Qualitative evaluation of Chronic Disease Self Management Program (CDSMP) in Shanghai.
OBJECTIVE
To explore the impact of Chronic Disease Self-Management Program (CDSMP) on participants' perception of their behavior, health status and quality of life and how the program achieve its benefits, and to collect suggestions for future improvement and dissemination.


METHODS
Qualitative data were obtained from 57 participants attending all sessions of the CDSMP course using semi-structured interviews and analyzed using content analysis.


RESULTS
The interviewees perceived that CDSMP improved their knowledge, self-management skills, positive health behavior, increased self-confidence, health status and quality of life. Behavior change and self-efficacy were the two main transmitters of the effectiveness of CDSMP in Shanghai. The identified deficiencies focused on language, size and style of helpbook and the lack of Chinese relaxing exercises.


CONCLUSIONS
CDSMP was perceived to be effective to participants mainly through behavior change and self-efficacy development, though it had a few deficiencies to be modified.


CONCLUSIONS
CDSMP in Shanghai needs further work and research on the content and delivery modification for future improvement and dissemination.
Dongbo
Fu
F
Department of Preventive Medicine, School of Public Health, Fudan University, P.O. Box 248, 138 Yi Xue Yuan Road, Shanghai 200032, China. dbfu@shmu.edu.cn
Ding
Yongming
Y
McGowan
Patrick
P
Fu
Hua
H
D000368:Aged; D000369:Aged, 80 and over; D001294:Attitude to Health / Q000208:ethnology*; D002681:China; D002908:Chronic Disease / Q000523:psychology* / Q000628:therapy; D003466:Cultural Characteristics; D019468:Disease Management; D005239:Fear; D005260:Female; D015438:Health Behavior / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000458:organization & administration*; D015397:Program Evaluation; D036301:Qualitative Research; D011788:Quality of Life / Q000523:psychology; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D013664:Teaching Materials / Q000592:standards