Chronic Disease Self-Management Program: 2-Year Health Status and Health Care Utilization Outcomes

Abstract

Objectives To assess the 1- and 2-year health status, health care utilization and self-efficacy outcomes for the Chronic Disease Self-Management Program (CDSMP). The major hypothesis is that during the 2-year period CDSMP participants will experience improvements or less deterioration than expected in health status and reductions in health care utilization. Design Longitudinal design as follow-up to a randomized trial. Setting Community. Participants Eight hundred thirty-one participants 40 years and older with heart disease, lung disease, stroke, or arthritis participated in the CDSMP. At 1- and 2-year intervals respectively 82% and 76% of eligible participants completed data. Main outcome measures Health status (self-rated health, disability, social/role activities limitations, energy/fatigue, and health distress), health care utilization (ER/outpatient visits, times hospitalized, and days in hospital), and perceived self-efficacy were measured. Main results Compared with baseline for each of the 2 years, ER/outpatient visits and health distress were reduced (P Conclusions A low-cost program for promoting health self-management can improve elements of health status while reducing health care costs in populations with diverse chronic diseases.