A 12-month follow-up study of self-management training for people with chronic disease: Are changes maintained over time?
Article first published online: 31 DEC 2010
2005 The British Psychological Society
British Journal of Health Psychology
Volume 10, Issue 4, pages 589–599, November 2005
How to Cite
Barlow, J. H., Wright, C. C., Turner, A. P. and Bancroft, G. V. (2005), A 12-month follow-up study of self-management training for people with chronic disease: Are changes maintained over time?. British Journal of Health Psychology, 10: 589–599. doi: 10.1348/135910705X26317
- Issue published online: 31 DEC 2010
- Article first published online: 31 DEC 2010
- Received 17 June 2004; revised version received 20 October 2004
Objective. A previous study reported some improved outcomes at 4-month follow-up after attendance on a lay-led, chronic disease self-management course (CDSMC). The purpose of this study was to determine whether changes were maintained over time (i.e. at 12 months) and to describe participants' current use of self-management techniques.
Design. The study was a 12-month follow-up of a sample of 171 participants who attended a CDSMC in the UK.
Method. Data were collected by self-administered questionnaires mailed to participants 12 months after they commenced a CDSMC and via telephone interviews with a sub-sample.
Results. The sample had a mean age of 54 years, mean disease duration of 16 years, 73% were women, and chronic diseases included endometriosis, depression, diabetes, myalgic encephalomyelitis, osteoporosis and polio. The significant improvements in outcomes identified at 4 months (i.e. cognitive symptom management, self-efficacy, communication with physician, fatigue, anxious and depressed moods and health distress) were sustained at 12 months. No significant changes between 4- and 12-month assessments were found on any study variables. Interview data confirmed that participants continued to use some of the self-management techniques learned on the course.
Conclusion. Attendance on the CDSMC may lead to longer-term changes in key outcomes such as self-efficacy, use of some self-management behaviours and some aspects of health status (e.g. fatigue, depressed mood).