Effects of the Chronic Disease Self-Management Program on medication adherence among older adults

Shinduk Lee, Luohua Jiang, Diane Dowdy, Y. Alicia Hong, Marcia G. Ory

Research output: Contribution to journalArticlepeer-review

11 Scopus citations


Despite many interventions to promote medication adherence in older adults, we know little about how medication adherence has improved as a result of such interventions. The purpose of this study was to examine the long-term program impacts on medication adherence from participating in the Chronic Disease Self-Management Program (CDSMP). Secondary data used for this study included the CDSMP participants’ sociodemographic characteristics and their baseline and 6- and 12-month follow-up assessments on health-related indicators, including medication adherence, self-rated health, depression, and patient communication skills. This study included those who were 65 years or older, had one or more chronic conditions, and attended at least the first or second session. Linear mixed models were used to analyze the impacts of short-term (6 months) changes in health-related indicators on long-term (12 months) changes in medication nonadherence. The subset analyses were performed among participants with self-rated major depression at baseline. This study included 687 participants. Self-reported medication adherence did not improve significantly at 6-month follow-up assessment but significantly improved at 12-month follow-up assessment. Among those with self-reported major depression at baseline assessment, the short-term improvements in depression and self-rated health were associated with long-term changes in medication adherence. The long-term impacts of the CDSMP on medication adherence were influenced by the short-term program impacts on health-related indicators. More targeted interventions are needed for patients with major depression, and programs such as the CDSMP can be particularly helpful among the population.

Original languageEnglish (US)
Pages (from-to)380-388
Number of pages9
JournalTranslational Behavioral Medicine
Issue number2
StatePublished - Mar 1 2019


  • Chronic disease self-management
  • Evidence-based programs
  • Medication adherence
  • Program evaluation

ASJC Scopus subject areas

  • Applied Psychology
  • Behavioral Neuroscience


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