Cited by 450Chronic Disease Management StrategiesMobile Health and mHealth ApplicationsHealth Literacy and Information Accessibility

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Internet-Based Chronic Disease Self-Management: A Randomized Trial

Lorig, Kate R., Ritter, Philip L., Laurent, Diana D., Plant, Kathryn·2006·Medical Care

DOI 10.1097/01.mlr.0000233678.80203.c1

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Abstract

BACKGROUND: The small-group Chronic Disease Self-Management Program (CDSMP) has proven effective in changing health-related behaviors and improving health statuses. An Internet-based CDSMP was developed to reach additional chronic-disease patients. OBJECTIVES: We sought to determine the efficacy of the Internet-based CDSMP. DESIGN: We compared randomized intervention participants with usual-care controls at 1 year. We compared intervention participants with the small-group CDSMP at 1 year. SUBJECTS: Nine-hundred fifty-eight patients with chronic diseases (heart, lung, or type 2 diabetes) and Internet and e-mail access were randomized to intervention (457) or usual care control (501). MEASURES: Measures included 7 health status variables (pain, shortness of breath, fatigue, illness intrusiveness, health distress, disability, and self-reported global health), 4 health behaviors (aerobic exercise, stretching and strengthening exercise, practice of stress management, and communication with physicians), 3 utilization variables (physician visits, emergency room visits, and nights in hospital), and self-efficacy. RESULTS: At 1 year, the intervention group had significant improvements in health statuses compared with usual care control patients. The intervention group had similar results to the small-group CDSMP participants. Change in self-efficacy at 6 months was found to be associated with better health status outcomes at 1 year. CONCLUSIONS: The Internet-based CDSMP proved effective in improving health statutes by 1 year and is a viable alternative to the small-group Chronic Disease Self Management Program.

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Authors: Lorig, K. R., Ritter, P. L., Laurent, D. D., & Plant, K.
Affiliations: Stanford Medicine (US)
ORCID: Lorig, Kate R.
Ritter, Philip L.
Laurent, Diana D.
Plant, Kathryn
Venue: Medical Care
Publisher: Ovid Technologies (Wolters Kluwer Health)
Published: 2006-11
Volume: 44
Issue: 11
Pages: 964-971
ISSN: 0025-7079 (ISSN-L)
DOI: 10.1097/01.mlr.0000233678.80203.c1
OpenAlex: W2043770015
Cited by: 450
References: 30
Citations by year: 2026: 4 · 2025: 7 · 2024: 7 · 2023: 15 · 2022: 12 · 2021: 18 · 2020: 8 · 2019: 17 · 2018: 17 · 2017: 25 · 2016: 26 · 2015: 34 · 2014: 33 · 2013: 43 · 2012: 32
FWCI: 20.01
Type: journal article
Language: en
Open access: closed
Locations: Medical Care (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
Health Sciences › Health Professions › General Health Professions › Health Literacy and Information Accessibility
Keywords: Chronic Disease Self-Management Program, online intervention, chronic disease self-management, health behavior change, health status outcomes, self-efficacy, type 2 diabetes, heart disease, lung disease, physical activity, stress management, physician communication, health care utilization, email
MeSH terms: Adult, Aged, Aged, 80 and over, Chronic Disease, Female, Follow-Up Studies, Health Status Indicators, Humans, Male, Middle Aged, Surveys and Questionnaires, Self Care, Time Factors, Health Behavior, Outcome Assessment, Health Care, Self Efficacy, Internet

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Internet-Based Chronic Disease Self-Management: A Randomized Trial

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