title: Intermediate outcomes of a chronic disease self-management program for Spanish-speaking older adults in South Florida, 2008-2010.
abstract: BACKGROUND
  The prevalence and negative health effects of chronic diseases are disproportionately high among Hispanics, the largest minority group in the United States. Self-management of chronic conditions by older adults is a public health priority. The objective of this study was to examine 6-week differences in self-efficacy, time spent performing physical activity, and perceived social and role activities limitations for participants in a chronic disease self-management program for Spanish-speaking older adults, Tomando Control de su Salud (TCDS).
  
  
  METHODS
  Through the Healthy Aging Regional Collaborative, 8 area agencies delivered 82 workshops in 62 locations throughout South Florida. Spanish-speaking participants who attended workshops from October 1, 2008, through December 31, 2010, were aged 55 years or older, had at least 1 chronic condition, and completed baseline and post-test surveys were included in analysis (N=682). Workshops consisted of six, 2.5-hour sessions offered once per week for 6 weeks. A self-report survey was administered at baseline and again at the end of program instruction. To assess differences in outcomes, a repeated measures general linear model was used, controlling for agency and baseline general health.
  
  
  RESULTS
  All outcomes showed improvement at 6 weeks. Outcomes that improved significantly were self-efficacy to manage disease, perceived social and role activities limitations, time spent walking, and time spent performing other aerobic activities.
  
  
  CONCLUSIONS
  Implementation of TCDS significantly improved 4 of 8 health promotion skills and behaviors of Spanish-speaking older adults in South Florida. A community-based implementation of TCDS has the potential to improve health outcomes for a diverse, Spanish-speaking, older adult population.
authors.affiliation: Florida International University, Miami, FL 33174, USA. mike.melchior@gmail.com
authors.forename: Michael A
authors.initials: MA
authors.lastname: Melchior
authors.forename: Laura R
authors.initials: LR
authors.lastname: Seff
authors.forename: Elena
authors.initials: E
authors.lastname: Bastida
authors.forename: Ahmed N
authors.initials: AN
authors.lastname: Albatineh
authors.forename: Timothy F
authors.initials: TF
authors.lastname: Page
authors.forename: Richard C
authors.initials: RC
authors.lastname: Palmer
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D004493:Education; D005260:Female; D005431:Florida; D006293:Health Promotion; D006299:Health Services for the Aged; D006630:Hispanic or Latino; D006801:Humans; D008297:Male; D012648:Self Care; D020377:Self Efficacy; D016896:Treatment Outcome