title: Understanding differences between caregivers and non-caregivers in completer rates of Chronic Disease Self-Management Program.
abstract: OBJECTIVE
  The Chronic Disease Self-Management Program (CDSMP) was developed to advance participants' self-care of chronic illness and may be offered to both individuals with chronic conditions and their caregivers. Previous studies of CDSMP have identified multiple resulting health benefits for participants as well as factors associated with participants' completion rates. This study investigated differences on these issues between caregiving and non-caregiving participants.
  
  
  METHODS
  Secondary analysis using regression analysis to predict the outcome.
  
  
  METHODS
  Baseline data were collected directly from adult (over 18 years) participants of CDSMP workshops in New York State from 2012 to 2015 (n = 2685). Multi-level logistic regression analysis was used to compare the difference on completion of workshops (attended four or more of sessions) and contributing factors with the independent variable of whether participants provided care/assistance to a family member or friends with long-term illness or disability. Additional individual-level variables controlled for in the model were age, gender, race/ethnicity, living arrangement, education, the number of chronic conditions and disabilities; as were workshop-level characteristics of class size, language used, workshop leader experience, location urbanity and delivery site type.
  
  
  RESULTS
  Participants who provided care to family or friends were 28% more likely to complete the workshop compared with those who did not (odds ratio = 1.279, P < 0.05). Different factors influenced the completion of CDSMP workshop for caregivers and non-caregivers.
  
  
  CONCLUSIONS
  People who provide care to others appeared to have stronger motivation to complete the workshops with greater benefits. Agencies offering CDSMP should encourage caregivers to attend.
authors.affiliation: University at Albany, SUNY Albany, New York, United States. Electronic address: jshi@albany.edu.
authors.forename: J
authors.initials: J
authors.lastname: Shi
authors.affiliation: University at Albany, SUNY Albany, New York, United States.
authors.forename: P
authors.initials: P
authors.lastname: McCallion
authors.affiliation: University at Albany, SUNY Albany, New York, United States.
authors.forename: L A
authors.initials: LA
authors.lastname: Ferretti
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D017028:Caregivers / Q000523:psychology* / Q000706:statistics & numerical data; D002908:Chronic Disease / Q000628:therapy*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009518:New York; D010353:Patient Education as Topic; D015397:Program Evaluation; D012648:Self Care
keywords: Aging & health; Caregiver; Chronic disease management; Health promotion