title: Effectiveness of Chronic Disease Self-management Program in Japan: preliminary report of a longitudinal study.
abstract: This is the preliminary report of a study to evaluate the effectiveness of the Chronic Disease Self-management Program in Japan by comparing changes in health outcomes at the baseline and 3-month and 6-month follow-ups. The program is a patient-centered educational program for the self-management of chronic conditions. The study's participants were recruited from among the attendees of the program workshops. During the study period (August 2006 to May 2007), 18 workshops were held and 128 attendees agreed to participate in the study. The health outcomes that were measured included health status, self-management behaviors, utilization of health services, self-efficacy, satisfaction with daily living, and clinical indicators. These indicators were further analyzed by disease type: diabetes, rheumatic disease, and cardiovascular disease/dyslipidemia. The findings indicated statistically significant positive changes in health distress, coping with symptoms, stretching exercises, communication with the physician, and satisfaction with daily living. The positive changes were especially remarkable among the groups with diabetes and rheumatic disease. These findings suggest that the Chronic Disease Self-management Program can be effective for Japanese people with chronic conditions.
authors.affiliation: Department of Health Sociology, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan. tkykeiko-tky@umin.ac.jp
authors.forename: Keiko
authors.initials: K
authors.lastname: Yukawa
authors.forename: Yoshihiko
authors.initials: Y
authors.lastname: Yamazaki
authors.forename: Yuki
authors.initials: Y
authors.lastname: Yonekura
authors.forename: Taisuke
authors.initials: T
authors.lastname: Togari
authors.forename: Fusae K
authors.initials: FK
authors.lastname: Abbott
authors.forename: Mieko
authors.initials: M
authors.lastname: Homma
authors.forename: Minjeong
authors.initials: M
authors.lastname: Park
authors.forename: Yumi
authors.initials: Y
authors.lastname: Kagawa
mesh_terms: D000223:Adaptation, Psychological; D001294:Attitude to Health; D002318:Cardiovascular Diseases / Q000517:prevention & control; D002908:Chronic Disease / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D003920:Diabetes Mellitus / Q000517:prevention & control; D019468:Disease Management; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006801:Humans; D007564:Japan / Q000453:epidemiology; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D017063:Outcome Assessment, Health Care; D010353:Patient Education as Topic / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D012216:Rheumatic Diseases / Q000517:prevention & control; D012648:Self Care; D020377:Self Efficacy