title: Changes in quality of life indicators among Chronic Disease Self-Management Program participants: an examination by race and ethnicity.
abstract: OBJECTIVE
  To assess changes in self-reported quality of life indicators among Chronic Disease Self-Management Program (CDSMP) participants from baseline to 6-month followup and compare observed changes by racial and ethnic group.
  
  
  METHODS
  A pre-post evaluation design was employed for this evidence-based chronic disease self-management intervention. Data were collected at baseline and again six months post intervention.
  
  
  METHODS
  Using the aging services network and public health system, workshops were hosted in a variety of community settings including senior centers, churches, libraries, and health care settings.
  
  
  METHODS
  One-hundred thirty-six adults aged > or =50 years residing in Bexar County, Texas.
  
  
  METHODS
  CDSMP is an evidence-based program created at Stanford University. The program was held one time per week for six consecutive weeks. Each session lasted approximately 150 minutes.
  
  
  METHODS
  Health-related quality of life indicators developed by the Centers for Disease Control and Prevention (ie, total number of unhealthy physical days, unhealthy mental days).
  
  
  RESULTS
  From baseline to 6-month follow-up, significant differences by racial/ethnic group were observed for changes in unhealthy physical days and changes in combined unhealthy days. Hispanic participants showed greatest improvement, followed by African American participants, followed by non-Hispanic White participants.
  
  
  CONCLUSIONS
  Findings indicate health-related quality of life improvements can be sustained months after the conclusion of CDSMP. Given gains seen among minority participants and forthcoming demographic shifts in this Texas region, community-driven interventions should be expanded as part of broader efforts to reduce racial and ethnic disparities in health.
authors.affiliation: The University of Georgia, College of Public Health, Department of Health Promotion and Behavior, 330 River Road, 315 Ramsey Center, Athens, GA 30602, USA. health@uga.edu
authors.forename: Matthew Lee
authors.initials: ML
authors.lastname: Smith
authors.forename: Jinmyoung
authors.initials: J
authors.lastname: Cho
authors.forename: Camerino I
authors.initials: CI
authors.lastname: Salazar
authors.forename: Marcia G
authors.initials: MG
authors.lastname: Ory
mesh_terms: D001741:Black or African American; D000368:Aged; D002908:Chronic Disease; D005006:Ethnicity; D005260:Female; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D008875:Middle Aged; D015397:Program Evaluation; D011788:Quality of Life; D012648:Self Care; D044465:White People