Recorded presentation

Julia A. Dodge, MS, RN, School of Public Health, University of Michigan, 1420 Washington Heights, Room M5116, Ann Arbor, MI 48109-2029, 734-647-3177, jadodge@umich.edu, Nancy K. Janz, PhD, Department of Health Behavior and Health Education, School of Public Health, University of Michigan, 1420 Washington Heights, Ann Arbor, MI 48109-2029, and Noreen M. Clark, PhD, University of Michigan School of Public Health, 109 S. Observatory Street, Ann Arbor, MI 48109-2029.

As self-care for chronic disease gains in importance and urgency with the aging of the USA population, innovative methods for enhancing disease-management skills of older adults are increasingly sought. This presentation explores the evaluation of two formats of a 6-week heart disease management program for older women (“Women take PRIDE”). Based upon principals of self-regulation, both program formats focus on issues unique to older women with heart disease and emphasizes physical activity. Five-hundred seventy-five (575) older women were randomly assigned to either: 1) the group format; 2) the self-directed format completed at home and on their own time; or 3) a control group. Mean age was 72.8 years, with 17% women of color, 34% living alone, 82% with at least a high school education, and 11% employed. Preliminary results indicate that at four months follow-up, all intervention women, but especially those receiving the group format, reported significantly (p=. 03) decreased stress compared to the controls. By 12 months, group participants walked significantly (p= .05) farther than controls. At 18 months follow-up, women in both WTP formats, but especially the self-directed version, reported fewer common cardiac symptom number (p=. 01), frequency (p=. 02), and bother (p=. 01) compared to controls; group participants reported significantly (p = .02) more weight loss than self-directed women. Discussion will focus on differential effects related to program format and strategies for reaching older adults with chronic disease-management education.

Learning Objectives: At the conclusion of the session, the participant (learner) in this session will be able to

1.Describe the theoretical foundation and major components of the “Women take PRIDE” disease management program. 2.Articulate the major significant outcomes of the evaluation of the “Women take PRIDE” program, including differences observed between the two program formats.
• List three strategies for reaching older adults with chronic disease-management education.

Keywords: Self-Management, Chronic (CVD)

Related Web page: None

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.

Recorded presentation