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The Chronic Disease Self-Management Program: the experience of frequent users of health care services and peer leaders

Hudon Catherine, Chouinard Maud-Christine, Diadiou Fatoumata, Bouliane Danielle, Lambert Mireille et Hudon Émilie. (2016). The Chronic Disease Self-Management Program: the experience of frequent users of health care services and peer leaders. Family Practice, 33, (2), p. 167-171.

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URL officielle: https://doi.org/10.1093/fampra/cmw007

Résumé

BACKGROUND: Large amount of evidence supports the contribution of the Stanford Chronic Disease Self-Management Program (CDSMP) to a global chronic disease management strategy. However, many studies have suggested further exploring of the factors influencing acceptance and completion of participants in this program.

OBJECTIVE: This study aimed to describe and examine factors associated with acceptance and completion rates of the CDSMP among frequent users of health care services, and to highlight the experience of patients and peer leaders who facilitated the program.

METHODS: A descriptive design with mixed sequential data was used. Acceptance and completion rates were calculated and their relationship with patient characteristics was examined in regression analysis (n = 167). Interviews were conducted among patients who accepted (n = 11) and refused (n = 13) to participate and with the program coordinator. Focus groups were held with the seven peer leaders who facilitated the program. Data were analysed using thematic analysis.

RESULTS: Of the 167 patients invited, 60 (36%) accepted to participate in the program. Group format was the most frequent reason to decline the invitation to participate. Twenty-eight participants (47%) completed the program. Participants who dropped out during the program raised different reasons such as poor health and too much heterogeneity among participants. Factors such as location, schedule, content, group composition and facilitation were considered as important elements contributing to the success of the program.

CONCLUSION: The CDSMP could therefore be considered as a self-management support option for this vulnerable clientele, while taking measures to avoid too much heterogeneity among participants to improve completion rates.

Type de document:Article publié dans une revue avec comité d'évaluation
Volume:33
Numéro:2
Pages:p. 167-171
Version évaluée par les pairs:Oui
Date:2016
Sujets:Sciences de la santé
Sciences de la santé > Sciences infirmières
Sciences de la santé > Sciences médicales
Département, module, service et unité de recherche:Départements et modules > Département des sciences de la santé > Module des sciences infirmières
Mots-clés:Chronic disease, Stanford, frequent users, mixed-method, primary health care, program evaluation, self-management, support group
Déposé le:25 avr. 2019 21:05
Dernière modification:25 avr. 2019 21:05
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Creative Commons LicenseSauf indication contraire, les documents archivés dans Constellation sont rendus disponibles selon les termes de la licence Creative Commons "Paternité, pas d'utilisation commerciale, pas de modification" 2.5 Canada.

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