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Evaluation Design of EFFICHRONIC: The Chronic Disease Self-Management Programme (CDSMP) Intervention for Citizens with a Low Socioeconomic Position

1
Department of Public Health, Erasmus MC University Medical Center, P.O. Box 2040, 3000 CA Rotterdam, The Netherlands
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Fundación para el Fomento en Asturias de la Investigación Científica Aplicada y la Tecnología (FICYT), Cabo Noval St, 11, 1ºC, 33007 Oviedo–Asturias, Spain
3
Public Health General Directorate, Principality of Asturias (CSPA), C/ Ciriaco Miguel Vigil 9, 33006 Oviedo, Spain
4
Quality Institute for Self Management Education & Training (QISMET), Harbour Court, Compass Road, North Harbour, Portsmouth, Hampshire PO6 4ST, UK
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Clinical Immunology and Osteoarticular Diseases Therapeutic Unit, Lapeyronie University Hospital, Montpellier, 371, Avenue du Doyen Gaston Giraud, 34295 Montpellier CEDEX 5, France
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Department of Geriatric Care, Orthogeriatrics and Rehabilitation, E.O. Galliera Hospital, Mura delle Cappuccine 14, 16128 Genoa, Italy
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2019, 16(11), 1883; https://doi.org/10.3390/ijerph16111883
Received: 8 April 2019 / Revised: 14 May 2019 / Accepted: 25 May 2019 / Published: 28 May 2019
(This article belongs to the Section Health Behavior, Chronic Disease and Health Promotion)
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Abstract

Background/rationale: The Chronic Disease Self-Management Programme (CDSMP) intervention is an evidence-based program that aims to encourage citizens with a chronic condition, as well as their caregivers, to better manage and maintain their own health. CDSMP intervention is expected to achieve greater health gains in citizens with a low socioeconomic position (SEP), because citizens with a low SEP have fewer opportunities to adhere to a healthy lifestyle, more adverse chronic conditions and a poorer overall health compared to citizens with a higher SEP. In the EFFICHRONIC project, CDSMP intervention is offered specifically to adults with a chronic condition and a low SEP, as well as to their caregivers (target population). Study objective: The objective of our study is to evaluate the benefits of offering CDSMP intervention to the target population. Methods: A total of 2500 participants (500 in each study site) are recruited to receive the CDSMP intervention. The evaluation study has a pre-post design. Data will be collected from participants before the start of the intervention (baseline) and six months later (follow up). Benefits of the intervention include self-management in healthy lifestyle, depression, sleep and fatigue, medication adherence and health-related quality of life, health literacy, communication with healthcare professionals, prevalence of perceived medical errors and satisfaction with the intervention. The study further includes a preliminary cost-effectiveness analysis with a time horizon of six months. Conclusion: The EFFICHRONIC project will measure the effects of the CDSMP intervention on the target population and the societal cost savings in five European settings. View Full-Text
Keywords: Chronic conditions; Prevention; Self-management; citizens with a low SEP; pre-post cohort study; caregivers; vulnerability Chronic conditions; Prevention; Self-management; citizens with a low SEP; pre-post cohort study; caregivers; vulnerability
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Tan, S.S.; Pisano, M.M.; Boone, A.L.; Baker, G.; Pers, Y.-M.; Pilotto, A.; Valsecchi, V.; Zora, S.; Zhang, X.; Fierloos, I.; Raat, H. Evaluation Design of EFFICHRONIC: The Chronic Disease Self-Management Programme (CDSMP) Intervention for Citizens with a Low Socioeconomic Position. Int. J. Environ. Res. Public Health 2019, 16, 1883.

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