Improving Self-Management of Chronic Conditions through a Community Education Program

Background: Chronic diseases are among the most prevalent and costly of all health issues. As the average age of the population is increasing, so are the rates of chronic conditions that, if not managed properly, can lead to sever complications and a poor quality of life. Michigan adults have been reporting slightly higher rates of certain chronic diseases such as diabetes and cardiovascular diseases than national rates. Evidence suggests that participants who attend community based programs that focus on empowering individuals to take charge of their health are effective at improving participants’ health actions. Michigan State University Extension has been offering Personal Action Towards Health (PATH- also known as the Stanford University’s Chronic Disease Self-Management Program), a community program offered to individuals with chronic diseases.

Methods: This is an evaluation of health and behavior outcomes of participants who voluntarily completed a 6-week series PATH program with pre/post measures, during 2011 to 2014 (n= 751). Certified PATH educators delivered the program at various sites in Michigan.

Results: Communication with healthcare providers significantly improved from (M = 3.91) to (M = 4.22) pre/post program, [t (1,426) = 4.37, p < .001]. Participants’ self-efficacy significantly increased from (M = 5.55) to (M = 6.39) pre/post program, [t (1,426) = 5.88, p < .001]. No significant change was found in reported health distress. Additional results available.

Conclusion: PATH programs may be a useful tool in helping individuals improve detrimental skills in managing their conditions such as self-efficacy and improved communication with health care providers.