Benefits for elders with vulnerable health from the Chronic Disease Self-management Program (CDSMP) at short and longer term

BMC Geriatrics

Dorly J. H. Deeg¹  Kees C. P. M. Knipscheer¹  Hannie C. Comijs¹  Angèle A. G. C. Jonker¹ 

[1]Department of Epidemiology & Biostatistics, VU University Medical Center, Amsterdam, 1007 MB, The Netherlands

关键词: RCT;    Frail elderly;    Intervention;    CDSMP;    Well-being;    Coping;   

Others  :  1223046
DOI  :  10.1186/s12877-015-0090-4

 received in 2014-03-02, accepted in 2015-07-16,  发布年份 2015

【 摘 要 】

Background

When health declines, older persons may benefit from an intervention program that strengthens their self-management and empowers them to keep in control of their own body and life. Therefore we conducted a Randomized Controlled Trial using the Chronic Disease Self-Management Program (CDSMP) in a sample of 169 older persons in frail health and in need of elderly care.

Methods

We assessed psychological coping resources and wellbeing, pre- and posttreatment and at 6-month follow-up, and investigated whether specific subgroups would benefit in particular from the intervention.

Results

The CDSMP appeared effective with respect to sense of mastery but only in the lower educated participants (p < .05). Furthermore, the intervention stabilized valuation of life in participants, whereas in the controls valuation of life decreased. The high appreciation score and low drop-out are indicative for the applicability of the CDSMP for this specific target group.

Conclusions

We recommend integration of the ingredients of the program into the daily healthcare practice of professionals working with vulnerable older persons. This would involve professional guidance starting from interpersonal equality and emphasising a persons possibilities given their physical or cognitive limitations. This will help older vulnerable persons to focus on their own attainable goals and to experience being successful.

Trial registration

The trial was registered in the Dutch Trial Register as NTR 1173 at 08-03-2008; ‘Is selfmanagement benefical for well-being of average older persons?’ http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1173

【 授权许可】

   
2015 Jonker et al.

【 图 表 】

Fig. 1.

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