Factors Associated With Successful Completion of the Chronic Disease Self-Management Program by Adults With Type 2 Diabetes

Helduser, Janet W.; Bolin, Jane N.; Vuong, Ann M.; Moudouni, Darcy M.; Begaye, Dawn; Huber, John C.; Ory, Marcia G.; Forjuoh, Samuel N.

doi:10.1097/fch.0b013e318282b3d1

Cited by 27 publications

(13 citation statements)

References 10 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This study took place in the context of an implementation analysis of the V1SAGES project, described elsewhere ( 10 ), aimed at implementing and evaluating a 6-month case management intervention by a nurse and the CDSMP in 4 ( 4 ) family medicine groups (FMG), including 38 practices, in the Saguenay-Lac-Saint-Jean region of the Province of Quebec (Canada). A FMG is an administrative arrangement for existing practices in which primary care physicians are grouped together to collaborate with nurses to offer primary care services to a group of registered patients.…”

Section: Methodsmentioning

confidence: 99%

“…A few studies on CDSMP using quantitative ( 3–7 ) and mixed ( 8 ) methods examining factors associated with completion (attendance greater than or equal to four out of six sessions), documented that participants reporting depression were less likely to complete the program ( 3 ), while completion rates for participants aged 75 years or more were higher than for younger participants ( 8 ). Participants who perceived better health were more inclined to complete the CDSMP ( 4 ). Completion was not influenced by race/ethnicity or socio-economics ( 4 ).…”

Section: Introductionmentioning

confidence: 99%

“…Participants who perceived better health were more inclined to complete the CDSMP ( 4 ). Completion was not influenced by race/ethnicity or socio-economics ( 4 ). Studies seldom report on implementation success or failure.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

The Chronic Disease Self-Management Program: the experience of frequent users of health care services and peer leaders

Hudon

Chouinard

Diadiou

et al. 2016

FAMPRJ

View full text Add to dashboard Cite

Background.Large amount of evidence supports the contribution of the Stanford Chronic Disease Self-Management Program (CDSMP) to a global chronic disease management strategy. However, many studies have suggested further exploring of the factors influencing acceptance and completion of participants in this program.Objective.This study aimed to describe and examine factors associated with acceptance and completion rates of the CDSMP among frequent users of health care services, and to highlight the experience of patients and peer leaders who facilitated the program.Methods.A descriptive design with mixed sequential data was used. Acceptance and completion rates were calculated and their relationship with patient characteristics was examined in regression analysis (n = 167). Interviews were conducted among patients who accepted (n = 11) and refused (n = 13) to participate and with the program coordinator. Focus groups were held with the seven peer leaders who facilitated the program. Data were analysed using thematic analysis.Results.Of the 167 patients invited, 60 (36%) accepted to participate in the program. Group format was the most frequent reason to decline the invitation to participate. Twenty-eight participants (47%) completed the program. Participants who dropped out during the program raised different reasons such as poor health and too much heterogeneity among participants. Factors such as location, schedule, content, group composition and facilitation were considered as important elements contributing to the success of the program.Conclusion.The CDSMP could therefore be considered as a self-management support option for this vulnerable clientele, while taking measures to avoid too much heterogeneity among participants to improve completion rates.

show abstract

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

The Chronic Disease Self-Management Program: the experience of frequent users of health care services and peer leaders

Hudon

Chouinard

Diadiou

et al. 2016

FAMPRJ

View full text Add to dashboard Cite

show abstract

“…According to the health belief model (Rosenstock, ), the high degree of perceived threat of CVD complications, the combination of perceived susceptibility and severity and learning the benefit of preventive measures will strengthen the opportunity of the patients to perform and adhere to preventive behaviours. It is the role of healthcare providers to assess the barriers to preventive health behaviour and provide counselling accordingly to optimize self‐care (Helduser et al, ).…”

Section: Discussionmentioning

confidence: 99%

Perception of diabetes management and cardiovascular disease risk among men with type 2 diabetes: A qualitative study

