Effectiveness of Chronic Disease Self-management Program in Japan: Preliminary report of a longitudinal study
Article first published online: 10 NOV 2010
© 2010 Blackwell Publishing Asia Pty Ltd.
Nursing & Health Sciences
Volume 12, Issue 4, pages 456–463, December 2010
How to Cite
Yukawa, K., Yamazaki, Y., Yonekura, Y., Togari, T., Abbott, F. K., Homma, M., Park, M. and Kagawa, Y. (2010), Effectiveness of Chronic Disease Self-management Program in Japan: Preliminary report of a longitudinal study. Nursing & Health Sciences, 12: 456–463. doi: 10.1111/j.1442-2018.2010.00559.x
- Issue published online: 7 JAN 2011
- Article first published online: 10 NOV 2010
- Received 12 May 2010; accepted 2 October 2010.
- chronic disease;
- rheumatic disease;
This is the preliminary report of a study to evaluate the effectiveness of the Chronic Disease Self-management Program in Japan by comparing changes in health outcomes at the baseline and 3-month and 6-month follow-ups. The program is a patient-centered educational program for the self-management of chronic conditions. The study's participants were recruited from among the attendees of the program workshops. During the study period (August 2006 to May 2007), 18 workshops were held and 128 attendees agreed to participate in the study. The health outcomes that were measured included health status, self-management behaviors, utilization of health services, self-efficacy, satisfaction with daily living, and clinical indicators. These indicators were further analyzed by disease type: diabetes, rheumatic disease, and cardiovascular disease/dyslipidemia. The findings indicated statistically significant positive changes in health distress, coping with symptoms, stretching exercises, communication with the physician, and satisfaction with daily living. The positive changes were especially remarkable among the groups with diabetes and rheumatic disease. These findings suggest that the Chronic Disease Self-management Program can be effective for Japanese people with chronic conditions.