A 12-month follow-up study of self-management training for people with chronic disease: Are changes maintained over time?

Julie H. Barlow, C. Wright, Andrew P. Turner, G.V. Bancroft

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    Objective. A previous study reported some improved outcomes at 4-month follow-up after attendance on a lay-led, chronic disease self-management course (CDSMC). The purpose of this study was to determine whether changes were maintained over time (i.e. at 12 months) and to describe participants' current use of self-management techniques.

    Design. The study was a 12-month follow-up of a sample of 171 participants who attended a CDSMC in the UK.

    Method. Data were collected by self-administered questionnaires mailed to participants 12 months after they commenced a CDSMC and via telephone interviews with a sub-sample.

    Results. The sample had a mean age of 54 years, mean disease duration of 16 years, 73% were women, and chronic diseases included endometriosis, depression, diabetes, myalgic encephalomyelitis, osteoporosis and polio. The significant improvements in outcomes identified at 4 months (i.e. cognitive symptom management, self-efficacy, communication with physician, fatigue, anxious and depressed moods and health distress) were sustained at 12 months. No significant changes between 4- and 12-month assessments were found on any study variables. Interview data confirmed that participants continued to use some of the self-management techniques learned on the course.

    Conclusion. Attendance on the CDSMC may lead to longer-term changes in key outcomes such as self-efficacy, use of some self-management behaviours and some aspects of health status (e.g. fatigue, depressed mood).
    Original languageEnglish
    Pages (from-to)589-599
    JournalBritish Journal of Health Psychology
    Issue number4
    Publication statusPublished - Nov 2005


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    • self-management
    • chronic disease

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