{"paper_id":"3fe144f9-1553-42bf-ba32-a2ba71847923","body_text":"Abstract\nObjective. 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.\nDesign. The study was a 12-month follow-up of a sample of 171 participants who attended a CDSMC in the UK.\nMethod. 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.\nResults. 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.\nConclusion. 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).\nDesign. The study was a 12-month follow-up of a sample of 171 participants who attended a CDSMC in the UK.\nMethod. 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.\nResults. 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.\nConclusion. 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).\n| Original language | English |\n|---|---|\n| Pages (from-to) | 589-599 |\n| Journal | British Journal of Health Psychology |\n| Volume | 10 |\n| Issue number | 4 |\n| DOIs | |\n| Publication status | Published - Nov 2005 |\nBibliographical note\nThe full-text of this item is not yet available from this repository.UN SDGs\nThis output contributes to the following UN Sustainable Development Goals (SDGs)\n-\nSDG 3 Good Health and Well-being\nKeywords\n- self-management\n- chronic disease\nFingerprint\nDive into the research topics of 'A 12-month follow-up study of self-management training for people with chronic disease: Are changes maintained over time?'. Together they form a unique fingerprint.Cite this\n- APA\n- Standard\n- Harvard\n- Vancouver\n- Author\n- BIBTEX\n- RIS","source_license":"public-domain-us","license_restricted":false}