Online Program

Examination of a chronic disease self-management curriculum and self-efficacy among Latino adults

Wednesday, November 4, 2015

Angela Gutierrez, MPH(c), Department of Health Science, California State University, Fullerton, Fullerton, CA
Lilia Espinoza, Ph.D., Department of Health Science, California State University, Fullerton, Fullerton, CA
Dana N. Rutledge, RN, PhD, School of Nursing, California State University, Fullerton, Fullerton, CA
Jessie Jones, Ph.D., College of Health and Human Development, California State University, Fullerton, Fullerton, CA

Culturally tailored and low-cost self-management programs are a cost-effective way to decrease chronic disease self-management disparities among Latinos. An application-based self-management session based on recently identified Latino-coping strategies (Rutledge et. al, 2013) was added to the Tomando Control de Su Salud (Tomand) self-management curriculum (Lorig, et. al, 2003) to evaluate self-efficacy among Spanish-speaking Latinos with chronic illnesses.


Twenty Spanish-speaking Latino adults with chronic health conditions (e.g., diabetes, arthritis) were enrolled in a 7-week self-management program. Participants were randomly assigned to the intervention group (7 sessions) or the control group (6 sessions). The seventh-session curriculum involed an application-based self-management strategies via role-playing and resource-sharing to facilitate self-management application in real world settings. Self-efficacy was obtained at baseline and the 7-week mark (Time 2). Ethnographic interviews were collected at Time 2. Data were analyzed using descriptive statistics and paired t-tests.  


Mean self-efficacy improved among the intervention group from baseline (M = 52.5) to Time 2 (= 59.5); self-efficacy remained constant among the control group for baseline (M = 52.6) and Time 2 (= 52.2). Paired sample t-tests indicate no significant improvements within the treatment (p = .423) or control  (p = .316) groups, largely due to small sample size. Improvements in self-efficacy within the intervention group lend support to the seventh-session curriculum.


An increase in mean self-efficacy among the intervention group was observed. This warrants further examination of the application-based self-management session curriculum among a larger sample size.  Implications of this study involve understanding and evaluating a novel approach in self-management among Latinos.

Learning Areas:

Chronic disease management and prevention
Planning of health education strategies, interventions, and programs
Public health or related education
Social and behavioral sciences

Learning Objectives:
Compare changes in self-efficacy between and within intervention and control groups. Differentiate the statistical and practical significance of the seventh self-management session. List the two topics of the application-based self-management session. Explain the self-management curriculum received by the intervention and control groups, respectively.

Keyword(s): Latinos, Chronic Disease Management and Care

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am the principal investigator of this master's thesis. Additionally, I have been the principal investigator of my undergraduate thesis. Furthermore, I have served as a co-investigator for UC Irvine-funded diabetes intervention program in Tecate, Mexico. I have also served on various research teams (e.g., Fibromyalgia Longitudinal Study through the Fibromyalgia and Chronic Pain Center) and have co-authored publications regarding physical fitness criterion standards among adults with Fibromyalgia and the Affordable Care Act.
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.