Efficacy of chronic disease self-management among low-income Black males with behavioral health disorders: Pilot study

Hdl Handle:
http://hdl.handle.net/10675.2/621791
Title:
Efficacy of chronic disease self-management among low-income Black males with behavioral health disorders: Pilot study
Authors:
Collard, Carol; Robinson-Dooley, Vanessa; Patrick, Frances; Farabaugh, Kayla
Abstract:
Background: This study examined the effectiveness of Stanford University’s Chronic Disease Self-management Program (CDSMP) among men living with co-morbidities of chronic physical health disease and behavioral health disorders. Methods: The study was conducted at a community-based, non-profit organization in partnership with a large suburban university. Two pilot studies were completed with the population of interest. Low-income adult males with behavioral health disorders were recruited to participate in the program provided by a local behavioral health agency. Facilitators trained in the CDSMP program administered it at the agency site, and participants attended weekly meetings. Descriptive data collected included health history, demographic information, and assessments of knowledge with the Chronic Disease Self-Efficacy Scale and the Chronic Disease Self-Management Questionnaire created by the Stanford Patient Education Research Center. Due to the small sample size, n=12, the Wilcoxon signed rank test was used to evaluate before and after differences in the sample. Results: For the participants, there were increases in overall activity, stretching activities, and equipment activities. Additionally, participants experienced a decrease in the number of days affected by poor physical or mental health. However, there was no significant increase in perceived self-efficacy, a factor in patient confidence and possibly compliance. Limitations included the small sample size, lack of a control group, and convenience sampling. Conclusions: Various aspects of the program were helpful to some participants, but cultural factors made other areas less compatible for this population. A larger study, utilizing a comparison group, could generate data relevant to hypotheses based on these observations. By collecting qualitative data, focus groups could contribute to understanding the experiences and needs of the participants. Development of a curriculum for self-management of chronic disease with a focus on intercultural competence is presently of interest.
Affiliation:
Kennesaw State University
Publisher:
Georgia Public Health Association
Journal:
Journal of the Georgia Public Health Association
Issue Date:
2017
URI:
http://hdl.handle.net/10675.2/621791
Type:
Article
Language:
en
Appears in Collections:
jGPHA Volume 6, Number 4 (2016)

Full metadata record

DC FieldValue Language
dc.contributor.authorCollard, Carolen
dc.contributor.authorRobinson-Dooley, Vanessaen
dc.contributor.authorPatrick, Francesen
dc.contributor.authorFarabaugh, Kaylaen
dc.date.accessioned2018-04-09T00:43:08Z-
dc.date.available2018-04-09T00:43:08Z-
dc.date.issued2017-
dc.identifier.urihttp://hdl.handle.net/10675.2/621791-
dc.description.abstractBackground: This study examined the effectiveness of Stanford University’s Chronic Disease Self-management Program (CDSMP) among men living with co-morbidities of chronic physical health disease and behavioral health disorders. Methods: The study was conducted at a community-based, non-profit organization in partnership with a large suburban university. Two pilot studies were completed with the population of interest. Low-income adult males with behavioral health disorders were recruited to participate in the program provided by a local behavioral health agency. Facilitators trained in the CDSMP program administered it at the agency site, and participants attended weekly meetings. Descriptive data collected included health history, demographic information, and assessments of knowledge with the Chronic Disease Self-Efficacy Scale and the Chronic Disease Self-Management Questionnaire created by the Stanford Patient Education Research Center. Due to the small sample size, n=12, the Wilcoxon signed rank test was used to evaluate before and after differences in the sample. Results: For the participants, there were increases in overall activity, stretching activities, and equipment activities. Additionally, participants experienced a decrease in the number of days affected by poor physical or mental health. However, there was no significant increase in perceived self-efficacy, a factor in patient confidence and possibly compliance. Limitations included the small sample size, lack of a control group, and convenience sampling. Conclusions: Various aspects of the program were helpful to some participants, but cultural factors made other areas less compatible for this population. A larger study, utilizing a comparison group, could generate data relevant to hypotheses based on these observations. By collecting qualitative data, focus groups could contribute to understanding the experiences and needs of the participants. Development of a curriculum for self-management of chronic disease with a focus on intercultural competence is presently of interest.en
dc.language.isoenen
dc.publisherGeorgia Public Health Associationen
dc.subjectchronic diseaseen
dc.subjectBehavioral Healthen
dc.subjectself managementen
dc.subjectself efficacyen
dc.titleEfficacy of chronic disease self-management among low-income Black males with behavioral health disorders: Pilot studyen
dc.typeArticleen
dc.contributor.departmentKennesaw State Universityen
dc.identifier.journalJournal of the Georgia Public Health Associationen
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