Abstract:
BACKGROUND:Self-care management is recognized as a key component of care for multimorbid older adults; however, the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and strategies to maximize participation in such programs are unknown. OBJECTIVES:To identify individual factors associated with attending CDSM programs in a sample of multimorbid older adults. RESEARCH DESIGN:Participants in the intervention arm of a matched-pair cluster-randomized controlled trial of the Guided Care model were invited to attend a 6-session CDSM course. Logistic regression was used to identify factors independently associated with attendance. SUBJECTS:All subjects (N = 241) were aged 65 years or older, were at high risk for health care utilization, and were not homebound. MEASURES:Baseline information on demographics, health status, health activities, and quality of care was available for CDSM participants and nonparticipants. Participation was defined as attendance at 5 or more CDSM sessions. RESULTS:A total of 22.8% of multimorbid older adults who were invited to CDSM courses participated in 5 or more sessions. Having better physical health (odds ratio [95% confidence interval] = 2.3 [1.1-4.8]) and rating one's physician poorly on support for patient activation (odds ratio [95% confidence interval] = 2.8 [1.3-6.0]) were independently associated with attendance. CONCLUSIONS:Multimorbid older adults who are in better physical health and who are dissatisfied with their physicians' support for patient activation are more likely to participate in CDSM courses.
journal_name
Med Carejournal_title
Medical careauthors
Dattalo M,Giovannetti ER,Scharfstein D,Boult C,Wegener S,Wolff JL,Leff B,Frick KD,Reider L,Frey K,Noronha G,Boyd Cdoi
10.1097/MLR.0b013e318268abe7subject
Has Abstractpub_date
2012-12-01 00:00:00pages
1071-5issue
12eissn
0025-7079issn
1537-1948journal_volume
50pub_type
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