title: A randomised control trial of a self-management program for people with a chronic illness from Vietnamese, Chinese, Italian and Greek backgrounds.
abstract: OBJECTIVE
  This study investigated the effectiveness of the Chronic Disease Self-management Program (CDSMP) when delivered to for people from Vietnamese, Chinese, Italian and Greek backgrounds living in Victoria, Australia.
  
  
  METHODS
  The CDSMP was administered to 320 people with chronic illnesse(es) in selected low income areas in the State of Victoria, Australia. At 6 months, they were compared with randomised wait-list control subjects (n=154) using analyses of covariance.
  
  
  RESULTS
  Participants in the intervention group had significantly better outcomes on energy, exercise, symptom management, self-efficacy, general health, pain, fatigue and health distress. There were no significant effects for health services utilisation. Interactions across language groups were observed with the Vietnamese and Chinese speaking participants gaining greater benefit.
  
  
  CONCLUSIONS
  Self-management programs can be successfully implemented with culturally and linguistically diverse populations in Australia. Further research is needed to evaluate long-term outcomes; explore effects on service utilisation; and to determine whether the benefits obtained from participating in a self-management program can be maintained.
  
  
  CONCLUSIONS
  Self-management programs should be considered for people from culturally and linguistically diverse backgrounds. Care also needs to be taken in designing recruitment strategies to minimize withdrawal rates and to ensure harder to reach people are given encouragement to participate.
authors.affiliation: Australian Institute for Primary Care, La Trobe University, Victoria, Australia. h.swerissen@latrobe.edu.au
authors.forename: Hal
authors.initials: H
authors.lastname: Swerissen
authors.forename: John
authors.initials: J
authors.lastname: Belfrage
authors.forename: Amanda
authors.initials: A
authors.lastname: Weeks
authors.forename: Lucinda
authors.initials: L
authors.lastname: Jordan
authors.forename: Christine
authors.initials: C
authors.lastname: Walker
authors.forename: John
authors.initials: J
authors.lastname: Furler
authors.forename: Brian
authors.initials: B
authors.lastname: McAvoy
authors.forename: Meredith
authors.initials: M
authors.lastname: Carter
authors.forename: Chris
authors.initials: C
authors.lastname: Peterson
mesh_terms: D000368:Aged; D000704:Analysis of Variance; D002681:China / Q000208:ethnology; D002908:Chronic Disease / Q000208:ethnology / Q000517:prevention & control; D018864:Cultural Diversity; D019468:Disease Management; D005260:Female; D005500:Follow-Up Studies; D006115:Greece / Q000208:ethnology; D007722:Health Knowledge, Attitudes, Practice; D006304:Health Status; D006801:Humans; D007558:Italy / Q000208:ethnology; D008297:Male; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration*; D017060:Patient Satisfaction / Q000208:ethnology; D011204:Poverty Areas; D015397:Program Evaluation; D012648:Self Care / Q000379:methods / Q000523:psychology; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D014739:Victoria; D014744:Vietnam / Q000208:ethnology