The Effectiveness of the Chronic Disease Self-Management Program in Improving Patients’ Self-Efficacy and Health-Related Behaviors: A Quasi-Experimental Study
Abstract
:1. Introduction
2. Materials and Methods
2.1. Study Design and Setting
2.2. Participants
2.3. Measures
2.4. Translation and Readability Assessment
2.5. Procedures
2.6. Intervention Fidelity
2.7. Data Analysis
2.8. Ethical Approval
3. Results
3.1. Enrollment and Demographics
3.2. Baseline Characteristics
3.3. Comparison between the Groups at 6 Months
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
References
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Intervention (n = 45) | Control (n = 65) | x2/t-Value | |
---|---|---|---|
Mean Age (SD) | 43.40 (6.94) | 48.97 (14.58) | 2.76 *** |
Sex | 5.23 * | ||
Female (%) | 50 | 50 | |
Male (%) | 29.2 | 70.8 | |
Education | 8.43 ** | ||
Higher Education (%) | 46.3 | 53.7 | |
Lower Education (%) | 72.3 | 27.7 | |
Income | 30.43 *** | ||
<9000 Riyals (%) | 22.2 | 77.8 | |
>9000 Riyals (%) | 72.5 | 27.5 | |
Mean Medication Numbers (SD) | 2 (1.19) | 3.35 (2.30) | 3.77 ** |
Mean History of Chronic Diseases in Years (SD) | 9.95 (8.60) | 9.29 (7.21) | 0.40 |
Comorbidity | |||
Living with One Chronic Disease (%) | 47.2 | 52.8 | 2.37 |
Living with ≥One Chronic Disease (%) | 29 | 71 | |
Disease Management Support | 10.03 ** | ||
Family Support (%) | 21.1 | 78.9 | |
By the Patient (%) | 53.8 | 46.2 |
Outcome Measures | Mean (SD) | t-Value | |
---|---|---|---|
Intervention | Control | ||
Self-Management Behaviors (range 19–76) $ | 47.65 (9.73) | 50.25 (9.90) | 0.99 |
Self-Efficacy (range 6–60) $ | 34.72 (13.64) | 33.10 (11.75) | 1.68 |
Health-Related Outcomes | |||
Cognitive Symptom Management (range 0–30) $ | 13.60 (4.69) | 12.26 (6.40) | 1.88 |
Illness Intrusiveness (range 13–91) $ | 57.25 (16.52) | 51.36 (15.67) | 1.56 |
Pain Severity (range 5–38) § | 20.04 (6.36) | 17.08 (8.24) | 1.95 |
Depressive Symptom (range 0–24) § | 9.27 (2.98) | 6.41 (5.77) | 2.82 ** |
Outcome Measure | Group | Mean | S.E. | 95% CI | F-Value |
---|---|---|---|---|---|
Self-Management Behaviors (range 19–76) $ | Intervention | 54.38 | 0.97 | 52.45–56.30 | 11.17 ** |
Control | 49.84 | 0.82 | 48.21–51.46 | ||
Self-Efficacy (range 6–60) $ | Intervention | 40.21 | 1.29 | 37.63–42.79 | 8.80 ** |
Control | 34.88 | 1.10 | 32.69–37.06 | ||
Health-related Outcomes | |||||
Cognitive Symptom Management (range 0–30) $ | Intervention | 17.22 | 0.76 | 15.71–18.74 | 26.50 *** |
Control | 12.27 | 0.64 | 10.99–13.55 | ||
Illness Intrusiveness (range 13–91) $ | Intervention | 61.17 | 1.80 | 57.58–64.76 | 12.76 ** |
Control | 51.65 | 1.52 | 48.63–54.68 | ||
Pain Severity (range 5–38) § | Intervention | 14.20 | 0.88 | 12.45–15.95 | 8.22 ** |
Control | 17.32 | 0.77 | 15.84–18.79 | ||
Depressive Symptom (range 0–24) § | Intervention | 4.16 | 0.46 | 3.23–5.08 | 16.22 *** |
Control | 7.35 | 0.39 | 6.57–8.12 |
Outcome Measures | Intervention | Control | ||||
---|---|---|---|---|---|---|
Pretest Mean (SD) | Posttest Mean (SD) | t-Test | Pretest Mean (SD) | Posttest Mean (SD) | t-Test | |
Self-Management Behaviors (range 19–76) $ | 47.65 (9.73) | 53.76 (8.03) | 3.91 *** | 50.25 (9.90) | 50.12 (8.85) | 0.35 |
Self-Efficacy (range 6–60) $ | 34.72 (13.64) | 40.04 (12.95) | 1.98 * | 33.10 (11.75) | 33.95 (11.47) | 1.71 |
Cognitive Symptom Management (range 0–30) $ | 13.60 (4.69) | 17.11 (5.60) | 4.10 *** | 12.26 (6.40) | 11.46 (6.52) | 0.48 |
Illness Intrusiveness (range 13–91) $ | 57.25 (16.52) | 61.06 (17.27) | 2.28 * | 51.36 (15.67) | 49.83 (14.51) | 0.66 |
Pain Severity (range 5–38) § | 20.04 (6.36) | 15.02 (3.46) | 4.52 *** | 17.08 (8.24) | 16.40 (8.57) | 0.65 |
Depressive Symptom (range 0–24) § | 9.27 (2.98) | 5.06 (3.28) | 8.01 *** | 6.41 (5.77) | 6.53 (4.81) | 0.65 |
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Kerari, A.; Bahari, G.; Alharbi, K.; Alenazi, L. The Effectiveness of the Chronic Disease Self-Management Program in Improving Patients’ Self-Efficacy and Health-Related Behaviors: A Quasi-Experimental Study. Healthcare 2024, 12, 778. https://doi.org/10.3390/healthcare12070778
Kerari A, Bahari G, Alharbi K, Alenazi L. The Effectiveness of the Chronic Disease Self-Management Program in Improving Patients’ Self-Efficacy and Health-Related Behaviors: A Quasi-Experimental Study. Healthcare. 2024; 12(7):778. https://doi.org/10.3390/healthcare12070778
Chicago/Turabian StyleKerari, Ali, Ghareeb Bahari, Kholoud Alharbi, and Latifah Alenazi. 2024. "The Effectiveness of the Chronic Disease Self-Management Program in Improving Patients’ Self-Efficacy and Health-Related Behaviors: A Quasi-Experimental Study" Healthcare 12, no. 7: 778. https://doi.org/10.3390/healthcare12070778