Limits...
Benefits for elders with vulnerable health from the Chronic Disease Self-management Program (CDSMP) at short and longer term.

Jonker AA, Comijs HC, Knipscheer KC, Deeg DJ - BMC Geriatr (2015)

Bottom Line: The CDSMP appeared effective with respect to sense of mastery but only in the lower educated participants (p < .05).Furthermore, the intervention stabilized valuation of life in participants, whereas in the controls valuation of life decreased.This will help older vulnerable persons to focus on their own attainable goals and to experience being successful.

View Article: PubMed Central - PubMed

Affiliation: Department of Epidemiology & Biostatistics, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands. angele.jonker@jonkerszorg.nl.

ABSTRACT

Background: When health declines, older persons may benefit from an intervention program that strengthens their self-management and empowers them to keep in control of their own body and life. Therefore we conducted a Randomized Controlled Trial using the Chronic Disease Self-Management Program (CDSMP) in a sample of 169 older persons in frail health and in need of elderly care.

Methods: We assessed psychological coping resources and wellbeing, pre- and posttreatment and at 6-month follow-up, and investigated whether specific subgroups would benefit in particular from the intervention.

Results: The CDSMP appeared effective with respect to sense of mastery but only in the lower educated participants (p < .05). Furthermore, the intervention stabilized valuation of life in participants, whereas in the controls valuation of life decreased. The high appreciation score and low drop-out are indicative for the applicability of the CDSMP for this specific target group.

Conclusions: We recommend integration of the ingredients of the program into the daily healthcare practice of professionals working with vulnerable older persons. This would involve professional guidance starting from interpersonal equality and emphasising a persons possibilities given their physical or cognitive limitations. This will help older vulnerable persons to focus on their own attainable goals and to experience being successful.

Trial registration: The trial was registered in the Dutch Trial Register as NTR 1173 at 08-03-2008; 'Is selfmanagement benefical for well-being of average older persons?' http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1173.

No MeSH data available.


Related in: MedlinePlus

Enrolment procedure (original N = 190)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
getmorefigures.php?uid=PMC4537543&req=5

Fig1: Enrolment procedure (original N = 190)

Mentions: Of the169 participants, 78 (46 %), aged 81 years, were assigned to one of the intervention groups, while the rest, aged 83 years, constituted the control groups. In Fig. 1 the inclusion and drop-out of participants is shown. As can be seen, no patients dropped out before starting the intervention. Seven participants did not complete the first post-intervention interview because they were (too) ill (N = 3), died (N = 1), or were confronted with hardship in the family (N = 1). Two participants did not give a specific reason for quitting. From these seven drop-outs, three had been assigned to the intervention group. Another 10 persons did not complete the 6-month follow-up interview due to illness (N = 4), death (N = 5) and one person from the control group stopped participation because she was unhappy waiting for the course, leaving 152 participants in the study (72 in the intervention group and 80 in the control group).Fig. 1


Benefits for elders with vulnerable health from the Chronic Disease Self-management Program (CDSMP) at short and longer term.

Jonker AA, Comijs HC, Knipscheer KC, Deeg DJ - BMC Geriatr (2015)

Enrolment procedure (original N = 190)
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4537543&req=5

Fig1: Enrolment procedure (original N = 190)
Mentions: Of the169 participants, 78 (46 %), aged 81 years, were assigned to one of the intervention groups, while the rest, aged 83 years, constituted the control groups. In Fig. 1 the inclusion and drop-out of participants is shown. As can be seen, no patients dropped out before starting the intervention. Seven participants did not complete the first post-intervention interview because they were (too) ill (N = 3), died (N = 1), or were confronted with hardship in the family (N = 1). Two participants did not give a specific reason for quitting. From these seven drop-outs, three had been assigned to the intervention group. Another 10 persons did not complete the 6-month follow-up interview due to illness (N = 4), death (N = 5) and one person from the control group stopped participation because she was unhappy waiting for the course, leaving 152 participants in the study (72 in the intervention group and 80 in the control group).Fig. 1

Bottom Line: The CDSMP appeared effective with respect to sense of mastery but only in the lower educated participants (p < .05).Furthermore, the intervention stabilized valuation of life in participants, whereas in the controls valuation of life decreased.This will help older vulnerable persons to focus on their own attainable goals and to experience being successful.

View Article: PubMed Central - PubMed

Affiliation: Department of Epidemiology & Biostatistics, VU University Medical Center, P.O. Box 7057, 1007 MB, Amsterdam, The Netherlands. angele.jonker@jonkerszorg.nl.

ABSTRACT

Background: When health declines, older persons may benefit from an intervention program that strengthens their self-management and empowers them to keep in control of their own body and life. Therefore we conducted a Randomized Controlled Trial using the Chronic Disease Self-Management Program (CDSMP) in a sample of 169 older persons in frail health and in need of elderly care.

Methods: We assessed psychological coping resources and wellbeing, pre- and posttreatment and at 6-month follow-up, and investigated whether specific subgroups would benefit in particular from the intervention.

Results: The CDSMP appeared effective with respect to sense of mastery but only in the lower educated participants (p < .05). Furthermore, the intervention stabilized valuation of life in participants, whereas in the controls valuation of life decreased. The high appreciation score and low drop-out are indicative for the applicability of the CDSMP for this specific target group.

Conclusions: We recommend integration of the ingredients of the program into the daily healthcare practice of professionals working with vulnerable older persons. This would involve professional guidance starting from interpersonal equality and emphasising a persons possibilities given their physical or cognitive limitations. This will help older vulnerable persons to focus on their own attainable goals and to experience being successful.

Trial registration: The trial was registered in the Dutch Trial Register as NTR 1173 at 08-03-2008; 'Is selfmanagement benefical for well-being of average older persons?' http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1173.

No MeSH data available.


Related in: MedlinePlus