Meta-Analysis: Chronic Disease Self-Management Programs for Older Adults

Chodosh, Joshua; Morton, Sally C.; Mojica, Walter; Maglione, Margaret; Suttorp, Marika J; Hilton, Lara; Rhodes, Shannon; Shekelle, Paul G

doi:10.7326/0003-4819-143-6-200509200-00007

Cited by 676 publications

(516 citation statements)

References 80 publications

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“…Therefore, elderly people will live longer, will thus tend to develop chronic illnesses inherent of the aging process and will more likely need hospitalization. These chronic damages are defined as usually incurable conditions, which call for individual adaptive processes in order to prevent, minimize, and control long-term complications (3) . The Nurses play an important role in the care for chronic patients.…”

Section: Diagnósticos De Enfermagem E Intervenções Prevalentes No Cuimentioning

confidence: 99%

Prevalent nursing diagnoses and interventions in the hospitalized elder care

Almeida

Aliti²,

Franzen

et al. 2008

Rev. Latino-Am. Enfermagem

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Section: Diagnósticos De Enfermagem E Intervenções Prevalentes No Cuimentioning

confidence: 99%

Prevalent nursing diagnoses and interventions in the hospitalized elder care

Almeida

Aliti²,

Franzen

et al. 2008

Rev. Latino-Am. Enfermagem

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“…In self-management, patients solve their health problems as an active participant (Sohng, Kim, & Cho, 2001). Self-management programmes in the elderly have been studied in people who have diabetes mellitus, hypertension, and osteoarthritis, and it has been proven to improve self-efficacy (Chodosh et al, 2005). However, the development of self-management programmes for fall prevention in the healthy community-dwelling elderly population is currently insufficient.…”

Section: Introductionmentioning

confidence: 99%

The Effectiveness of the Exercise Education Programme on Fall Prevention of the Community-dwelling Elderly: A Preliminary Study

Chang

Huang

Jung³

2011

Hong Kong Journal of Occupational Therapy

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Objective: The purpose is to identify the effects of the exercise education programme on fall prevention of community-dwelling elderly. Methods: A single blind preliminary randomized control trial was conducted. Participants (N Z 10) in the experimental group was assigned to an exercise education programme which consisted of 28 sessions, 30w40 minutes per day for 4 weeks and a self-management telephone monitoring programme once every two days. Participants (N Z 8) in the control group received no intervention. The effectiveness of exercise education programme was measured by fall index, balance confidence scale, and balance scale. Results: The fall risks decreased from moderate to minimum in the experimental group (p < .001). Balance confidence scores increased, especially 6 items measured statistically significant increases (p < .05). However, balance scores did not show statistically significant improvement. Conclusion: The exercise education programme might be effective for fall prevention of community-dwelling elderly.

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“…Efficacy studies of self-management support have shown improvements in patient satisfaction, healthy behaviors, self-efficacy, and, in some cases, utilization and clinical outcomes (31)(32)(33). However, implementation of self-management support services varies widely (34,35), and these interventions often do not reach the populations that need these services the most (4,(36)(37)(38)(39)(40).…”

Section: Introductionmentioning

confidence: 99%

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Sarkar

Piette

Gonzales

et al. 2008

Patient Education and Counseling

131

118

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Objectives-We sought to identify interest in different modes of self-management support among diabetes patients cared for in public hospitals, and to assess whether demographic or disease-specific factors were associated with patient preferences. We explored the possible role of a perceived communication need in influencing interest in self-management support.Methods-Telephone survey of a random sample of 796 English and Spanish-speaking diabetes patients (esponse rate 47%) recruited from 4 urban US public hospital systems. In multivariate models, we measured the association of race/ ethnicity, primary language, self-reported health literacy, self-efficacy, and diabetes-related factors on patients' interest in three self-management support strategies (telephone support, group medical visits, and internet -based support). We explored the extent to which patients believed that better communication with providers would improve their diabetes control, and whether this perception altered the relationship between patient factors and selfmanagement support acceptance. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. CI 0.33-0.93). African-Americans were more interested than Whites in all 3 self-management support strategies. Patients with limited self-reported health literacy were more likely to be interested in telephone support than those not reporting literacy deficits. Forty percent reported that their diabetes would be better controlled if they communicated better with their health care provider. This perceived communication benefit was independently associated with interest in self-management support (p<0.001), but its inclusion in models did not alter the strengths of the main associations between patient characteristics and self-management support preferences. NIH Public AccessConclusion-Many diabetes patients in safety-net settings report an interest in receiving selfmanagement support, but preferences for modes of delivery of self-management support vary by race/ethnicity, language proficiency, and self-reported health literacy.Practice Implications-Public health systems should consider offering a range of selfmanagement support services to meet the needs of their diverse patient populations. More broad dissemination and implementation of self-management support may help address the unmet need for better provider communication among diabetes patients in these settings.

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Meta-Analysis: Chronic Disease Self-Management Programs for Older Adults

Cited by 676 publications

References 80 publications

Prevalent nursing diagnoses and interventions in the hospitalized elder care

Prevalent nursing diagnoses and interventions in the hospitalized elder care

The Effectiveness of the Exercise Education Programme on Fall Prevention of the Community-dwelling Elderly: A Preliminary Study

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

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