Chronic Disease Self-Management Program

german translation / full article

Gabriele Seidel, Marius Haack, Marie-Luise Dierks

Keywords: Chronic disease empowerment health literacy physician-patient-interaction self-management

BackgroundSince 2015, the „Initiative for Self-Management and Active Living” (INSEA) offers evidence-based self-management courses (Chronic Disease Self-Management Program, CDSMP) in Germany. Components of the program are the promotion of people‘s self-efficacy and self-management skills and the support of doctor-patient communication.MethodsThe program is being implemented with the support of a network of doctors (Baden-Wuerttemberg), self-help (Bavaria) and the Patient University (Hannover Medical School). In order to evaluate the effect of the program on participants, a standardized questionnaire was used at three measurement points (start of course T0, end of course T1, 6 months follow-up T2). Among others, self-efficacy, self-management skills, knowledge of medication management, participants‘ view of the benefits, and sociodemographic data were collected. The analysis was based on descriptive statistics and calculation of effect sizes. ResultsFrom February 2015 to May 2018, 125 INSEA courses were conducted and 663 people with chronic diseases participated in the evaluation at all three measurement points. The three most frequent chronic diseases were musculoskeletal (56 %) and mental (32 %) and 19 % suffered from diabetes mellitus type II. Women were strongly represented with 81 %, the age range across all participants was between 17 and 87 years (average age: 60). Participants’ self-assessed self-management skills increased continuously from T0, T1 to T2. Knowledge of medication management and skills in cooperating with professionals improved. Self-efficacy increased from T0 to T1 but did not oulast the first six months after the end of the course. Participants generally assessed the benefits of the program positively.ConclusionsIn order to improve cooperation between chronically ill persons and professionals, INSEA courses can complement primary care.KeywordsChronic disease; self-management; physician-patient-interaction; health literacy; empowerment

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