Chronic Disease Self-Management Program: 2-Year Health Status and Health Care Utilization Outcomes

  title={Chronic Disease Self-Management Program: 2-Year Health Status and Health Care Utilization Outcomes},
  author={Kate Lorig and Philip L Ritter and Anita L. Stewart and David S. Sobel and Byron William Brown and Albert Bandura and Virginia M. Gonz{\'a}lez and Diana D Laurent and Halsted R. Holman},
  journal={Medical Care},
Objectives.To assess the 1- and 2-year health status, health care utilization and self-efficacy outcomes for the Chronic Disease Self-Management Program (CDSMP). The major hypothesis is that during the 2-year period CDSMP participants will experience improvements or less deterioration than expected in health status and reductions in health care utilization. Design.Longitudinal design as follow-up to a randomized trial. Setting.Community. Participants.Eight hundred thirty-one participants 40… 
Effectiveness of Chronic Disease Self-management Program in Japan: preliminary report of a longitudinal study.
Positive changes in health distress, coping with symptoms, stretching exercises, communication with the physician, and satisfaction with daily living indicated that the Chronic Disease Self-management Program can be effective for Japanese people with chronic conditions.
Pre-post effectiveness evaluation of Chronic Disease Self-Management Program (CDSMP) participation on health, well-being and health service utilization
Preliminary evidence is provided for the potential effectiveness of CDSMP delivered during routine care in improving important health outcomes and reducing health care utilization among a heterogeneous sample of chronic disease patients.
Internet-Based Chronic Disease Self-Management: A Randomized Trial
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.
Hispanic Chronic Disease Self-Management: A Randomized Community-Based Outcome Trial
This community-based program has the potential to improve the lives of Hispanics with chronic illness while reducing emergency room use and demonstrating improved health status, health behavior, and self-efficacy.
The impact of chronic disease self-management programs: healthcare savings through a community-based intervention
Findings emphasize the value of public health tertiary prevention interventions and the need for policies to support widespread adoption of CDSMP.
A disease-specific self-help program compared with a generalized chronic disease self-help program for arthritis patients.
The disease-specific ASMP appeared to have advantages over the more generic CDSMP for patients with arthritis at 4 months, but these advantages had lessened slightly by 1 year, and the C DSMP should be considered a viable alternative.
Impact of chronic disease self-management programs on type 2 diabetes management in primary care.
The CDSMP intervention may not lower HbA1c any better than good routine care in an integrated healthcare system, and more research is needed to understand the benefits of self-management programs in primary care in different settings and populations.
National Study of Chronic Disease Self-Management
Improved health outcomes but more so among the middle-aged population are documented, suggesting the importance of examining how age and interacting life circumstances may affect chronic disease self-management.
Effects of the Chronic Disease Self-Management Program on medication adherence among older adults.
The long-term impacts of the CDSMP on medication adherence were influenced by the short-term program impacts on health-related indicators, including medication adherence, self-rated health, depression, and patient communication skills.
Can A Disease Self-Management Program Reduce Health Care Costs?: The Case of Older Women With Heart Disease
  • J. Wheeler
  • Medicine, Political Science
    Medical care
  • 2003
A heart disease self-management program can reduce health care utilization and potentially yield monetary benefits to a health plan and compare potential cost savings with the cost of delivering the program.


Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial.
An intervention designed specifically to meet the needs of a heterogeneous group of chronic disease patients, including those with comorbid conditions, was feasible and beneficial beyond usual care in terms of improved health behaviors and health status.
Evidence suggesting that health education for self-management in patients with chronic arthritis has sustained health benefits while reducing health care costs.
It is found that health education in chronic arthritis may add significant and sustained benefits to conventional therapy while reducing costs.
Persons with chronic conditions. Their prevalence and costs.
The number and proportion of Americans living with chronic conditions, and the magnitude of their costs, including direct costs (annual personal health expenditures) and indirect costs to society (lost productivity due to chronic conditions and premature death) are determined.
Outcomes of self-help education for patients with arthritis.
Experimental subjects significantly exceeded control subjects in knowledge, recommended behaviors, and in lessened pain at 4 months, and these changes remained significant at 20 months.
Aging, health risks, and cumulative disability.
Smoking, body-mass index, and exercise patterns in midlife and late adulthood are predictors of subsequent disability in persons with lower potentially modifiable health risks.
The health assessment questionnaire 1992: status and review.
  • D. Ramey, J. Raynauld, J. Fries
  • Medicine
    Arthritis care and research : the official journal of the Arthritis Health Professions Association
  • 1992
A brief overview of the HAQ is presented along with a guide to the accumulated literature and a few comments regarding future directions for research are also presented.
Outcome measures for health education and other health care interventions
A Conceptional Basis for the Chronic Disease Self-Management Study Construction of Measures of Behaviors, Self-Efficacy and Outcomes is presented.
Chronic disease in the 1990s.
This review considers selected aspects of chronic disease epidemiology, with a focus on death, disability, disease burden, determi­ nants, and disparities, and preventive approaches, including their epidemiologic and economic context and the tools currently available for disease control.
Preventing Disability and Managing Chronic Illness in Frail Older Adults: A Randomized Trial of a Community‐Based Partnership with Primary Care
BACKGROUND: Effective new strategies that complement primary care are needed to reduce disability risks and improve self‐management of chronic illness in frail older people living in the community.