Abstract :
Objectives: To evaluate the locally-adapted CDSMP for older adults with chronic diseases in
Hong Kong in the primary care setting. Design: A longitudinal, quasi-experimental study. Setting:
Community-based and primary care setting. Participants: Seven hundred and seventy-two participants aged
55 or above with at least one chronic disease and were living in the community. Intervention: The 6-weeks
programme consisted of 6 group sessions, with each session lasting for 2.5 hours. Trained professional and
elder lay leaders facilitated participants to gain essential self-management knowledge and skills for the
effective management of chronic diseases. Measurements: At baseline and 6 months, four categories of
outcome measures were documented, covering self-management behaviours, self-efficacy, health status, and
health care utilization. Results: 302 and 298 participants in the intervention and control groups completed 6
months follow-up respectively. Participants in the intervention group reported significant improvements in
all self-management behaviours and self-efficacy measures, and 5 health status measures (social role
limitation, depressive symptoms, health distress, symptoms of pain and discomfort, and self-rated health)
when compared with those in the control group. Conclusions: The locally-adapted CDSMP may improve
self-management behaviours, self-efficacy and health status among older adults with chronic diseases in
Hong Kong. CDSMP may be integrated into primary care services for older adults.
Keywords :
chronic disease , primary care , Elderly. , Self-management
