title: A national dissemination of an evidence-based self-management program: a process evaluation study.
abstract: While evidence exists regarding the effectiveness of many health education interventions, few of these evidence-based programs have been systematically or widely disseminated. This paper reports on the dissemination of one such intervention, the 6-week peer-led Chronic Disease Self-Management Program, throughout a large health-care system, Kaiser Permanente. We describe the dissemination process and, using qualitative analysis of interviews and surveys, discuss the factors that aided and hindered this process and make recommendations for similar dissemination projects. Six years after the beginning of the dissemination process, the program is integrated in most of the Kaiser Permanente regions and is being offered to several thousand people a year.
authors.affiliation: Department of Medicine, Immunology and Rheumatology, Stanford University School of Medicine, Stanford Patient Education Research Center, Palo Alto, CA 94304, USA. lorig@stanford.edu
authors.forename: Kate R
authors.initials: KR
authors.lastname: Lorig
authors.forename: Margo-Lea
authors.initials: ML
authors.lastname: Hurwicz
authors.forename: David
authors.initials: D
authors.lastname: Sobel
authors.forename: Mary
authors.initials: M
authors.lastname: Hobbs
authors.forename: Philip L
authors.initials: PL
authors.lastname: Ritter
mesh_terms: D000368:Aged; D002908:Chronic Disease; D003625:Data Collection / Q000379:methods; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D005260:Female; D006279:Health Maintenance Organizations; D006801:Humans; D008297:Male; D008875:Middle Aged; D017064:Process Assessment, Health Care; D012648:Self Care; D014481:United States