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KMID : 0939320170200010042
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Korean Journal of Rehabilitation Nursing
2017 Volume.20 No. 1 p.42 ~ p.51
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Improvement and Backsliding after Chronic-disease Self-management Education in Japan - One-year Cohort Study
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Park Min-Jeong
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Abstract
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Purpose: In people who have chronic diseases, disabilities, and rehabilitation needs, self-management education can improve health and health-related behavior, and it can reduce the utilization of healthcare services. The purpose of this research was to assess the long-term effects of chronic-disease self-management education in Japan.
Methods: This study included 184 adults living with various chronic medical conditions who participated in the Chronic Disease Self-Management Program (CDSMP) in Japan. Data were collected before the program began, and then collected 3 more times over 1 year.
Results: Healthcare-service utilization was low at baseline, and it did not change. Self-evaluated health status, health-related distress, coping with symptoms, communication with doctors, and self-efficacy to manage symptoms all improved after the program. However, there was backsliding in all of the outcomes that had improved.
Conclusion: Some benefits of this program can last for at least 1 year, but interventions to prevent attenuation may be needed. For economic evaluations, research should focus on populations with higher baseline levels healthcare-service utilization, including use of rehabilitation services. Also, more attention should be focused on the longer-term decay or persistence of the program’s benefits, particularly regarding on preventing and reducing disabilities and with regard to rehabilitation needs.
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KEYWORD
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Chronic Illness, Self-management, Education of patients, Backsliding, Decay of impact
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