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Cited by 19Diabetes Management and EducationChronic Disease Management StrategiesHealth, Nursing, Elderly Care

Implementing a Chronic Disease Self-Management Program into China: The Happy Life Club™

Open access
Browning, Colette Joy, Yang, Hui, Zhang, Tuohong, Chapman, Anna, Liu, Shuo, Enticott, Joanne, Thomas, Shane Andrew·2015·Frontiers in Public Health
DOI 10.3389/fpubh.2014.00181PMC PMC4410613
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Abstract

China is experiencing population aging, increased prevalence of chronic diseases, and reductions in the frequency of healthy lifestyle behaviors. In response to these significant transitions, China is implementing major reforms in health care services with a focus on strengthening primary health care. In this paper, we describe a 12-month diabetes management program, the Happy Life Club™ (HLC™), implemented in a primary health care setting in Beijing, that uses doctor and nurse health coaches trained in behavior change techniques and motivational interviewing (MI). This paper reports the results of this pilot study and discusses issues involved in the implementation of Chronic Diseases Self-Management Programs in China. The intervention group showed improvements in HbA1c levels at 6 months and both the control and intervention groups showed reductions in waist circumference over time. Systolic blood pressure improved over time in the intervention group. The intervention group showed improvement in quality of life across the intervention period and both groups showed decreases in psychological distress across the intervention. Doctor visits increased between baseline and 6 months, but there was no change in doctor visits between 6 and 12 months for both groups. The effects were modest, and further investigations are required to evaluate the long-term impact of health coach approaches in China.

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  • Seven RCTs reported non-significant improvements in self-efficacy.

    “Seven RCTs reported non-significant improvements in self-efficacy”

    From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [102]

    The Results and Measures and statistical procedures sections describe one pilot study and do not report self-efficacy as a measured outcome. Searches for seven RCTs and non-significant self-efficacy improvements found no passage addressing that claim. (LLM, conf=0.77)

    Experimental — accuracy not yet measured

  • Self-care activities within 7 days were measured in 4 RCTs using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire.

    “Self-care activities within 7 days were measured in 4 RCTs [41, 52, 54, 60, 102, 103] using the Summary of Diabetes Self-Care Activities (SDSCA) questionnaire”

    From Helping patients help themselves: A systematic review of self-management support strategies in primary health care practice (2019) · cites this paper as [102]

    The Materials and Methods section (Measures and statistical procedures; page not provided) lists the study’s measures, including WHOQOL-BREF and K10, but does not mention SDSCA or a seven-day self-care measure. Searches for SDSCA and self-care activities in the previous seven days found no passage supporting that this study used the questionnaire; the paper also does not establish the citing sentence’s count of four RCTs. (LLM, conf=0.73)

    Experimental — accuracy not yet measured

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Authors
Browning, C. J., Yang, H., Zhang, T., Chapman, A., Liu, S., Enticott, J., & Thomas, S. A.
Affiliations
  • Monash University (AU)
  • Peking University (CN)
Corresponding author
Browning, Colette Joy
ORCID
Venue
Frontiers in Public Health
Publisher
Frontiers Media SA
Published
2015-04-27
Volume
2
Pages
181-181
ISSN
2296-2565 (ISSN-L)
DOI
10.3389/fpubh.2014.00181
PMC
PMC4410613
OpenAlex
W1971837666
Cited by
19
References
1
Citations by year
2025: 1 · 2024: 2 · 2023: 1 · 2022: 3 · 2021: 2 · 2020: 1 · 2019: 2 · 2018: 2 · 2017: 1 · 2016: 3 · 2015: 1
FWCI
2.03
Type
journal article
Language
en
Open access
Licence
cc-by
Locations
  • Frontiers in Public Health (publishedVersion, cc-by)
  • Europe PMC (PubMed Central) (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
  • Own your potential (DEAKIN) (submittedVersion)
  • Figshare (submittedVersion, cc-by)
Topics
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
  • Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
  • Health Sciences › Health Professions › General Health Professions › Health, Nursing, Elderly Care
Keywords
Chronic Disease Self-Management Program, diabetes management, health coaches, motivational interviewing, behaviour change techniques, primary care, HbA1c, waist circumference, blood pressure, quality of life, psychological distress, China, health care reform, population aging

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