Nabolsi

2020

Nursing Open

View full text Add to dashboard Cite

Aim The aim of this study was to explore the perception and understanding of men with type 2 diabetes about their illness control, risk for CVD and their adherence to healthcare management plans in Jordan. Design A qualitative descriptive design was used, recruiting a purposive sample of 13 men diagnosed with type 2 diabetes. Methods Data were collected between February and April 2019 through in‐depth semi‐structured interviews and analysed using content analysis. Results Data analysis revealed four themes: (a) Perception of diabetes control; (b) Perception of cardiovascular disease risk; (c) Coping with disease‐imposed limitations; and (d) Information validation. Conclusion The study concludes that the perception of disease control does not necessarily coincide with actual disease control. Examining patients with diabetes perception and knowledge of their healthcare management and increased CVD risks is essential. An individualized culture and gender‐sensitive health education and counselling involving spouses are recommended. Social media to disseminate scientific valid health instructions can enhance adherence.

show abstract

“…As shown in Table 2, DSMP is a 6-week group program conducted by trained community health workers (CHWs) and consists of diabetes education, self-management, action planning and problem solving, symptom management, and working with family and HCP. The DSMP has been demonstrated to significantly reduce depression, increase communication with physicians, promote healthy eating, and decrease hypoglycemia at 6 and 12 months (Erdem and Korda, 2014, Lorig et al, 2009), but has shown less conclusive evidence on improving clinic attendance (Helduser et al, 2013). Clinical navigation, on the other hand, has been shown to facilitate appointment setting and return visits, improve goal setting, and enhance some self-management (medication taking, blood glucose testing) (Hargraves et al, 2012), but does not improve key psychosocial or other self-management activities (Freund et al, 2008).…”

Section: Introductionmentioning

confidence: 99%

Community to clinic navigation to improve diabetes outcomes

Schoenberg

Ciciurkaite

Greenwood

2017

Preventive Medicine Reports

View full text Add to dashboard Cite

Rural residents experience rates of Type 2 Diabetes Mellitus (T2DM) that are considerably higher than their urban or suburban counterparts. Two primary modifiable factors, self-management and formal clinical management, have potential to greatly improve diabetes outcomes. “Community to Clinic Navigation to Improve Diabetes Outcomes,” is the first known randomized clinical trial pilot study to test a hybrid model of diabetes self-management education plus clinical navigation among rural residents with T2DM. Forty-one adults with T2DM were recruited from two federally qualified health centers in rural Appalachia from November 2014–January 2015. Community health workers provided navigation, including helping participants understand and implement a diabetes self-management program through six group sessions and, if needed, providing assistance in obtaining clinic visits (contacting providers' offices for appointments, making reminder calls, and facilitating transportation and dependent care). Pre and post-test data were collected on T2DM self-management, physical measures, demographics, psychosocial factors, and feasibility (cost, retention, and satisfaction). Although lacking statistical significance, some outcomes indicate trends in positive directions, including diet, foot care, glucose monitoring, and physical health, including decreased HbA1c and triglyceride levels. Process evaluations revealed high levels of satisfaction and feasibility. Due to the limited intervention dose, modest program expenditures (~$29,950), and a severely affected population most of whom had never received diabetes education, outcomes were not as robust as anticipated. Given high rates of satisfaction and retention, this culturally appropriate small group intervention holds promise for hard to reach rural populations. Modifications should include expanded recruitment venues, sample size, intervention dosage and longer term assessment.

show abstract

Factors Associated With Successful Completion of the Chronic Disease Self-Management Program by Adults With Type 2 Diabetes

Cited by 27 publications

References 10 publications

The Chronic Disease Self-Management Program: the experience of frequent users of health care services and peer leaders

The Chronic Disease Self-Management Program: the experience of frequent users of health care services and peer leaders

Perception of diabetes management and cardiovascular disease risk among men with type 2 diabetes: A qualitative study

Community to clinic navigation to improve diabetes outcomes

Contact Info

Product

Resources

About