Activating Patients for Sustained Chronic Disease Self-Management: Thinking Beyond Clinical Outcomes

Journal of Primary Care & Community Health
Cheryl J DyeJanet Hoffman Evatt

Abstract

This article describes the impact of an 8-week community program implemented by trained volunteers on the hypertension self-management of 185 patients who were batch randomized to intervention or wait-list control groups. Compared with control group participants, a higher proportion of treatment group participants moved from the cognitive to behavioral stages of motivational readiness for being physically active (P < .001), practicing healthy eating habits (P = .001), handling stress well (P = .001), and living an overall healthy lifestyle (P = .003). They also demonstrated a greater average increase in perceived competence for self-management, F(1.134) = 4.957, P = .028, η2 = .036, and a greater increase in mean hypertension-related knowledge, F(1.160) = 16.571, P < .0005, η(2) = .094. Enduring lifestyle changes necessary for chronic disease self-management require that psychosocial determinants of health behavior are instilled, which is typically beyond standard medical practice. We recommend peer-led, community-based programs as a complement to clinical care and support the increasing health system interest in promoting population health beyond clinical walls.

References

Mar 14, 2003·The Diabetes Educator·Cheryl J DyeDeborah Willoughby
Jan 4, 2006·American Journal of Preventive Medicine·J Nell BrownsteinDavid M Levine
Aug 1, 2006·American Journal of Hypertension·Sanjeev Balu, Joseph Thomas
Nov 6, 2007·Ethnicity & Health·Galen JosephRena J Pasick
Dec 17, 2008·The Diabetes Educator·Dorothy BurnsJohn Carlson
Mar 20, 2010·The Cochrane Database of Systematic Reviews·Liam G GlynnTom Fahey
May 7, 2011·Journal of Community Health·Jan Warren-FindlowLarissa R Brunner Huber
Apr 27, 2012·The Journal of Clinical Hypertension·Keith C FerdinandDaphne P Ferdinand
May 20, 2014·Health Promotion Practice·Cheryl J DyeJanet Hoffman Evatt
Jul 27, 2014·Health Promotion Practice·Shannon CosgroveJ Nell Brownstein
Sep 9, 2015·Advances in Preventive Medicine·Brenda M Douglas, Elizabeth P Howard

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