Improvement and Backsliding after Chronic-disease Self-management Education in Japan: One-year Cohort Study / 재활간호학회지
Korean Journal of Rehabilitation Nursing
;
: 42-51, 2017.
Article
in Korean
| WPRIM
| ID: wpr-652837
ABSTRACT
PURPOSE:
In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan.METHODS:
This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year.RESULTS:
Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved.CONCLUSION:
Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program's benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Rehabilitation
/
Self Care
/
Patient Education as Topic
/
Chronic Disease
/
Cohort Studies
/
Cost-Benefit Analysis
/
Delivery of Health Care
/
Education
/
Japan
Type of study:
Etiology study
/
Incidence study
/
Observational study
/
Risk factors
Limits:
Adult
/
Humans
Country/Region as subject:
Asia
Language:
Korean
Journal:
Korean Journal of Rehabilitation Nursing
Year:
2017
Type:
Article
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