The Role of Self-Efficacy in Mediating the Health Status of the Chronically Ill

2.50
Hdl Handle:
http://hdl.handle.net/10755/156627
Type:
Presentation
Title:
The Role of Self-Efficacy in Mediating the Health Status of the Chronically Ill
Abstract:
The Role of Self-Efficacy in Mediating the Health Status of the Chronically Ill
Conference Sponsor:Sigma Theta Tau International
Conference Year:2003
Conference Date:July 10-12, 2003
Author:Farrell, Kathleen, DNSc
P.I. Institution Name:Murray State University
Title:Lecturer
Co-Authors:Mona N. Wicks, Judy Carbage Martin, Nancy D. French
Objective: This study examined if participation in a chronic disease self-management program (CDSMP) improved self-efficacy, self-management behavior, health status, health care utilization, and clinical outcomes in an underserved rural population.<P> Design: Quasi-experimental pre-test, post-test design was used.<P> Sample, Setting: The sample, recruited from two rural clinics in a south central state, consisted of 48 middle and older adults (59.70+11.22 years) and was 79% Caucasian (n=38) and 20.8% (n=10) African American.<P> Concept: The study framework was based on Bandura’s self-efficacy theory.<P> Intervention: A chronically ill, master trainer and trained lay-leader directed the interactive CDSMP. CDSMP content included strategies to develop a personal exercise program, cognitive symptom management, problem solving, and communication skills. <P> Variables: Self-efficacy, self-management behavior, health status, health care utilization, blood pressure, low-density lipoprotein, glycosated hemoglobin, and body mass index were evaluated before and after the intervention.<P> Method: Program-specific paper and pencil instruments were completed during the first class and immediately after completion of the 6-week program.<P> Findings: Significant improvements (p< .10) in self-efficacy, self-efficacy health, health behaviors, perceived health status, and diastolic blood pressures occurred. Cognitive symptom management, health distress, and energy/fatigue significantly improved. There were no significant improvements in health care utilization or most clinical outcomes. Clinically significant reductions in fatigue, shortness of breath, and glycosated hemoglobin occurred, but these results were not statistically significant. <P> Conclusions: The CDSMP was efficacious in the study sample, improving self-efficacy, self-efficacy health, cognitive symptom management, and perceived health status. Longer follow up may be needed to detect improvements in clinical outcomes and health care utilization as underserved rural populations are disproportionately affected by chronic disease and its complications.<P> Implications: Results underscore the need to evaluate intervention programs for specific populations and for a new paradigm that focuses on patient-provider partnerships that can significantly improve health outcomes in rural, underserved populations.
Repository Posting Date:
26-Oct-2011
Date of Publication:
10-Jul-2003
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleThe Role of Self-Efficacy in Mediating the Health Status of the Chronically Illen_GB
dc.identifier.urihttp://hdl.handle.net/10755/156627-
dc.description.abstract<table><tr><td colspan="2" class="item-title">The Role of Self-Efficacy in Mediating the Health Status of the Chronically Ill</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2003</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 10-12, 2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Farrell, Kathleen, DNSc</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Murray State University</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Lecturer</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">kathleen.farrell@murraystate.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Mona N. Wicks, Judy Carbage Martin, Nancy D. French</td></tr><tr><td colspan="2" class="item-abstract">Objective: This study examined if participation in a chronic disease self-management program (CDSMP) improved self-efficacy, self-management behavior, health status, health care utilization, and clinical outcomes in an underserved rural population.&lt;P&gt; Design: Quasi-experimental pre-test, post-test design was used.&lt;P&gt; Sample, Setting: The sample, recruited from two rural clinics in a south central state, consisted of 48 middle and older adults (59.70+11.22 years) and was 79% Caucasian (n=38) and 20.8% (n=10) African American.&lt;P&gt; Concept: The study framework was based on Bandura&rsquo;s self-efficacy theory.&lt;P&gt; Intervention: A chronically ill, master trainer and trained lay-leader directed the interactive CDSMP. CDSMP content included strategies to develop a personal exercise program, cognitive symptom management, problem solving, and communication skills. &lt;P&gt; Variables: Self-efficacy, self-management behavior, health status, health care utilization, blood pressure, low-density lipoprotein, glycosated hemoglobin, and body mass index were evaluated before and after the intervention.&lt;P&gt; Method: Program-specific paper and pencil instruments were completed during the first class and immediately after completion of the 6-week program.&lt;P&gt; Findings: Significant improvements (p&lt; .10) in self-efficacy, self-efficacy health, health behaviors, perceived health status, and diastolic blood pressures occurred. Cognitive symptom management, health distress, and energy/fatigue significantly improved. There were no significant improvements in health care utilization or most clinical outcomes. Clinically significant reductions in fatigue, shortness of breath, and glycosated hemoglobin occurred, but these results were not statistically significant. &lt;P&gt; Conclusions: The CDSMP was efficacious in the study sample, improving self-efficacy, self-efficacy health, cognitive symptom management, and perceived health status. Longer follow up may be needed to detect improvements in clinical outcomes and health care utilization as underserved rural populations are disproportionately affected by chronic disease and its complications.&lt;P&gt; Implications: Results underscore the need to evaluate intervention programs for specific populations and for a new paradigm that focuses on patient-provider partnerships that can significantly improve health outcomes in rural, underserved populations.</td></tr></table>en_GB
dc.date.available2011-10-26T14:58:05Z-
dc.date.issued2003-07-10en_GB
dc.date.accessioned2011-10-26T14:58:05Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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