Development of the Hepatitis C Self-Management Program
Abstract
Objective Chronic hepatitis C infection (HCV) is a major health problem that disproportionately affects people with limited resources. Many people with HCV are ineligible or refuse antiviral treatment, but less curative treatment options exist. These options include adhering to follow-up health visits, lifestyle changes, and avoiding hepatotoxins like alcohol. Herein, we describe a recently developed self-management program designed to assist HCV-infected patients with adherence and improve their health-related quality of life (HRQOL).Methods The development of the Hepatitis C Self-Management Program (HCV-SMP) was informed by scientific literature, qualitative interviews with HCV-infected patients, self-management training, and feedback from HCV clinical experts.Results The Hepatitis C Self-Management Program (HCV-SMP) is a multi-faceted program that employs cognitive-behavioral principles and is designed to provide HCV-infected people with knowledge and skills for improving their HRQOL. The program consists of six 2-h workshop sessions which are held weekly. The sessions consist of a variety of group activities, including disease-specific information dissemination, action planning, and problem-solving.Conclusion The intervention teaches skills for adhering to challenging treatment recommendations using a validated theoretical model. A randomized trial will test the efficacy of this novel HCV self-management program for improving HRQOL in a difficult to reach population.
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Research on self-efficacy beliefs in hepatitis C is scarce, and no studies were found that looked at these beliefs while patients were on antiviral treatment.
“Despite the importance of self-efficacy to medication adherence in other medical regimens, there is limited research in the HCV literature that examine self-efficacy beliefs, and no studies were identified that examined these beliefs during antiviral treatment (35;36).”
From Reliability and validity of a self‐efficacy instrument for hepatitis C antiviral treatment regimens (2012) · cites this paper as [35]
Self-efficacy beliefs are important targets for clinical intervention because they can be enhanced, leading to better self-management of chronic illness, including hepatitis C.
“Self-efficacy beliefs are important targets for clinical intervention, given that they can be enhanced, resulting in improved patient self-management of chronic illness, including chronic hepatitis C (35;36).”
From Reliability and validity of a self‐efficacy instrument for hepatitis C antiviral treatment regimens (2012) · cites this paper as [35]
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Reliability and validity of a self‐efficacy instrument for hepatitis C antiviral treatment regimens
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- Authors
- Groessl, E. J., Weingart, K. R., Gifford, A. L., Asch, S. M., & Ho, S. B.
- Affiliations
- University of California San Diego (US)
- VA San Diego Healthcare System (US)
- Boston University (US)
- University of California, Los Angeles (US)
- Corresponding author
- Groessl, Erik J.
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2011-05
- Volume
- 83
- Issue
- 2
- Pages
- 252-255
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W2019392901
- Cited by
- 14
- References
- 41
- Citations by year
- 2026: 1 · 2025: 1 · 2021: 2 · 2020: 1 · 2019: 2 · 2017: 1 · 2016: 1 · 2013: 3
- FWCI
- 1.04
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Hepatology › Hepatitis C virus research
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Keywords
- chronic hepatitis C, self-management program, medication adherence, health-related quality of life, cognitive-behavioral intervention, patient education, action planning, problem-solving skills, intervention development, hard-to-reach populations, alcohol avoidance
- MeSH terms
- Chronic Disease, Education, Feasibility Studies, Health Promotion, Hepatitis C, Humans, Interview, Psychological, Health Knowledge, Attitudes, Practice, Life Style, Patient Education as Topic, Quality of Life, Self Care, Program Evaluation, Cognitive Behavioral Therapy, Program Development, Models, Educational, Directive Counseling, Social Marketing
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