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Chronic disease self-management improved with enhanced self-efficacy.
Kathleen Farrell1, Mona N Wicks, Judy C Martin
1School of Nursing, Murray State University.
Clinical Nursing Research
|September 28, 2004
Summary
Participation in a chronic disease self-management program (CDSMP) significantly improved self-efficacy and self-management behaviors in a rural population. This highlights the need for tailored interventions for underserved communities.
Area of Science:
- Public Health
- Health Disparities
- Behavioral Science
Background:
- Underserved, rural populations face unique challenges in managing chronic diseases.
- Effective self-management programs are crucial for improving health outcomes in these communities.
Purpose of the Study:
- To evaluate the impact of a chronic disease self-management program (CDSMP) on self-efficacy and self-management behaviors.
- To assess the program's effectiveness in a poor, rural population.
Main Methods:
- A quasi-experimental pretest-posttest design was employed.
- The study involved 48 adults from two rural clinics.
- A 6-week interactive CDSMP, led by lay leaders, focused on self-efficacy theory.
Main Results:
- Significant improvements were observed in self-efficacy (p <.10).
- Self-efficacy for health also showed significant improvement (p <.10).
- Self-management behaviors were significantly enhanced (p <.10).
Conclusions:
- The CDSMP demonstrated positive effects on key health indicators in this underserved population.
- Findings support the need for population-specific intervention evaluations.
- A patient-provider partnership paradigm may further improve health outcomes for rural, underserved groups.