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

Introduction Promoting older adults to self-manage their chronic conditions is a major focus of the Macao government and healthcare professionals since more than 80% of older adults have suffered chronic conditions. Objectives This study evaluated the effect of the Chronic Disease Self-management Program (CDSMP) on self-management behaviors, self-efficacy, health status, and healthcare services utilization among Macao older adults with chronic disease over six months, and assessed whether the intervention effect persisted for one year. Methods A longitudinal and quasi-experimental design was used in this study. A total number of 158 older adults with at least one chronic disease were recruited from three Macao community centers. Participants in the study group engaged in a six-session CDSMP in the community centers and participants in the control group received usual care. The Chronic Disease Self-management Questionnaire was used to assess the outcome measures for baseline, six-month and one-year assessment. Results The age of subjects ranged from 60 to 88, 64.6% had three or more chronic diseases. The results showed that the subjects in the study group had significant improvement in self-management behaviors, self-efficacy, and some health-related indicators at the point of six months, and these improvements were still observable at the point of one year when comparing to the control group. The results also showed that the study group had a decrease in healthcare services utilization, but there was no significant difference between the two groups. Conclusion This study confirmed that the community-dwelling older adults in Macao can acquire positive outcomes in self-management and health-related indicators from the CDSMP. Hence, it is worth promoting this program as a health promotion activity in community.

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A Feasibility Study of Low-Income Homebound Older Adults’ Participation in an Online Chronic Disease Self-Management Program

Home Health Care Services Quarterly ◽

10.1080/01621424.2014.908797 ◽

2014 ◽

Vol 33 (2) ◽

pp. 106-120 ◽

Cited By ~ 4

Author(s):

Namkee G. Choi ◽

Sok An ◽

Alexandra Garcia

Keyword(s):

Older Adults ◽

Chronic Disease ◽

Feasibility Study ◽

Low Income ◽

Management Program ◽

Self Management ◽

Homebound Older Adults

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THE EFFECTIVENESS OF THE CHRONIC DISEASE SELF-MANAGEMENT PROGRAM AMONG AT-RISK OLDER ADULTS

Innovation in Aging ◽

10.1093/geroni/igx004.4991 ◽

2017 ◽

Vol 1 (suppl_1) ◽

pp. 1358-1358

Author(s):

O. Yulikova

Keyword(s):

Older Adults ◽

At Risk ◽

Chronic Disease ◽

Management Program ◽

Self Management

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Understanding the Medication Adherence Strategies of Older Adults with Hypertension

Proceedings of the Human Factors and Ergonomics Society Annual Meeting ◽

10.1177/1541931213601498 ◽

2017 ◽

Vol 61 (1) ◽

pp. 11-15 ◽

Cited By ~ 2

Author(s):

Kenneth A. Blocker ◽

Kathleen C. Insel ◽

Kari M. Koerner ◽

Wendy A. Rogers

Keyword(s):

Older Adults ◽

Chronic Disease ◽

Medication Adherence ◽

Self Management ◽

Hypertension Management ◽

Sense Of Control ◽

Antihypertensive Medications ◽

Association Strategy ◽

The Common ◽

And Control

Many older adults are living with at least one chronic disease and must adhere to prescribed medication to mitigate and control its impact. Hypertension is one chronic disease that affects a significant portion of the world’s population, especially older adults, and is responsible for a high number of annual deaths. It is asymptomatic, meaning that there are no perceptible symptoms and, as such, older adults may struggle with adhering to their prescribed antihypertensive medications. How one internalizes the disease may influence the degree of success in managing the condition. The current study analyzed archival data from a multifaceted prospective memory intervention for older adults with hypertension who were nonadherent to their medication. We coded their responses to self-management interview questions to identify the common themes regarding the knowledge and sense of control the older adults held relevant to managing their illness. Participants’ responses revealed how they internalized hypertension and their medication, as well as the strategies and goals they reportedly used to manage the illness. The association strategy was found to be the most commonly used within participants’ routines. In addition, many participants expressed a general lack of knowledge about the disease or their medication, and their goals regarding hypertension management were general and inexplicit (e.g., “to reduce their blood pressure). This information informs the design of more effective and longer-lasting interventions geared toward significantly improving the medication adherence of older adults diagnosed with hypertension.

