Evaluation of the Online Chronic Disease Self-Management Project at Group Health
Descripción general del estudio
Estado
Condiciones
Intervención / Tratamiento
Descripción detallada
We will pilot an evidence-based online program for chronic disease self-management that is modeled after the widely-replicated in-person Chronic Disease Self-management Program (CDSMP) developed at Stanford University.
The online CDSMP is an internet-based intervention for people with one or more chronic conditions. It is built on self-efficacy theory and is structured around a formal curriculum that emphasizes problem solving, decision making, and confidence building in weekly sessions over six weeks. The curriculum addresses generic topics and skills that are relevant to managing any chronic condition.
The program is structured around three components: 1) password-protected, interactive web-based instruction; 2) web-based bulletin board discussion groups to enable participatory learning and interaction; 3) and a reference book, Living a Healthy Life with Chronic Conditions, that contains the program content and supplemental information. It is facilitated by two trained lay moderators, at least one of whom has a chronic condition.
Piloting the online CDSMP allows Group Health to learn about and maximize the program's impact in the Group Health system before launching a full-scale program. Since web-based interventions are increasingly recognized as holding promise in health care, our learnings and recommendations will likely be applicable beyond this innovation. The pilot provides GH the opportunity to explore the following about the online CDSMP and web-based tools, in general:
- Impact of the online CDSMP on participants' psychosocial and health status, health behaviors, and health service utilization
- Efficient processes for incorporating the online CDSMP into existing operations through use of PDCA cycles
- An understanding of demographic characteristics of members who are more likely to participate in an online self-management program than an in-person program
- Effective recruitment and retention strategies
- Feasibility of sustaining the program without external funding
- Recommendations for successful implementation of future innovations that utilize web-based media, social networking technology, etc.
Tipo de estudio
Inscripción (Actual)
Fase
- No aplica
Contactos y Ubicaciones
Ubicaciones de estudio
-
-
Washington
-
Seattle, Washington, Estados Unidos, 98112
- Group Health Cooperative
-
-
Criterios de participación
Criterio de elegibilidad
Edades elegibles para estudiar
Acepta Voluntarios Saludables
Géneros elegibles para el estudio
Descripción
Inclusion Criteria:
- Group Health member
- Have access to Group Health enhanced online services
- one or more chronic conditions or a caregiver of someone who fits that criteria
- 18 years of age or older
Exclusion Criteria:
- Not a Group Health member
- No access to Group Health enhanced online services
- No chronic conditions and not a caregiver of someone with a chronic condition
- Under 18 years of age
Plan de estudios
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Cuidados de apoyo
- Asignación: N / A
- Modelo Intervencionista: Asignación de un solo grupo
- Enmascaramiento: Ninguno (etiqueta abierta)
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
|
Experimental: On-line workshop
The online CDSMP is an internet-based program for people with 1 or more chronic conditions.
It's built on self-efficacy theory, facilitated by lay leaders, and uses a curriculum emphasizing problem solving, decision making, and confidence building in weekly sessions over six weeks.
It addresses generic topics and skills relevant to managing any chronic condition, including: action plans; problem solving; nutrition; exercise; fatigue; breathing; managing medications; managing stress and emotions; working with health care providers.
The structure includes: 1) password-protected, interactive web-based instruction; 2) web-based bulletin board discussion groups to enable participatory learning and support; 3) and a reference book that contains the program content and supplemental information.
|
The online CDSMP is an internet-based program for people with 1 or more chronic conditions.
It's built on self-efficacy theory, facilitated by lay leaders, and uses a curriculum emphasizing problem solving, decision making, and confidence building in weekly sessions over six weeks.
It addresses generic topics and skills relevant to managing any chronic condition, including: action plans; problem solving; nutrition; exercise; fatigue; breathing; managing medications; managing stress and emotions; working with health care providers.
The structure includes: 1) password-protected, interactive web-based instruction; 2) web-based bulletin board discussion groups to enable participatory learning and support; 3) and a reference book that contains the program content and supplemental information.
Otros nombres:
|
¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
health outcomes
Periodo de tiempo: 6 months and 1 year after the intervention
|
health status; self-efficacy; activities of daily living; symptomatology; mood; weight
|
6 months and 1 year after the intervention
|
Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
|
health care utilization
Periodo de tiempo: 6 months and 1 year after intervention
|
number of physician visits, number of hospitalizations, number of nights in the hospital (all in past 6 months)
|
6 months and 1 year after intervention
|
|
health behaviors
Periodo de tiempo: 6 months and 1 year after interventio
|
physical activity; stress management; medication adherence; communication with health care team;
|
6 months and 1 year after interventio
|
Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Judith Schaefer, MPH, Group Health Research Institute
Fechas de registro del estudio
Fechas importantes del estudio
Inicio del estudio
Finalización primaria (Actual)
Finalización del estudio (Actual)
Fechas de registro del estudio
Enviado por primera vez
Primero enviado que cumplió con los criterios de control de calidad
Publicado por primera vez (Estimar)
Actualizaciones de registros de estudio
Última actualización publicada (Actual)
Última actualización enviada que cumplió con los criterios de control de calidad
Última verificación
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- 2008-Innov-4
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .