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

Andrew P. Turner, Jo Kosmala-Anderson, Louise M. Wallace, Claire Bourne

    Research output: Contribution to journalArticle

    31 Citations (Scopus)
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    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. Publisher statement: Copyright 2014 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NCND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).
    Original languageEnglish
    Pages (from-to)213-219
    JournalPatient Education and Counseling
    Volume98
    Issue number2
    Early online date22 Oct 2014
    DOIs
    Publication statusPublished - Feb 2015

    Fingerprint

    Self Care
    Patient Participation
    Licensure
    Depression
    Musculoskeletal Pain
    Health
    Quality Improvement
    Ireland
    Chronic Obstructive Pulmonary Disease
    Health Status
    Anxiety
    Quality of Life
    Outcome Assessment (Health Care)

    Bibliographical note

    Copyright 2014 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NCND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

    Keywords

    • Long-term conditions
    • Self-management program
    • Patient activation
    • Co-delivery

    Cite this

    An evaluation of a self-management program for patients with long-term conditions. / Turner, Andrew P.; Kosmala-Anderson, Jo; Wallace, Louise M.; Bourne, Claire.

    In: Patient Education and Counseling, Vol. 98, No. 2, 02.2015, p. 213-219.

    Research output: Contribution to journalArticle

    Turner, Andrew P. ; Kosmala-Anderson, Jo ; Wallace, Louise M. ; Bourne, Claire. / An evaluation of a self-management program for patients with long-term conditions. In: Patient Education and Counseling. 2015 ; Vol. 98, No. 2. pp. 213-219.
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    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. Publisher statement: Copyright 2014 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NCND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).",
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    AU - Wallace, Louise M.

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    N2 - 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. Publisher statement: Copyright 2014 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NCND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

    AB - 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. Publisher statement: Copyright 2014 The Authors. Published by Elsevier Ireland Ltd. This is an open access article under the CC BY-NCND license (http://creativecommons.org/licenses/by-nc-nd/3.0/).

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