Activating Patients for Sustained Chronic Disease Self-Management
This article describes the impact of an 8-week community program implemented by trained volunteers on the hypertension self-management of 185 patients who were batch randomized to intervention or wait-list control groups. Compared with control group participants, a higher proportion of treatment gro...
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Published in | Journal of primary care & community health Vol. 7; no. 2; pp. 107 - 112 |
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Main Authors | , , |
Format | Journal Article |
Language | English |
Published |
Thousand Oaks
SAGE PUBLICATIONS, INC
01.04.2016
SAGE Publishing |
Subjects | |
Online Access | Get full text |
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Summary: | This article describes the impact of an 8-week community program implemented by trained volunteers on the hypertension self-management of 185 patients who were batch randomized to intervention or wait-list control groups. Compared with control group participants, a higher proportion of treatment group participants moved from the cognitive to behavioral stages of motivational readiness for being physically active (P < .001), practicing healthy eating habits (P = .001), handling stress well (P = .001), and living an overall healthy lifestyle (P = .003). They also demonstrated a greater average increase in perceived competence for self-management, F(1.134) = 4.957, P = .028, η2 = .036, and a greater increase in mean hypertension-related knowledge, F(1.160) = 16.571, P < .0005, η2 = .094. Enduring lifestyle changes necessary for chronic disease self-management require that psychosocial determinants of health behavior are instilled, which is typically beyond standard medical practice. We recommend peer-led, community-based programs as a complement to clinical care and support the increasing health system interest in promoting population health beyond clinical walls. |
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ISSN: | 2150-1319 2150-1327 |
DOI: | 10.1177/2150131915626562 |