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- Title
Implementation and evolution of a regional chronic disease self-management program.
- Authors
Liddy, Clare; Johnston, Sharon; Nash, Kate; Irving, Hannah; Davidson, Rachel
- Abstract
<bold>Objective: </bold>To establish a comprehensive, community-based program to improve and sustain self-management support for individuals with chronic diseases and complement office-based strategies to support behaviour change.<bold>Participants: </bold>Health service delivery organizations.<bold>Setting: </bold>The Champlain Local Health Integration Network (LHIN), a health district in Eastern Ontario.<bold>Intervention: </bold>We created Living Healthy Champlain (LHC), a regional organization providing peer leader training and coordination for the group Stanford Chronic Disease Self-Management Program (CDSMP); skills training and mentorship in behaviour change approaches for health care providers; and support to organizations to integrate self-management support into routine practice. We used the RE-AIM framework to evaluate the overall program's impact by exploring its reach, effectiveness, adoption, implementation and maintenance.<bold>Outcome: </bold>A total of 232 Stanford CDSMP sessions (63 during the pilot project and 169 post-pilot) have been held at 127 locations in 24 cities across the Champlain LHIN, reaching approximately 4,000 patients. The effectiveness of the service was established through ongoing evidence reviews, a focus group and a pre-post utilization study of the pilot. LHC trained over 300 peer volunteers to provide the Stanford CDSMP sessions, 98 of whom continue to activelyhost workshops. An additional 1,327 providers have been trained in other models of self-management support, such as Health Coaching and Motivational Interviewing. Over the study period, LHC grew from a small pilot project to a regional initiative with sustainable provincial funding and was adopted by the province as a model for similar service delivery across Ontario.<bold>Conclusion: </bold>A community-based self-management program working in partnership with primary care can be effectively and broadly implemented in support of patients living with chronic conditions.
- Subjects
ONTARIO; CHRONIC diseases &; psychology; CHRONIC disease treatment; HEALTH self-care; COMMUNITY health services administration; FOCUS groups; PATIENT-professional relations; MEDICAL personnel; PRIMARY health care; PILOT projects; SOCIAL support; HUMAN services programs; EVALUATION of human services programs; PSYCHOLOGY
- Publication
Canadian Journal of Public Health, 2016, Vol 107, Issue 2, pe194
- ISSN
0008-4263
- Publication type
journal article
- DOI
10.17269/cjph.107.5126