Chronic disease self-management improved with enhanced self-efficacy

Kathleen Farrell, Mona Wicks, Judy C. Martin

Research output: Contribution to journalArticle

73 Citations (Scopus)

Abstract

This pilot study used a quasi-experimental pretest-posttest design to examine if participation in a chronic disease self-management program (CDSMP) improved self-efficacy, self-efficacy health, and self-management behaviors in an underserved, poor, rural population. The sample, recruited from two clinics in a south central state, consisted of 48 adults (59.70 ± 11.22 years) and was 79.2% Caucasian (n = 38) and 20.8% (n = 10) African American. Trained lay leaders with chronic illnesses directed the interactive CDSMP based on Bandura's self-efficacy theory that included strategies for personal exercise program development, cognitive symptom management, problem solving, and communication skills. Program-specific paper-and-pencil instruments were completed prior to and immediately after completion of the 6-week program. Significant improvements (p < .10) in self-efficacy, self-efficacy health, and self-management behaviors occurred. Results underscore the need to evaluate intervention programs for specific populations and for a new paradigm that focuses on patient-provider partnerships that can improve health outcomes in underserved, poor, rural populations.

Original languageEnglish (US)
Pages (from-to)289-308
Number of pages20
JournalClinical Nursing Research
Volume13
Issue number4
DOIs
StatePublished - Nov 1 2004

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Self Efficacy
Self Care
Disease Management
Chronic Disease
Rural Population
Health
Neurobehavioral Manifestations
Program Development
Population Control
African Americans
Communication
Exercise

All Science Journal Classification (ASJC) codes

  • Nursing(all)

Cite this

Chronic disease self-management improved with enhanced self-efficacy. / Farrell, Kathleen; Wicks, Mona; Martin, Judy C.

In: Clinical Nursing Research, Vol. 13, No. 4, 01.11.2004, p. 289-308.

Research output: Contribution to journalArticle

Farrell, Kathleen ; Wicks, Mona ; Martin, Judy C. / Chronic disease self-management improved with enhanced self-efficacy. In: Clinical Nursing Research. 2004 ; Vol. 13, No. 4. pp. 289-308.
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