The 130th Annual Meeting of APHA

5167.0: Wednesday, November 13, 2002 - 3:15 PM

Abstract #36824

Feasibility of the Chronic Disease Self-Management Program with lower income, African-American urban older adults

Molly A. Rose, PhD, College of Health Professions, Department of Nursing, Thomas Jefferson University, 130 S. 9th Street Suite 1215, Philadelphia, PA 19107, 215-503-7567, Molly.Rose@mail.tju.edu and Christine Arenson, MD, Department of Family Medicine, Thomas Jefferson University, 1015 Walnut Street 4th Floor, Philadelphia, PA 19107.

As Americans continue to age, programs that maintain functional independence are increasingly important. Up to 87.6% of persons over age 65 have at least one chronic medical condition; two-thirds of whom have two or more chronic conditions. The Stanford Patient Education Research Center has previously developed and validated a Chronic Disease Self-Management Program (CDSMP) that trains lay and professional leaders to provide a six-week, once a week workshop to a small group of individuals with varying chronic diseases. The aim is to teach self-care skills common to many chronic conditions. This program was previously tested with a comparatively well-educated and largely white population. The purpose of this pilot study was to evaluate the feasibility of CDSMP with low-income, African American urban older adults. Data collected included recruitment experiences, attendance, satisfaction ratings of the workshop sessions, and outcome tools. A one group pretest-posttest design was used to measure outcomes related to health status, self-efficacy, health behaviors, and health service utilization. Two workshop sessions were conducted at separate time intervals with African American co-leaders (a health educator and a community residing older adult). A focus group immediately following each of the six week sessions was conducted to explore potential culturally appropriate changes in the program. Results of the study will be presented along with potential adaptations of the workshop sessions, lessons learned related to the outcome tools, recruitment, and working with lay leaders, and recommendations for implementation and further studies.

Learning Objectives:

  • At the conclusion of the presentation, the participant should be able to

    Presenting author's disclosure statement:
    I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.

    Self-Care for Chronic Diseases among Older Adults

    The 130th Annual Meeting of APHA