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USING MIXED METHODS TO EVALUATE OLDER ADULTS’ EXPERIENCES WITH A CHRONIC DISEASE SELF-MANAGEMENT PROGRAM

Innovation in Aging ◽

10.1093/geroni/igy023.310 ◽

2018 ◽

Vol 2 (suppl_1) ◽

pp. 81-82

Author(s):

M Greaney ◽

F Sands ◽

M Rozes ◽

A Morelli

Keyword(s):

Older Adults ◽

Mixed Methods ◽

Chronic Disease ◽

Management Program ◽

Self Management

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Intermediate Outcomes of a Chronic Disease Self-Management Program for Spanish-Speaking Older Adults in South Florida, 2008–2010

Preventing Chronic Disease ◽

10.5888/pcd10.130016 ◽

2013 ◽

Vol 10 ◽

Cited By ~ 19

Author(s):

Michael A. Melchior ◽

Laura R. Seff ◽

Elena Bastida ◽

Ahmed N. Albatineh ◽

Timothy F. Page ◽

...

Keyword(s):

Older Adults ◽

Chronic Disease ◽

Management Program ◽

South Florida ◽

Self Management ◽

Spanish Speaking ◽

Intermediate Outcomes

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Harvest Health: A Chronic Disease Self-Management Program

PsycEXTRA Dataset ◽

10.1037/e515812006-002 ◽

2005 ◽

Keyword(s):

Chronic Disease ◽

Management Program ◽

Self Management

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Effectiveness of an eHealth self-management tool for older adults with multimorbidity (KeepWell): protocol for a hybrid effectiveness–implementation randomised controlled trial

BMJ Open ◽

10.1136/bmjopen-2020-048350 ◽

2021 ◽

Vol 11 (2) ◽

pp. e048350

Author(s):

Monika Kastner ◽

Julie Makarski ◽

Leigh Hayden ◽

Jemila S Hamid ◽

Jayna Holroyd-Leduc ◽

...

Keyword(s):

Older Adults ◽

Chronic Disease ◽

Randomised Controlled Trial ◽

Disease Management ◽

Chronic Conditions ◽

Controlled Trial ◽

Management Tool ◽

Self Management ◽

Plain Language ◽

Randomised Controlled

IntroductionIn response to the burden of chronic disease among older adults, different chronic disease self-management tools have been created to optimise disease management. However, these seldom consider all aspects of disease management are not usually developed specifically for seniors or created for sustained use and are primarily focused on a single disease. We created an eHealth self-management application called ‘KeepWell’ that supports seniors with complex care needs in their homes. It incorporates the care for two or more chronic conditions from among the most prevalent high-burden chronic diseases.Methods and analysisWe will evaluate the effectiveness, cost and uptake of KeepWell in a 6-month, pragmatic, hybrid effectiveness–implementation randomised controlled trial. Older adults age ≥65 years with one or more chronic conditions who are English speaking are able to consent and have access to a computer or tablet device, internet and an email address will be eligible. All consenting participants will be randomly assigned to KeepWell or control. The allocation sequence will be determined using a random number generator.Primary outcome is perceived self-efficacy at 6 months. Secondary outcomes include quality of life, health background/status, lifestyle (nutrition, physical activity, caffeine, alcohol, smoking and bladder health), social engagement and connections, eHealth literacy; all collected via a Health Risk Questionnaire embedded within KeepWell (intervention) or a survey platform (control). Implementation outcomes will include reach, effectiveness, adoption, fidelity, implementation cost and sustainability.Ethics and disseminationEthics approval has been received from the North York General Hospital Research and Ethics Board. The study is funded by the Canadian Institutes of Health Research and the Ontario Ministry of Health. We will work with our team to develop a dissemination strategy which will include publications, presentations, plain language summaries and an end-of-grant meeting.Trial registration numberNCT04437238.

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