Outcomes of the Chronic Disease Self-Management Program with Urban African American Older Adults


Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

4285.0: Tuesday, December 13, 2005 - Board 6

Abstract #108026

Molly A. Rose, PhD¹, Christine Arenson, MD², James Diamond, PhD², Robyn Salkey², Pamela Harrod, MS², and Michael P. Rosenthal, MD². (1) Jefferson College of Health Professions, Department of Nursing, Thomas Jefferson University, 130 S. 9th Street Suite 1205, Philadelphia, PA 19107, 215-503-7567, Molly.Rose@jefferson.edu, (2) Department of Family Medicine, Thomas Jefferson University, 1015 Walnut Street 4th Floor, Philadelphia, PA 19107

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 (Lorig et. al) developed and validated the 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 chronic diseases. Based on Bandura's Self-Efficacy Theory, the aim is to teach self-care skills that can be utilized by people with varying chronic conditions. The program was previously tested with a comparatively well-educated and largely white population within an HMO. The purpose of this pilot study was to evaluate outcome measures within communities of low-income, African American urban older adults. A one group pretest-posttest design was used to measure outcomes related to health status, self-efficacy, health behaviors, and health service utilization. Preliminary analysis at 10 weeks demonstrated an increase in reported stretching or strengthening exercises, reported aerobic exercise, improved cognitive symptom management, and decreased perception of fatigue. Process evaluation showed a high level of satisfaction. The CDSMP sessions were conducted within a variety of communities (low income housing units, senior citizen centers, and churches) with African American co-leaders (a health educator and an older adult community member. Results of preliminary follow-up data at10 weeks and six months after the workshops ended will be presented, including satisfaction and any changes in health status, self-efficacy, and health behaviors.

Learning Objectives:

At the end of the presentation, the participants will be able to

1. provide an overview of the Chronic Disease Self-Management Program
2. discuss the research design, sample and setting, and results of this pilot study
3. state potential recommendations for the use of the CDSMP with lower income, older, urban, African Americans.

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Strategies to Improve the Outcomes of Public Health Nursing Interventions

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA