Online Program

Self-Management Integration in Healthcare Indicators

Monday, November 2, 2015

Albert Terrillion, DrPH, MEd, CPH, CHES, College of Health Sciences, Walden University, Springfield, VA
The rapid growth in chronic disease, in particular multiple chronic conditions (MCC), poses a significant and increasing burden on the health of Americans.   Maximizing the use of proven self-management strategies is a core goal of the Department of Health and Human Services Framework for Addressing Multiple Chronic Conditions.  Yet there is currently no systematic way to assess how much patient self-management (SM) or self-management support (SMS) is occurring.  The purpose of this project was to identify concepts or measures to incorporate into SM/SMS surveillance at the national level.

A multi-step process was used to identify candidate concepts, assess existing measures, and select high priority concepts for further development.  A stakeholder survey, environmental scan, subject matter expert feedback and a stakeholder priority setting exercise were all used to select the high priority concepts for development.  

The stakeholder survey gathered feedback on 32 candidate concepts; 9 concepts were endorsed by more than 66% of respondents.  The environmental scan revealed few existing measures that adequately reflected the candidate concepts, and those that were identified were generally specific to a defined condition and not gathered on a population basis.   Based on the priority setting exercises and environmental scan, we selected one concept from each of 5 levels of behavioural influence (individual, health care system, community, policy, and media) for immediate development as a SM/SMS indicator.  In the past year, a selected committee has crafted four of the five of these indicators with work taking place to bring them to cognitive testing and final wording.

Learning Areas:

Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Planning of health education strategies, interventions, and programs
Provision of health care to the public
Public health or related education
Systems thinking models (conceptual and theoretical models), applications related to public health

Learning Objectives:
Identify key concepts that need to be measured in national SM/SMS surveillance Assess whether currently available national population measures adequately measure these SM/SMS concepts among chronic condition populations Recommend a set of measures to be used as a first step for SM and SMS surveillance and reporting to assess progress

Keyword(s): Aging, Research

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am a public health and aging network professional with a terminal degree is public health and over 20 years of experience.
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.