Abstract：
BACKGROUND:Self-management has become the dominant care model for chronic disease management. This study aimed to investigate the effect of changes in self-management strategies on the clinical outcomes of chronic diseases. METHODS:Two hundred ninety-seven patients with one or more chronic disease (diabetes, dyslipidemia, or hypertension) were registered and followed in this prospective cohort study. We compared differences in the changes in clinical outcomes from baseline to 6 months according to the improvement of self-management strategies by analysis of covariance. RESULTS:Diabetic patients with improved self-management strategies showed a significantly greater change in HbA1c levels compared to patients without improvement of self-management strategies (group difference in HbA1c = 0.51%). In hypertensive patients, systolic and diastolic blood pressure (BP) showed a significant decline in the patients with improved self-management strategies (group difference in systolic BP = 6.2 mmHg and in diastolic BP = 5.5 mmHg). Clinical outcomes improved significantly when self-management strategies improved in people with a poor self-management strategy at baseline. CONCLUSIONS:This study suggests that improvements in self-management strategies are associated with an improvement in clinical outcomes among patients with chronic diseases, especially for those with an initially poor self-management strategy.
journal_name
Int J Behav Medjournal_title
International journal of behavioral medicineauthors
Kang E,Kim KH,Cho YM,Park SM,Kim YJ,Lee HY,Rhee YE,Kim S,Yun YHdoi
10.1007/s12529-020-09937-xsubject
Has Abstractpub_date
2020-11-10 00:00:00eissn
1070-5503issn
1532-7558pii
10.1007/s12529-020-09937-xpub_type
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