Evaluation of the Online Chronic Disease Self-Management Project at Group Health
調査の概要
詳細な説明
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.
研究の種類
入学 (実際)
段階
- 適用できない
連絡先と場所
研究場所
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Washington
-
Seattle、Washington、アメリカ、98112
- Group Health Cooperative
-
-
参加基準
適格基準
就学可能な年齢
健康ボランティアの受け入れ
受講資格のある性別
説明
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
研究計画
研究はどのように設計されていますか？
デザインの詳細
- 主な目的：支持療法
- 割り当て：なし
- 介入モデル：単一グループの割り当て
- マスキング：なし（オープンラベル）
武器と介入
参加者グループ / アーム |
介入・治療 |
|---|---|
|
実験的：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.
他の名前：
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この研究は何を測定していますか？
主要な結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
health outcomes
時間枠：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
|
二次結果の測定
結果測定 |
メジャーの説明 |
時間枠 |
|---|---|---|
|
health care utilization
時間枠：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
時間枠：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
|
協力者と研究者
スポンサー
捜査官
- 主任研究者：Judith Schaefer, MPH、Group Health Research Institute
研究記録日
主要日程の研究
研究開始
一次修了 (実際)
研究の完了 (実際)
試験登録日
最初に提出
QC基準を満たした最初の提出物
最初の投稿 (見積もり)
学習記録の更新
投稿された最後の更新 (実際)
QC基準を満たした最後の更新が送信されました
最終確認日
詳しくは
本研究に関する用語
その他の研究ID番号
- 2008-Innov-4
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