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Evaluation of chronic disease self-management programme (CDSMP) for older adults in Hong Kong
1Department of Medicine and Therapeutics, Faculty of Medicine, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, New Territories, Hong Kong. waynechan@cuhk.edu.hk
Objectives:
To evaluate the locally-adapted CDSMP for older adults with chronic diseases in Hong Kong in the primary care setting.
Design:
A longitudinal, quasi-experimental study.
Setting:
Community-based and primary care setting.
Participants:
Seven hundred and seventy-two participants aged 55 or above with at least one chronic disease and were living in the community.
Intervention:
The 6-weeks programme consisted of 6 group sessions, with each session lasting for 2.5 hours. Trained professional and elder lay leaders facilitated participants to gain essential self-management knowledge and skills for the effective management of chronic diseases.
Measurements:
At baseline and 6 months, four categories of outcome measures were documented, covering self-management behaviours, self-efficacy, health status, and health care utilization.
Results:
302 and 298 participants in the intervention and control groups completed 6 months follow-up respectively. Participants in the intervention group reported significant improvements in all self-management behaviours and self-efficacy measures, and 5 health status measures (social role limitation, depressive symptoms, health distress, symptoms of pain and discomfort, and self-rated health) when compared with those in the control group.
Conclusions:
The locally-adapted CDSMP may improve self-management behaviours, self-efficacy and health status among older adults with chronic diseases in Hong Kong. CDSMP may be integrated into primary care services for older adults.