An evaluation of a self-management program for patients with long-term conditions

Turner, Andrew; Anderson, Joanna K.; Wallace, Louise M. and Bourne, Claire (2015). An evaluation of a self-management program for patients with long-term conditions. Patient Education and Counseling, 98(2) pp. 213–219.

DOI: https://doi.org/10.1016/j.pec.2014.08.022

Abstract

Objective: To evaluate a group-based self-management program (SMP) delivered as part of a quality improvement program, Co-Creating Health, for patients living with one of four long-term conditions (LTCs): chronic obstructive pulmonary disease, depression, diabetes, and musculoskeletal pain.
Methods: The 7 week SMP was co-delivered by lay and health professional tutors. Patients completed self-reported outcome measures at pre-course and 6 months follow-up.
Results: 486 patients completed (attended ≥5 sessions) the SMP and returned pre-course and 6 months follow up data. Patients reported significant improvements in patient activation (ES 0.65, p<. 0.001), with 53.9 of all patients reporting a meaningful ≥4 point improvement. Health-related quality of life (ES 0.06, p= 0.04), and health status (ES 0.33, p<. 0.001) were also significantly improved. Patients' anxiety (ES 0.37, p<. 0.001) and depression (ES 0.31, p<. 0.001) significantly improved. Patients also reported significant improvements in their self-management skills (p values from p<. 0.001 to p= 0.028).
Conclusion: Attending the SMP led to improvements in a range of outcomes. Improvement in patient activation is important, as activated patients are more likely to perform self-care activities.
Practice implications: Co-delivered SMPs provide meaningful improvements in activation for >50 of those who complete and are a useful addition to self-management support provision.

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