title: An evaluation of a self-management program for patients with long-term conditions.
abstract: OBJECTIVE
  To evaluate a group-based self-management program (SMP) delivered as part of a quality improvement program, Co-Creating Health, for patients living with one of four long-term conditions (LTCs): chronic obstructive pulmonary disease, depression, diabetes, and musculoskeletal pain.
  
  
  METHODS
  The 7 week SMP was co-delivered by lay and health professional tutors. Patients completed self-reported outcome measures at pre-course and 6 months follow-up.
  
  
  RESULTS
  486 patients completed (attended ≥5 sessions) the SMP and returned pre-course and 6 months follow up data. Patients reported significant improvements in patient activation (ES 0.65, p<0.001), with 53.9% of all patients reporting a meaningful ≥4 point improvement. Health-related quality of life (ES 0.06, p=0.04), and health status (ES 0.33, p<0.001) were also significantly improved. Patients' anxiety (ES 0.37, p<0.001) and depression (ES 0.31, p<0.001) significantly improved. Patients also reported significant improvements in their self-management skills (p values from p<0.001 to p=0.028).
  
  
  CONCLUSIONS
  Attending the SMP led to improvements in a range of outcomes. Improvement in patient activation is important, as activated patients are more likely to perform self-care activities.
  
  
  CONCLUSIONS
  Co-delivered SMPs provide meaningful improvements in activation for >50% of those who complete and are a useful addition to self-management support provision.
authors.affiliation: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK. Electronic address: a.turner@coventry.ac.uk.
authors.forename: Andrew
authors.initials: A
authors.lastname: Turner
authors.affiliation: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK.
authors.forename: Joanna K
authors.initials: JK
authors.lastname: Anderson
authors.affiliation: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK.
authors.forename: Louise M
authors.initials: LM
authors.lastname: Wallace
authors.affiliation: Applied Research Centre in Health and Lifestyle Interventions, Coventry University, Coventry, UK.
authors.forename: Claire
authors.initials: C
authors.lastname: Bourne
mesh_terms: D000328:Adult; D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D019468:Disease Management; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D008875:Middle Aged; D063868:Patient Outcome Assessment; D015397:Program Evaluation / Q000379:methods; D058996:Quality Improvement; D019984:Quality Indicators, Health Care; D011788:Quality of Life; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy; D011795:Surveys and Questionnaires; D016896:Treatment Outcome
keywords: Co-delivery; Long-term conditions; Patient activation; Self-management program