National Study of Chronic Disease Self-Management: Age Comparison of Outcome Findings

Autor/inn/en	Ory, Marcia G.; Smith, Matthew Lee; Ahn, SangNam; Jiang, Luohua; Lorig, Kate; Whitelaw, Nancy
Titel	National Study of Chronic Disease Self-Management: Age Comparison of Outcome Findings
Quelle	In: Health Education & Behavior, 41 (2014) 1, S.34 (9 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1090-1981
DOI	10.1177/1090198114543008
Schlagwörter	Older Adults; Aging (Individuals); Chronic Illness; Quality of Life; Program Effectiveness; Comparative Analysis; Participant Characteristics; Models; Effect Size; Age Differences; Self Management; Intervention; Measures (Individuals); Questionnaires; Physician Patient Relationship; Predictor Variables; Pretests Posttests + Suchen Sie Ihr Suchwort? Älterer Erwachsener; Aging; Altern; Chronic disease; Chronische Krankheit; Lebensqualität; Analogiemodell; Age; Difference; Age difference; Altersunterschied; Selbstmanagement; Messdaten; Fragebogen; Arzt-Patient-Beziehung; Prädiktor
Abstract	Introduction: The adult population is increasingly experiencing one or more chronic illnesses and living with such conditions longer. The Chronic Disease Self-Management Program (CDSMP) helps participants cope with chronic disease-related symptomatology and improve their health-related quality of life. Nevertheless, the long-term effectiveness of this evidence-based program on older adults as compared to the middle-aged populations has not been examined in a large-scale, national rollout. Method: We identified baseline characteristics of CDSMP participants aged 65 years or older (n = 687, M = 74.8 years) in the National Study of CDSMP from 2010 to 2012. Comparisons were made to middle-aged participants aged 50 to 64 (n = 325, M = 58.3 years). Assessments were conducted at baseline and 12-month follow-up. Linear and generalized linear mixed models were performed to assess changes in primary and secondary outcomes, controlling the key sociodemographics and number of chronic conditions. Results: All primary outcomes (i.e., social/role activities limitation, depression, communication with doctors) significantly improved in both the older and middle-aged cohorts. Although improvements in illness symptomatology (e.g., fatigue, pain, shortness of breath, and sleep problems) were similar across both cohorts, only the middle-aged cohort benefitted significantly in terms of overall quality of life and unhealthy mental health days. Effect sizes were larger among the middle-aged population who were also more likely to enter the program in poorer health and be from minority backgrounds. Conclusions: The current study documented improved health outcomes but more so among the middle-aged population. Findings suggest the importance of examining how age and interacting life circumstances may affect chronic disease self-management. [This article is part of an open access supplement "Fostering Engagement and Independence: Opportunities and Challenges for an Aging Society," published in SOPHE's "Health Education & Behavior." This supplement was supported by funding provided by the Centers for Disease Control and Prevention's (CDC) National Center for Chronic Disease Prevention and Health Promotion, Healthy Aging Program (Cooperative Agreement #U38HM000454) via the Association of State and Territorial Health Officials, and from a grant provided by the Retirement Research Foundation.] (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10