The Effect of a Chronic Disease Self-Management Program on Symptom Management of Older Adults with Type 2 Diabetes
MetadataShow full item record
The World Health Organization estimates chronic disease will be the leading cause of disability by 2020. Rising healthcare costs and reductions in services and resources necessitate developing more cost effective methods for managing chronic illness. Patient centered self-management programs teach individuals to better manage and care for chronic illnesses resulting in improved health outcomes and reduced costs. The purpose of this analysis is was to evaluate the impact of the Chronic Disease Self-Management (CDSMP) program on symptom management in older adults with type 2 diabetes. The Interaction Model of Client Health Behavior guided the prospective treatment-control intervention study. Participants in this study showed little change in reported self-efficacy for managing chronic disease, ratings of self-perceived health status, or use of cognitive symptom management techniques. However, the use of visualization as a cognitive symptom management technique increased significantly among intervention participants following the CDSMP. Intervention participants continued using visualization to a greater extent than the control group for at least 4 months after the CDSMP. Other researchers have identified many positive outcomes following CDSMP participation. The CDSMP is a theory and evidence-based approach to chronic illness management and, based on available research, useful for enhancing self-management skills, improving outcomes, and reducing health care costs. Where available, the CDSMP should be recommended as an adjuvant to primary care for clients with chronic illnesses. Healthcare system changes, including chronic illness management education and support are critical to providing cost-efficient care and achieving quality outcomes.