Upload
others
View
5
Download
0
Embed Size (px)
Citation preview
• Self-managementprogramsarewidelyusedtomanagechronicsymptoms.
• TheChronicDiseaseSelf-ManagementProgram(CDSMP)hasbeenimplementedwithsuccessforavarietyofchronicconditionsacrossdemographicgroups.
• CDSMPshavebeenshowntoimproveempowermentandconfidence,aswellasteachself-managementskills.
• OutcomesforCDSMPsinruralandremoteregionsarenotwellunderstood.
• TounderstandthebenefitsandlimitationsofdeliveringaCDSMPtoadultsandolderadultslivinginruralandremoteregionsoftheRockyMountainWest.
Recruitment• Participantswereenrolledinandcompletedachronicdiseaseself-managementprogram.
Instruments• Demographicswereassessedusingaparticipantprofileformdesignedforthisstudy.
Analysis• SPSSversion24wasutilizedforanalysis.• Paired-samplest-testswereusedtocomparepre-andpost-evaluationresponses.
• Alphasettop <.05.
ParticipantCharacteristics• Wyomingresidents(n =50)StatisticalFindings• Resultsofpaired-samplest-testsrevealedparticipationinCDSMP:
• Significantlyreduceddepressivesymptoms,t(49)=2.397,p =.020.
• Significantlyimprovedself-efficacy,t(48)=-2.887,p =.006.
• Significantoutcomeswerenotfoundforchangesinactivitiesofdailyliving,medicalcareandassociatedbehaviors,qualityoflife,orotherpsychologicalmeasures.
1.INTRODUCTION
2.OBJECTIVES
3.METHODS
4
4.RESULTS
4
5.CONCLUSIONS• TheCDSMPappearstobeusefulinimprovingconfidenceinabilitytoself-managechronicsymptoms,aswellasimprovingsymptomsofdepression,inruralandremoteregions.
• Significantfindingswerenotfoundforotherassessedvariablessuchasutilizationofhealthcare,socialsupport,orphysicalsymptomslikefatigue,pain,andsleepquality.
• Futuredirectionsincludeinclusionofalargersamplewithalongerfollow-upperiod,aswellasqualitativereviewofbarriersandfacilitatorsofchangeswithinCDSMPs.
ImplementingtheChronicDiseaseSelf-ManagementPrograminRuralandRemoteAreas
MorganE.Longstreth,DominickDuhamel,CatherineP.Carrico,RobinA.Barry,AndreaE.Slosser,andChristineL.McKibbin
ThisprojectissupportedbytheHealthResourcesandServicesAdministration (HRSA)oftheU.S.DepartmentofHealthandHumanServices(HHS)underGrantNo.U1QHP28743,GeriatricWorkforceEnhancementProgram,$2,549,927. Thisinformationorcontentand conclusionsarethoseoftheauthorandshouldnotbeconstruedastheofficial positionorpolicyof,norshouldanyendorsementsbeinferredbyHRSA,HHSortheU.S.Government.
0.932
0.687
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
0.8
0.9
1
MeanMoo
dSymptom
Score
ChangeinDepressiveSymptomsfromBaselinetoPost-Intervention
Baseline Post
6.608
7.605
0
1
2
3
4
5
6
7
8
MeanSelf-EfficacyS
core
ChangeinSelf-EfficacyfromBaselinetoPost-Intervention
Baseline Post