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Effectiveness of Chronic Disease Self‐management Program in Japan: Preliminary report of a longitudinal study
Author(s) -
Yukawa Keiko,
Yamazaki Yoshihiko,
Yonekura Yuki,
Togari Taisuke,
Abbott Fusae K.,
Homma Mieko,
Park Minjeong,
Kagawa Yumi
Publication year - 2010
Publication title -
nursing and health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.563
H-Index - 47
eISSN - 1442-2018
pISSN - 1441-0745
DOI - 10.1111/j.1442-2018.2010.00559.x
Subject(s) - medicine , self management , chronic disease , disease , dyslipidemia , coping (psychology) , physical therapy , distress , longitudinal study , diabetes mellitus , disease management , family medicine , gerontology , clinical psychology , pathology , machine learning , computer science , parkinson's disease , endocrinology
This is the preliminary report of a study to evaluate the effectiveness of the Chronic Disease Self‐management Program in Japan by comparing changes in health outcomes at the baseline and 3‐month and 6‐month follow‐ups. The program is a patient‐centered educational program for the self‐management of chronic conditions. The study's participants were recruited from among the attendees of the program workshops. During the study period (August 2006 to May 2007), 18 workshops were held and 128 attendees agreed to participate in the study. The health outcomes that were measured included health status, self‐management behaviors, utilization of health services, self‐efficacy, satisfaction with daily living, and clinical indicators. These indicators were further analyzed by disease type: diabetes, rheumatic disease, and cardiovascular disease/dyslipidemia. The findings indicated statistically significant positive changes in health distress, coping with symptoms, stretching exercises, communication with the physician, and satisfaction with daily living. The positive changes were especially remarkable among the groups with diabetes and rheumatic disease. These findings suggest that the Chronic Disease Self‐management Program can be effective for Japanese people with chronic conditions.