Please use this identifier to cite or link to this item: http://hdl.handle.net/2440/53405
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Type: Journal article
Title: Self-management support and training for patients with chronic and complex conditions improves health-related behaviour and health outcomes
Author: Harvey, P.
Petkov, J.
Misan, G.
Cayetano, T.
Warren, K.
Fuller, J.
Battersby, M.
Holmes, P.
Citation: Australian Health Review, 2008; 32(2):330-338
Publisher: Australian Healthcare Association
Issue Date: 2008
ISSN: 0156-5788
1449-8944
Statement of
Responsibility: 
Harvey PW, Petkov JN, Misan G, Fuller J, Battersby MW, Cayetano TN, Warren K, Holmes P.
Abstract: The Sharing Health Care SA chronic disease self-management (CDSM) project in rural South Australia was designed to assist patients with chronic and complex conditions (diabetes, cardiovascular disease and arthritis) to learn how to participate more effectively in the management of their condition and to improve their self-management skills. Participants with chronic and complex conditions were recruited into the Sharing Health Care SA program and offered a range of education and support options (including a 6-week peer-led chronic disease self-management program) as part of the Enhanced Primary Care care planning process. Patient self-reported data were collected at baseline and subsequent 6-month intervals using the Partners in Health (PIH) scale to assess self-management skill and ability for 175 patients across four data collection points. Health providers also scored patient knowledge and self-management skills using the same scale over the same intervals. Patients also completed a modified Stanford 2000 Health Survey for the same time intervals to assess service utilisation and health-related lifestyle factors. Results show that both mean patient self-reported PIH scores and mean health provider PIH scores for patients improved significantly over time, indicating that patients demonstrated improved understanding of their condition and improved their ability to manage and deal with their symptoms. These results suggest that involvement in peer-led self-management education programs has a positive effect on patient self-management skill, confidence and health-related behaviour.
Keywords: Humans; Chronic Disease; Self Care; Health Surveys; Longitudinal Studies; Attitude to Health; Health Behavior; Aged; South Australia; Female; Male; Patient Education as Topic
RMID: 0020085505
DOI: 10.1071/AH080330
Description (link): http://www.ncbi.nlm.nih.gov/pubmed/18447824
Appears in Collections:Rural Clinical School publications

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