Cited by 1,484Chronic Disease Management StrategiesDiabetes Management and EducationNursing care and research

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

Lorig, Kate R., Ritter, Philip, Stewart, Anita L., Sobel, David S., William Brown, Byron, Bandura, Albert, Gonzalez, Virginia M., Laurent, Diana D., Holman, Halsted R.·2001·Medical Care

DOI 10.1097/00005650-200111000-00008

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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.

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Authors: Lorig, K. R., Ritter, P., Stewart, A. L., Sobel, D. S., William Brown, B., Bandura, A., Gonzalez, V. M., Laurent, D. D., & Holman, H. R.
Affiliations: Stanford Medicine (US)
University of California, San Francisco (US)
Kaiser Permanente Northern California (US)
Stanford University (US)
Corresponding author: Lorig, Kate R.
Ritter, Philip
Laurent, Diana D.
Holman, Halsted R.
ORCID: Lorig, Kate R.
Ritter, Philip
Stewart, Anita L.
Laurent, Diana D.
Venue: Medical Care
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2001-11
Volume: 39
Issue: 11
Pages: 1217-1223
ISSN: 0025-7079 (ISSN-L)
DOI: 10.1097/00005650-200111000-00008
OpenAlex: W2038066162
Cited by: 1,484
References: 3
Citations by year: 2026: 17 · 2025: 34 · 2024: 36 · 2023: 31 · 2022: 42 · 2021: 64 · 2020: 63 · 2019: 60 · 2018: 63 · 2017: 81 · 2016: 78 · 2015: 106 · 2014: 81 · 2013: 86 · 2012: 75
FWCI: 17.99
Type: journal article
Language: en
Open access: closed
Locations: Medical Care (publishedVersion)
PubMed (publishedVersion)
Funders: Agency for Healthcare Research and Quality (5RO1 HS06680)
Topics: Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
Health Sciences › Nursing › Research and Theory › Nursing care and research
Keywords: Chronic Disease Self-Management Program, chronic disease self-management, health status, health care utilization, self-efficacy, health distress, disability, activity limitation, fatigue, emergency department visits, hospitalization, older adults, heart disease, lung disease, stroke, arthritis, health promotion
MeSH terms: Adult, Aged, Chronic Disease, Community Health Services, Cost-Benefit Analysis, Female, Health Status, Humans, Longitudinal Studies, Male, Middle Aged, Patient Education as Topic, Self Care, Matched-Pair Analysis, Outcome Assessment, Health Care, Disease Management, Self Efficacy

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

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