The effect of a community-based group intervention on chronic disease self-management in a vulnerable population

作者：Sophie A Korenhof, Ellen V. Rouwet, Liset E. M. Elstgeest, Irene N. Fierloos, Siok Swan Tan, Marta Pisano González, An Lieve Dirk Boone, Yves‐Marie Pers, Alberto Pilotto, Mónica López-Ventoso, Isabel Diez Valcarce, Xuxi Zhang, Hein Raat · 发表于：Frontiers in Public Health · 年份：2023 · DOI：10.3389/fpubh.2023.1221675 · 被引用次数：19 · 研究领域：Diabetes Management and Education、Chronic Disease Management Strategies、Medication Adherence and Compliance

Introduction Chronic non-communicable diseases (NCDs) are predominantly related to modifiable health behaviors and account for 74% of global deaths at present. Behavior modification through self-management is a strategy to prevent NCDs. Chronic Disease Self-Management Programs (CDSMPs) have demonstrated improvements in health behaviors, health status, and use of healthcare. Objective We evaluated the effects of a 6-week CDSMP on self-efficacy, health behaviors, mental health, health-related quality of life (HR-QoL), and health responsibilities among vulnerable populations with chronic disease in Europe. Methods A prospective cohort study with a 6-month pre-post single-group design was conducted in five European countries. The intervention targeted adults with chronic conditions and low socioeconomic status, as well as their caregivers. The intervention was a 6-week community-based CDSMP in a group setting. Outcomes were measured per self-report questionnaire at baseline and 6-month follow-up: self-efficacy, health behaviors, mental health, HR-QoL, and health responsibilities. Results Of 1,844 participants, 1,248 (67.7%) completed follow-up and attended ≥4 sessions. For the chronic condition group, the following outcome measures at follow-up significantly improved compared with baseline (all P < 0.002): self-efficacy (SEMCD-6 6.7 vs. 6.4), mental health (PHQ-8 6.3 vs. 7.0), HR-QoL (SF-12 PCS 42.3 vs. 40.2, SF-12 MCS 42.8 vs. 41.4), health utility (EQ-5D-5L 0.88 vs. 0.86...