The role of Session Zero in successful completion of Chronic Disease Self-Management Program workshops

Luohua Jiang, Matthew Lee Smith, Shuai Chen, Sang Nam Ahn, Kristie P. Kulinski, Kate Lorig, Marcia G. Ory

Research output: Contribution to journalArticlepeer-review

16 Scopus citations


Background: The Chronic Disease Self-Management Program (CDSMP) has been widely disseminated among various racial and ethnic populations. In addition to the six required CDSMP workshop sessions, the delivery sites have the option to offer a Session Zero (or zero class), an information session offered prior to Session One as a marketing tool. Despite assumptions that a zero class is helpful, little is known about the prevalence of these additional sessions or their impact on retaining participants in CDSMP workshops. This study aims to describe the proportion of CDSMP workshops that offered Session Zero and examine the association between Session Zero and workshop completion rates. Methods: Data were analyzed from 80,987 middle-aged and older adults collected during a two-year national dissemination of CDSMP. Generalized estimating equation regression analyses were conducted to assess the association between Session Zero and successful workshop completion (attending four or more of the six workshop sessions). Results: On average, 21.04%of the participants attended workshops that offered Session Zero, and 75.33% successfully completed the CDSMP workshop. The participants of the workshops that offered Session Zero had significantly higher odds of completing CDSMP workshops than those who were not offered Session Zero (OR = 1.099, P = <0.001) after controlling for participants' demographic characteristics, race, ethnicity, living status, household income, number of chronic conditions, and workshop delivery type. Conclusion: As one of the first studies reporting the importance of an orientation session for participant retention in chronic disease management intervention projects, our findings suggest offering an orientation session may increase participant retention in similar translational efforts.

Original languageEnglish (US)
Article number205
JournalFrontiers in Public Health
Issue numberAPR
StatePublished - Apr 27 2015


  • Attrition
  • Chronic disease self-management program
  • Evidence-based programs
  • Orientation session
  • Retention

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health


Dive into the research topics of 'The role of Session Zero in successful completion of Chronic Disease Self-Management Program workshops'. Together they form a unique fingerprint.

Cite this