Changes in Functional Health Status of Older Women With Heart Disease: Evaluation of a Program Based on Self-Regulation

Clark, Noreen M.; Janz, Nancy K.; Dodge, Julia A.; Schork, M. Anthony; Fingerlin, Tasha E.; Wheeler, John R. C.; Liang, Jersey; Keteyian, Steven J.; Santinga, John T.

doi:10.1093/geronb/55.2.s117

Cited by 54 publications

(56 citation statements)

References 45 publications

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“…The outcomes of program evaluation have been reported elsewhere. 12, 13 The "Women Take PRIDE"program differs from traditional Phase II cardiac rehabilitation in that program participants report a range of cardiac diagnoses in addition to coronary artery disease and are not enrolled as a result of an acute event. The emphasis is on the long-term management of the heart condition.…”

Section: Interventionmentioning

confidence: 99%

“…11 At 12 months follow-up, women in the program, compared with controls, were less symptomatic (P Ͻ0.01), scored better on the physical dimension of the Sickness Impact Profile (P Ͻ0.01), demonstrated improved ambulation as measured by the 6-minute walk test (P ϭ 0.01), and lost more body weight (P Ͻ0.001). 12, 13 The specific aims of the study include: assessing the impact of the WTP heart disease selfmanagement program on the use of hospital services by older women; determining the approximate hospital cost savings attributed to older women who participated in the program; and comparing potential cost savings with the costs of operating the disease self-management program.…”

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confidence: 99%

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Can A Disease Self-Management Program Reduce Health Care Costs?

Wheeler

2003

Medical Care

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Section: Interventionmentioning

confidence: 99%

mentioning

confidence: 99%

Can A Disease Self-Management Program Reduce Health Care Costs?

Wheeler

2003

Medical Care

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“…Previous studies have shown that similar health behavior changes, when sustained, continue to positively impact health and reduce utilization of health care services (Clark et al, 2000;Wagner et al, 2001). Based on the results of clinical trials of CDSMP, the successful implementation of the program in South Florida can be expected to improve quality of life for older adult residents (Lorig et al, 2001).…”

Section: Resultsmentioning

confidence: 99%

Intermediate Outcomes of Chronic Disease Self-Management Program Offered by Members of the Healthy Aging Regional Collaborative in South Florida

et al. 2013

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Currently, 80% of adults over the age of 65 have at least one chronic disease. The Chronic Disease Self-management Program (CDSMP) focuses on increasing self-efficacy for managing chronic disease. Few studies have evaluated the effectiveness of CDSMP when offered by multiple agencies, as a collaborative effort, in community-based settings. Seven agencies delivered 108 CDSMP workshops at 81 sites from October 1, 2008, to December 31, 2010. A total of 811 participants were eligible for analysis. Participants completed surveys at baseline and week 6, the end of instruction. Controlling for agency effect and general health at baseline, the general linear model was used to assess the significance of outcomes at 6 weeks. Outcomes showing significant improvement included self-efficacy to manage disease (p = .001), self-efficacy to manage emotions (p = .026), time spent walking (p = .008), and perceived social/role activities limitations (p = .001). Findings showed that CDSMP is an effective program at improving self-efficacy, increasing physical activity, and decreasing limitations.

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“…Data on physical and psychosocial function, as well as cardiac symptom experience were collected by telephone survey at baseline, 4-months, and 12-months. (Clark et al, 2000) Local implementation of WTP. The community demonstration of the WTP program reported here was implemented by a partnership of five organizations in New York's capital region.…”

Section: Methodsmentioning

confidence: 99%

Results of a Community Translation of the “Women Take PRIDE” Heart Disease Self-Management Program

et al. 2013

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This article reports the results of a community demonstration of an evidence-based heart disease self-management program for older women. Women Take PRIDE (WTP) is a group-based education and behavior modification program, based on social cognitive theory, designed to enhance heart disease self-management among older women. We implemented the program in community settings with 129 participants. Evaluation data was collected at baseline and at 4- and 12-month follow-ups. Outcomes included general health status, functional health status, and knowledge. Results showed significant improvements in self-rated health, energy, social functioning, knowledge of community resources, and number, frequency, and bother of cardiac symptoms. These results demonstrate that an evidence-based heart disease self-management program can be effective at improving health and quality of life among older women with heart disease when implemented in community settings.

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Changes in Functional Health Status of Older Women With Heart Disease: Evaluation of a Program Based on Self-Regulation

Cited by 54 publications

References 45 publications

Can A Disease Self-Management Program Reduce Health Care Costs?

Can A Disease Self-Management Program Reduce Health Care Costs?

Intermediate Outcomes of Chronic Disease Self-Management Program Offered by Members of the Healthy Aging Regional Collaborative in South Florida

Results of a Community Translation of the “Women Take PRIDE” Heart Disease Self-Management Program

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