Online Program

From participant to completer: Understanding completion rates among older adults in the chronic disease self- management program

Monday, November 4, 2013 : 3:30 p.m. - 3:42 p.m.

Erkan Erdem, PhD, Health Policy, IMPAQ International, Washington, DC
Cynthia Woodcock, MBA, The Hilltop Institute, UMBC, Baltimore, MD
Sarah Pedersen, MPP, Health Policy, IMPAQ International, Washington DC, DC
Holly Korda, PhD, MA, Health Systems Research Associates, Old Orchard Beach, ME
Susan Jenkins, PhD, Administration for Community Living, Washington DC, DC
We analyze the completion patterns in the Chronic Disease Self-Management Program (CDSMP), an evidence-based health promotion program funded through the Communities Putting Prevention to Work: Chronic Disease Self-Management Program by the Administration for Community Living (ACL) in collaboration with the Centers for Disease Control and Prevention (CDC) and the Centers for Medicare & Medicaid Services (CMS). CDSMP is a community-based program that helps participants self-manage their chronic conditions on their own to improve the quality of life and reduce utilization of more expansive types of health care. Using administrative data, we find that (1) participants with depression are much less likely to complete the program, but the opposite is true for participants with hypertension and osteoporosis; (2) participants are much more likely to complete in small classes (i.e., less than 6 participants); (3) completion rates are the lowest at residential facilities and highest at faith-based organizations (followed by area agencies on aging and senior centers); (4) completion rates are higher if the two workshop leaders previously worked together; (5) grantee characteristics (e.g., lead agency, oversight & delivery structure, and funding history) play a significant role; and (5) there are significant differences in completion rates among racial and ethnic groups as well as age categories. These findings can help program administrators and policy makers revise the CDSMP model and improve efficiency, outreach, and success of the program.

Learning Areas:

Assessment of individual and community needs for health education
Chronic disease management and prevention
Conduct evaluation related to programs, research, and other areas of practice
Implementation of health education strategies, interventions and programs
Public health or related public policy

Learning Objectives:
Assess factors relating to older adults’ participation and completion of chronic disease self management workshops.

Keyword(s): Chronic Diseases, Prevention

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a Senior Research Associate at IMPAQ International and senior health economist on the research team. I conducted the analyses we present in this presentation. My experience includes deep experience with national data sets for Medicare beneficiaries and other older adults, including administrative data for the chronic disease self-management program.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.