TY - JOUR
T1 - National Study of Chronic Disease Self-Management
T2 - Age Comparison of Outcome Findings
AU - Ory, Marcia G.
AU - Smith, Matthew Lee
AU - Ahn, Sangnam
AU - Jiang, Luohua
AU - Lorig, Kate
AU - Whitelaw, Nancy
N1 - Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the National Council on Aging (NCOA) through contracts to Texas A&M Health Science Center (Principal Investigator: Marcia G. Ory) and Stanford University (Principal Investigator: Kate Lorig). Nancy Whitelaw served as the NCOA Principal Investigator. Additionally, we recognize grant support from the Administration on Aging through American Recovery and Reinvestment Act funding for the Chronic Disease Self-Management Program. Also recognized is support from the Healthy Aging Research Network members who provided general consultation on the National Study. Kate Lorig receives royalties from the book used by participants in the Chronic Disease Self-Management Program.
Funding Information:
This article is part of an open access supplement “Fostering Engagement and Independence: Opportunities and Challenges for an Aging Society,” published in SOPHE’s Health Education & Behavior . This supplement was supported by funding provided by the Centers for Disease Control and Prevention’s (CDC) National Center for Chronic Disease Prevention and Health Promotion, Healthy Aging Program (Cooperative Agreement #U38HM000454) via the Association of State and Territorial Health Officials, and from a grant provided by the Retirement Research Foundation. Views presented herein do not represent the official views of the CDC.
PY - 2014/10
Y1 - 2014/10
N2 - Introduction. The adult population is increasingly experiencing one or more chronic illnesses and living with such conditions longer. The Chronic Disease Self-Management Program (CDSMP) helps participants cope with chronic disease-related symptomatology and improve their health-related quality of life. Nevertheless, the long-term effectiveness of this evidence-based program on older adults as compared to the middle-aged populations has not been examined in a large-scale, national rollout. Method. We identified baseline characteristics of CDSMP participants aged 65 years or older (n = 687, M = 74.8 years) in the National Study of CDSMP from 2010 to 2012. Comparisons were made to middle-aged participants aged 50 to 64 (n = 325, M = 58.3 years). Assessments were conducted at baseline and 12-month follow-up. Linear and generalized linear mixed models were performed to assess changes in primary and secondary outcomes, controlling the key sociodemographics and number of chronic conditions. Results. All primary outcomes (i.e., social/role activities limitation, depression, communication with doctors) significantly improved in both the older and middle-aged cohorts. Although improvements in illness symptomatology (e.g., fatigue, pain, shortness of breath, and sleep problems) were similar across both cohorts, only the middle-aged cohort benefitted significantly in terms of overall quality of life and unhealthy mental health days. Effect sizes were larger among the middle-aged population who were also more likely to enter the program in poorer health and be from minority backgrounds. Conclusions. The current study documented improved health outcomes but more so among the middle-aged population. Findings suggest the importance of examining how age and interacting life circumstances may affect chronic disease self-management.
AB - Introduction. The adult population is increasingly experiencing one or more chronic illnesses and living with such conditions longer. The Chronic Disease Self-Management Program (CDSMP) helps participants cope with chronic disease-related symptomatology and improve their health-related quality of life. Nevertheless, the long-term effectiveness of this evidence-based program on older adults as compared to the middle-aged populations has not been examined in a large-scale, national rollout. Method. We identified baseline characteristics of CDSMP participants aged 65 years or older (n = 687, M = 74.8 years) in the National Study of CDSMP from 2010 to 2012. Comparisons were made to middle-aged participants aged 50 to 64 (n = 325, M = 58.3 years). Assessments were conducted at baseline and 12-month follow-up. Linear and generalized linear mixed models were performed to assess changes in primary and secondary outcomes, controlling the key sociodemographics and number of chronic conditions. Results. All primary outcomes (i.e., social/role activities limitation, depression, communication with doctors) significantly improved in both the older and middle-aged cohorts. Although improvements in illness symptomatology (e.g., fatigue, pain, shortness of breath, and sleep problems) were similar across both cohorts, only the middle-aged cohort benefitted significantly in terms of overall quality of life and unhealthy mental health days. Effect sizes were larger among the middle-aged population who were also more likely to enter the program in poorer health and be from minority backgrounds. Conclusions. The current study documented improved health outcomes but more so among the middle-aged population. Findings suggest the importance of examining how age and interacting life circumstances may affect chronic disease self-management.
KW - aging and health
KW - chronic disease management
KW - community health
KW - evaluation
KW - health promotion
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U2 - 10.1177/1090198114543008
DO - 10.1177/1090198114543008
M3 - Article
C2 - 25274709
AN - SCOPUS:84930895017
VL - 41
SP - 34S-42S
JO - Health Education and Behavior
JF - Health Education and Behavior
SN - 1090-1981
IS - 1_suppl
ER -