Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned?
Objective: To investigate the impact of generic and diabetes-specific self-management programs offered in a real world context. Methods: A quasi-experimental design with 12-week follow-up compared Living with a Chronic Condition and Living with Diabetes. Self-report data collected included: Self-man...
| Main Authors: | , , , , , |
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| Format: | Journal Article |
| Published: |
Elsevier Ireland Ltd
2012
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| Online Access: | http://hdl.handle.net/20.500.11937/30896 |
| _version_ | 1848753222113558528 |
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| author | Packer, Tanya Boldy, D. Ghahari, Setareh Melling, L. Parsons, Richard Osborne, R. |
| author_facet | Packer, Tanya Boldy, D. Ghahari, Setareh Melling, L. Parsons, Richard Osborne, R. |
| author_sort | Packer, Tanya |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | Objective: To investigate the impact of generic and diabetes-specific self-management programs offered in a real world context. Methods: A quasi-experimental design with 12-week follow-up compared Living with a Chronic Condition and Living with Diabetes. Self-report data collected included: Self-management Knowledge and Skills; Health Related Quality of Life (HRQOL); Depression; Social Isolation; Loneliness; Self-efficacy; and Health Behaviours. Results: Participants (N = 458) in the two programs differed on almost all baseline measures. Both demonstrated statistically significant improvements in Self-management Knowledge and Skills, as well as reductions in depression. In addition to younger age, low HRQOL, high self-efficacy and Positive and Active Engagement in Life, were the clinical factors most likely to lead to improvements in HRQOL and self-efficacy. Changes in different characteristics predicted different outcomes. Conclusion: Both generic and disease-specific programs led to improved outcomes, despite the two programs attracting significantly different participants. Referral patterns also differed but GP referral rates were low for both. Practice implications: Positive participant outcomes can be achieved in real life clinical settings. While younger people with a positive attitude may appear to gain more, it is important to encourage people from low socio-economic status to enter these programs so that social inequalities in health are not worsened. |
| first_indexed | 2025-11-14T08:21:05Z |
| format | Journal Article |
| id | curtin-20.500.11937-30896 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T08:21:05Z |
| publishDate | 2012 |
| publisher | Elsevier Ireland Ltd |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-308962017-09-13T16:08:46Z Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned? Packer, Tanya Boldy, D. Ghahari, Setareh Melling, L. Parsons, Richard Osborne, R. Objective: To investigate the impact of generic and diabetes-specific self-management programs offered in a real world context. Methods: A quasi-experimental design with 12-week follow-up compared Living with a Chronic Condition and Living with Diabetes. Self-report data collected included: Self-management Knowledge and Skills; Health Related Quality of Life (HRQOL); Depression; Social Isolation; Loneliness; Self-efficacy; and Health Behaviours. Results: Participants (N = 458) in the two programs differed on almost all baseline measures. Both demonstrated statistically significant improvements in Self-management Knowledge and Skills, as well as reductions in depression. In addition to younger age, low HRQOL, high self-efficacy and Positive and Active Engagement in Life, were the clinical factors most likely to lead to improvements in HRQOL and self-efficacy. Changes in different characteristics predicted different outcomes. Conclusion: Both generic and disease-specific programs led to improved outcomes, despite the two programs attracting significantly different participants. Referral patterns also differed but GP referral rates were low for both. Practice implications: Positive participant outcomes can be achieved in real life clinical settings. While younger people with a positive attitude may appear to gain more, it is important to encourage people from low socio-economic status to enter these programs so that social inequalities in health are not worsened. 2012 Journal Article http://hdl.handle.net/20.500.11937/30896 10.1016/j.pec.2011.09.007 Elsevier Ireland Ltd restricted |
| spellingShingle | Packer, Tanya Boldy, D. Ghahari, Setareh Melling, L. Parsons, Richard Osborne, R. Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned? |
| title | Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned? |
| title_full | Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned? |
| title_fullStr | Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned? |
| title_full_unstemmed | Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned? |
| title_short | Self-management programs conducted within a practice setting: Who participates, who benefits and what can be learned? |
| title_sort | self-management programs conducted within a practice setting: who participates, who benefits and what can be learned? |
| url | http://hdl.handle.net/20.500.11937/30896 |