Abstract

Session presented on: Monday, July 22, 2013: Purpose: The purpose of this study was to evaluate the impact of the Chronic Disease Self-Management Program (CDSMP) among individuals with chronic illness within a southern rural region. Methods: The study, designed to examine multiple, post-program outcome, was a quasi-experimental longitudinal pre-posttest design. Recognizing the need to have inter-professional collaboration to change health care outcomes in the community, faculty from nursing, social work, recreation and leisure services, and gerontology at a rural, regional school joined forces to look for collaborative pathways that would impact regional health status. The CDSMP is an internationally research validated program. Seven trained lay leaders received four days training from a master trainer certified by the Stanford program to conduct the self-management groups. After completion of the training program four community programs were offered. Outcomes assessments of the impact on individual health and self-efficacy were evaluated. Results: Implementation of behavioral lifestyle changes is necessary to improve chronic disease self-management behaviors and impact outcomes; therefore, a longitudinal design is necessary to evaluate the impact of the programs. Data (N=19) from the first four sessions have demonstrated participants' perceived value and a change of health outcomes in this rural health care environment. Aggregate data have shown improved mean scores in the outcome measures of depression, master, subjective happiness and health care utilization. Conclusion: Consultative and leadership skills with the interprofessional team and community lay leaders have formed a strong foundation of resources to begin and continue the implementation of a researched validated effective program. The inter-professional collaboration on this study has identified several other potential avenues to improve chronic self-management in the community. The goal is to sustain the CDSMP program, expand the programs with other groups in the region, develop a collaborative university health class, and include the program in the university health promotion program.

Author Details

Kathleen Farrell, DNSc, APRN, CCNS, CCRN, ACNP-BC

Sigma Membership

Delta Epsilon

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

chronic, Interprofessional, collaboration

Conference Name

24th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Prague, Czech Republic

Conference Year

2013

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Proxy-submission

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Interprofessional Collaboration: A Rural Self-Managment Program

Prague, Czech Republic

Session presented on: Monday, July 22, 2013: Purpose: The purpose of this study was to evaluate the impact of the Chronic Disease Self-Management Program (CDSMP) among individuals with chronic illness within a southern rural region. Methods: The study, designed to examine multiple, post-program outcome, was a quasi-experimental longitudinal pre-posttest design. Recognizing the need to have inter-professional collaboration to change health care outcomes in the community, faculty from nursing, social work, recreation and leisure services, and gerontology at a rural, regional school joined forces to look for collaborative pathways that would impact regional health status. The CDSMP is an internationally research validated program. Seven trained lay leaders received four days training from a master trainer certified by the Stanford program to conduct the self-management groups. After completion of the training program four community programs were offered. Outcomes assessments of the impact on individual health and self-efficacy were evaluated. Results: Implementation of behavioral lifestyle changes is necessary to improve chronic disease self-management behaviors and impact outcomes; therefore, a longitudinal design is necessary to evaluate the impact of the programs. Data (N=19) from the first four sessions have demonstrated participants' perceived value and a change of health outcomes in this rural health care environment. Aggregate data have shown improved mean scores in the outcome measures of depression, master, subjective happiness and health care utilization. Conclusion: Consultative and leadership skills with the interprofessional team and community lay leaders have formed a strong foundation of resources to begin and continue the implementation of a researched validated effective program. The inter-professional collaboration on this study has identified several other potential avenues to improve chronic self-management in the community. The goal is to sustain the CDSMP program, expand the programs with other groups in the region, develop a collaborative university health class, and include the program in the university health promotion program.