title: Early intervention in chronic disease--four years on: barriers to implementing self-management strategies.
abstract: BACKGROUND
  Previous evaluation of staff training in self-management of chronic disease reports poor implementation in primary health care settings. It was hypothesized that after 4 years of funding for staff training, implementation rates would have improved.
  
  
  METHODS
  Fifty-six primary health care staff who had recently undertaken training in self-management in chronic disease were asked to complete a survey regarding the implementation of the training in their workplace.
  
  
  RESULTS
  There was a 43% response rate across 12 organizations. Of the respondents, 87.5% reported implementing the training into practice.
  
  
  CONCLUSIONS
  Confidence of staff in implementing training remains problematic. Staff who identify as having low-level confidence may benefit from peer mentoring in the workplace.
authors.affiliation: Goulburn Valley Primary Care Partnership, PO Box 1167, Shepparton, VIC 3630, Australia. Tel 0358233284. VJeffery@primarycareconnect.com.au.
authors.forename: Vivienne
authors.initials: V
authors.lastname: Jeffery
authors.forename: Kaye
authors.initials: K
authors.lastname: Ervin
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002908:Chronic Disease / Q000628:therapy*; D019538:Health Care Surveys; D006282:Health Personnel / Q000193:education* / Q000523:psychology / Q000706:statistics & numerical data; D006284:Health Plan Implementation / Q000706:statistics & numerical data*; D006801:Humans; D007318:Inservice Training; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods / Q000706:statistics & numerical data; D011320:Primary Health Care / Q000592:standards* / Q000639:trends; D012648:Self Care / Q000592:standards* / Q000639:trends; D020377:Self Efficacy; D013997:Time Factors; D014739:Victoria; D055815:Young Adult