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National Study of Chronic Disease Self-Management: Six- and Twelve-Month Findings among Cancer Survivors and Non-Cancer Survivors
Tuesday, November 18, 2014
Objective: This study examined the applicability of the Chronic Disease Self-Management Program (CDSMP) for cancer survivors and compared outcomes among cancer survivors and participants with other chronic diseases (non-cancer survivors). Methods: Participants were older adults (n=1,170) enrolled in the National Study of CDSMP. Detailed information about physical and psychosocial health status and health care behaviors was collected from participants (n=116 cancer survivors and n=1,054 non-cancer survivors) via self-report before CDSMP participation and at six- and twelve-month follow-ups. Linear and generalized linear mixed models were used to assess baseline-to-six-month and baseline-to-twelve-month changes. Results: Among cancer survivors, general health, depression, and sleep significantly improved from baseline to six-months. These significant changes were sustained at twelve months. Communication with physicians, medication compliance, pain, days in poor physical health, days in poor mental health, and days kept from usual activities also improved significantly from baseline to twelve months. Among non-cancer survivors, all outcomes except medication compliance and stress improved significantly from baseline to six months. At twelve months, medication compliance also improved significantly. Conclusions: Findings suggest that participation in CDSMP, an evidence-based chronic disease self-management intervention not specifically tailored for cancer survivorship, may significantly improve physical and psychosocial health status and key health care behaviors among cancer survivors. Additional research is needed to elucidate cancer survivors’ unique needs and examine the benefits of tailored versions of CDSMP. Nevertheless, CDSMP, available at-scale nationally and internationally, is a promising intervention for cancer survivors and should be considered a valuable component of survivorship care plans.
Learning Areas:
Administer health education strategies, interventions and programs
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Provision of health care to the public
Public health or related research
Social and behavioral sciences
Learning Objectives:
Identify at least one positive psychosocial health outcome and one physical health outcome among cancer survivors who participated in the National Study of the Stanford Chronic Disease Self-Management Program (CDSMP).
Name at least one positive behavioral outcome among cancer survivors who participated in the National Study of CDSMP.
Describe at least one way that outcomes varied among cancer survivor and non-cancer survivor participants of the National Study of CDSMP.
Keyword(s): Cancer, Chronic Disease Prevention
Presenting author's disclosure statement:Qualified on the content I am responsible for because: I directed this study, which investigates the applicability of the Stanford Chronic Disease Self-Management Program for cancer survivors.
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.
