Pre-post effectiveness evaluation of Chronic Disease Self-Management Program (CDSMP) participation on health, well-being and health service utilization

Abstract

Objectives The Chronic Disease Self-Management Program (CDSMP) is a standardized self-management intervention for patients with various chronic diseases. CDSMP provides self-management skills to enhance patient health, well-being, and coping skills. The present study evaluates the effectiveness of CDSMP delivered in routine clinical services on health, health behaviors and healthcare utilization in patients with various chronic illnesses. Methods A pragmatic single group pre-post design evaluated the effectiveness of the CDSMP in an Irish cohort using self-report data collected by service providers in hospital, community health and patient organizations. Data on health, health behavior and healthcare utilization were collected at baseline ( n = 263), immediately post-program ( n = 102), and six months ( n = 81) after enrollment. Results CDSMP participants reported statistically significant increases in activity levels, self-efficacy, energy and quality of life, and a significant decrease in depression scores at six months follow-up. There was a significant decrease in self-reported visits to the GP and in total nights spent in hospital. Discussion This national pre-post study provides preliminary evidence 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.

The Impact of the Chronic Disease Self-Management Program on Health Literacy: A Pre-Post Study Using a Multi-Dimensional Health Literacy Instrument

“…The effectiveness of the CDSMP has been demonstrated in studies across age groups and diverse cultural and ethnic backgrounds [23], including improvements in self-efficacy [17,18,[25][26][27], health behaviour (i.e., exercise frequency, symptom management, communication with healthcare providers) [27][28][29], health status (i.e., level of self-reported health, health distress, disability, fatigue, quality of life) [25,[28][29][30][31], and health service utilisation (reduction in emergency presentations and hospitalisations) [24,29,31]. Qualitative evaluations suggest that CDSMP is acceptable to participants, and the group-based modality helps enhance participation, social connectedness, coping, and the acceptance of chronic condition(s) amongst participants [20,[32][33][34].…”

Impact of the chronic disease self-management program (CDSMP) on self-perceived frailty condition: the EU-EFFICHRONIC project

“…4,5 Large amount of evidence supported the effectiveness of the CDSMP in improving physical and psychological well-being, 6,7 health-related quality of life, 8 medication utilization, 9 and communication with health professionals. 8 Moreover, healthcarerelated cost savings were demonstrated in several studies in terms of reduction in visits to general practitioner, admission to the emergency department and besides lower frequency and shorter duration of hospitalization. 10,11 Although it has been clearly demonstrated that CDSMP led to better health outcomes, an important issue is identifying whether baseline participants' characteristics are able to predict better clinical outcomes after attending this intervention.…”

Effect of Practicing Health Behaviors on Unmet Needs among Patients with Chronic Diseases: A Longitudinal Study

“…It is also suggested that enough financial support for health promotion may lead to improved health conditions and reduced unmet needs. Another study examining pre-post effectiveness of evaluation of chronic disease management yielded positive results for patients with fewer visits to the clinic [18]. However, there are insufficient studies that examine the relationship of an improved lifestyle to unmet needs among patients with chronic diseases.…”