Chronic Disease Self-Management Improved with Enhanced Self-Efficacy

Abstract

This pilot study used a quasi-experimental pretest-posttest design to examine if participation in a chronic disease self-management program (CDSMP) improved self-efficacy, self-efficacy health, and self-management behaviors in an underserved, poor, rural population. The sample, recruited from two clinics in a south central state, consisted of 48 adults (59.70 +/- 11.22 years) and was 79.2% Caucasian (n = 38) and 20.8% (n = 10) African American. Trained lay leaders with chronic illnesses directed the interactive CDSMP based on Bandura's self-efficacy theory that included strategies for personal exercise program development, cognitive symptom management, problem solving, and communication skills. Program-specific paper-and-pencil instruments were completed prior to and immediately after completion of the 6-week program. Significant improvements (p<.10) in self-efficacy, self-efficacy health, and self-management behaviors occurred. Results underscore the need to evaluate intervention programs for specific populations and for a new paradigm that focuses on patient-provider partnerships that can improve health outcomes in underserved, poor, rural populations.

Psychological aspects of prostate cancer: a clinical review

“…These factors should also be taken into account explicitly in targeting and evaluating programs. 89 Motivation is a key component of any self-management intervention. For successful self-management, not only should participants feel that an intervention is relevant to the problems they are experiencing, but also they should be motivated to engage with the intervention in practice and over time.…”

Weight Management and Hypertension Services in a Rural Public Health Clinic

“…Although the clinics were able to increase measures of patient care, patient outcomes were not significantly affected. In addition, a study of a rural sample of 48 adults with at least one chronic disease found that following a 6-week program, patients were able to improve their ability to self manage their symptoms and disease [10]. In contrast, Bayliss et al [13] investigated barriers to self-care and reported that over 90% of respondents indicated their physical limitations due to the chronic condition, and multiple chronic conditions, were barriers to exercise to improve their chronic condition.…”

“…Overweightness and obesity continue to rise among both adults and children, increasing the prevalence of chronic diseases in both groups. Multiple programs have been initiated to combat these health disparities, with differing levels of success [9][10][11][12].…”

Maintenance of speech in Parkinson’s disease: The impact of group therapy

“…217 In chronic disease management, self-efficacy has been reported to be influential in the success of self-management. 218,222,223 Fortunately, self-efficacy can be positively influenced with intervention, and should therefore be promoted in the management of chronic disease. [223][224][225] Self-efficacy is built when a person experiences success in using a skill, witnesses others successfully using a skill, or receives verbal persuasion and encouragement.…”

“…218,222,223 Fortunately, self-efficacy can be positively influenced with intervention, and should therefore be promoted in the management of chronic disease. [223][224][225] Self-efficacy is built when a person experiences success in using a skill, witnesses others successfully using a skill, or receives verbal persuasion and encouragement. 221,226 A maintenance program for communication in PD is therefore integral to the holistic management plans of people with PD.…”