Texas A&M Health Science Center, College Station, TX, USA.
J Aging Health. 2013 Oct;25(7):1258-74. doi: 10.1177/0898264313502531.
To investigate how the Chronic Disease Self-Management Program (CDSMP) changes health outcomes, lifestyle behaviors, and health care service utilization over a 6 month period.
The participants were 1,170 adults enrolled in the National Study of CDSMP in 2010-2012 (M age=65.4 years). Six-month assessments were available for 903 participants. Linear mixed models and generalized linear mixed models were used to assess the changes between baseline and 6-month assessment for primary and secondary outcomes among CDSMP participants.
Social/role activities limitations, depression, and communication with physicians improved significantly from baseline to 6-month follow-up. Study participants reported significant improvements in more physical activity and less emergency room (ER) visits and hospitalization during that period.
Nationally, CDSMP not only improves health outcomes and lifestyle behaviors but also decreases costly ER visits and hospitalization. Geriatricians and other primary care providers should be encouraged to refer patients with chronic conditions to such self-management programs.
探究慢性病自我管理计划（CDSMP）如何在 6 个月内改变健康结果、生活方式行为和医疗保健服务的利用情况。
参与者为 2010-2012 年参加国家 CDSMP 研究的 1170 名成年人（M 年龄=65.4 岁）。903 名参与者可获得 6 个月评估。线性混合模型和广义线性混合模型用于评估 CDSMP 参与者在基线和 6 个月评估之间的主要和次要结果的变化。
社会/角色活动受限、抑郁和与医生的沟通从基线到 6 个月随访显著改善。研究参与者报告称，在此期间他们的体力活动增加了，急诊室（ER）就诊和住院次数减少了。
在全国范围内，CDSMP 不仅改善了健康结果和生活方式行为，还降低了昂贵的急诊室就诊和住院费用。老年病学家和其他初级保健提供者应鼓励将慢性病患者转介到此类自我管理计划中。
