2009–2010. Hong Kong: Hospital Authority; 2009.Google Scholar
- 33.World Health Organization. Innovative care for chronic condition: building blocks for action. Geneva: Noncommunicable Diseases and Mental Health, World Health Organization; 2002.Google Scholar