Internet-Based Chronic Disease Self-Management

Lorig, Kate; Ritter, Philip L.; Laurent, Diana; Plant, Kathryn

doi:10.1097/01.mlr.0000233678.80203.c1

Cited by 416 publications

(395 citation statements)

References 25 publications

(23 reference statements)

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“…Self-efficacy has consistently emerged as a mediator of intervention effects on health outcomes (e.g., psychological well-being, function/disability, quality of life) in a variety of populations (Elavsky et al, 2005;Lorig et al, 2006;McAuley et al, 2007;McAuley et al, 2008). In particular, the relationship between stress and self-efficacy has been studied extensively.…”

Section: Discussionmentioning

confidence: 99%

Physical Activity Intervention Effects on Perceived Stress in Working Mothers: The Role of Self-Efficacy

Mailey

McAuley

2014

Women & Health

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Working mothers often report elevated stress, and efforts to improve their coping resources are needed to buffer the detrimental effects of stress on health. This study examined the impact of changes in physical activity, self-efficacy, and self-regulation across the course of a brief intervention on subsequent levels of stress in working mothers. Participants (N=141) were randomly assigned to an intervention or control condition (2:1 ratio). The intervention was conducted in Illinois between March 2011-January 2012 and consisted of two group-mediated workshop sessions with content based on Social Cognitive Theory. Participants completed measures of physical activity, self-efficacy, self-regulation, and perceived stress at baseline, immediately post-intervention, and 6-month follow-up. Stress levels declined across the 6-month period in both groups. Changes in stress were negatively associated with changes in self-efficacy and self-regulation among intervention participants only. Regression analyses revealed the intervention elicited short-term increases in physical activity, self-efficacy, and self-regulation, but only changes in self-efficacy predicted perceived stress at 6-month follow-up. These results suggest that enhancing self-efficacy is likely to improve working mothers' perceived capabilities to cope with stressors in their lives. Future interventions should continue to focus on increasing self-efficacy to promote improvements in physical activity and psychological well-being in this population.

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Section: Discussionmentioning

confidence: 99%

Physical Activity Intervention Effects on Perceived Stress in Working Mothers: The Role of Self-Efficacy

Mailey

McAuley

2014

Women & Health

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“…Despite these known benefits and expert recommendations, comprehensive programs have achieved limited translation into routine clinical practice. Many prominent diabetes self-management programs and most IHCAs do not even attempt to send reports to patients' providers [12], and to our knowledge, there are no published reports on efforts to enhance such integration.…”

Section: Introductionmentioning

confidence: 99%

Linking internet-based diabetes self-management to primary care: lessons learned and implications for research translation and practice implementation

Glasgow

Kurz

Dickman

et al. 2012

Behav. Med. Pract. Policy Res.

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There has been little discussion of or research on the key translational issue of how to integrate patient selfmanagement programs across multiple primary care clinics within an HMO. The purpose of this study was to summarize our experiences and lessons learned in trying to integrate information from a web-based diabetes self-management program into primary care and the electronic health record (EHR). We describe plans, implementation, adaptations made, and data on patient and physician reactions to the My Path diabetes self-management program provided to 331 adult primary care patients. Mixed methods results revealed that, despite the availability of a state-of-the-art EHR, the intervention was not well integrated into primary care. Information from health-promotion and disease management programs, even within the same organization and with advanced EHR systems, is challenging to integrate into busy primary care.

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“…Bodenheimer describes self-management and self-management support as collaborative, with healthcare professionals as experts on disease and patients as experts on their lives [11]. Lorig et al recently demonstrated that a chronic disease self-management support program could be successfully delivered over the Web [12,13]. Self-management support appears to be particularly effective when it is systematically integrated into clinical care [14,15].…”

Section: Introductionmentioning

confidence: 99%

Electronic Communications and Home Blood Pressure Monitoring (e-BP) study: Design, delivery, and evaluation framework

Green¹,

Ralston²,

Fishman³

et al. 2008

Contemporary Clinical Trials

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Background-Randomized controlled trials have provided unequivocal evidence that treatment of hypertension decreases mortality and major disability from cardiovascular disease; however, blood pressure remains inadequately treated in most affected individuals. This large gap continues despite the facts that more than 90% of adults with hypertension have health insurance, and hypertension is the leading cause of visits to the doctor. New approaches are needed to improve hypertension care. Objectives-The Electronic Communications and Home Blood PressureMonitoring (e-BP) study is a three-arm randomized controlled trial designed to determine whether care based on the Chronic Care Model and delivered over the Internet improves hypertension care. The primary study outcomes are systolic, diastolic, and blood pressure control; secondary outcomes are medication adherence, patient self-efficacy, satisfaction and quality of life, and healthcare utilization and costs.Methods-Hypertensive patients receiving care at Group Health medical centers are eligible if they have uncontrolled blood pressure on two screening visits and access to the Web and an e-mail address. Study participants are randomly assigned to three intervention groups: (a) usual care; (b) home blood pressure monitoring receipt and proficiency training on its use and the Group Health secure patient website (with secure e-mail access to their healthcare provider, access to a shared medical record, prescription refill and other services); or (c) this plus pharmacist care management (collaborative care management between the patient, the pharmacist, and the patient's physician via a secure patient website and the electronic medical record).Conclusion-We will determine whether a new model of patient-centered care that leverages Web communications, self-monitoring, and collaborative care management improves hypertension control. If this model proves successful and cost-effective, similar interventions could be used to improve the care of large numbers of patients with uncontrolled hypertension.

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Internet-Based Chronic Disease Self-Management

Abstract: The Internet-based CDSMP proved effective in improving health statutes by 1 year and is a viable alternative to the small-group Chronic Disease Self Management Program.

Cited by 416 publications

References 25 publications

Physical Activity Intervention Effects on Perceived Stress in Working Mothers: The Role of Self-Efficacy

Physical Activity Intervention Effects on Perceived Stress in Working Mothers: The Role of Self-Efficacy

Linking internet-based diabetes self-management to primary care: lessons learned and implications for research translation and practice implementation

Electronic Communications and Home Blood Pressure Monitoring (e-BP) study: Design, delivery, and evaluation framework

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