Implementing Practical Interventions to Support Chronic Illness Self-Management
The Joint Commission Journal on Quality and SafetyPublished 1 November 2003
Russell E. Glasgow, Connie L. Davis, Martha M. Funnell, Arne Beck
Citations343
Generate an AI Snapshot to get a quick, structured summary of this paper.
Study Snapshot
ObjectiveStudy objective
MethodsResearch methodology
PopulationPopulation studied
Sample sizeSample sizes
OutcomesStudy outcomes here
ResultsStudy results comes here
LimitationsResearch study limitations comes here
A concise AI-generated summary of the paper will appear here once you click Generate AI Snapshot.
TL;DR
Self-management should be an integral part of primary care, an ongoing iterative process, and patient centered; use collaborative goal setting and decision making; and include problem solving, outreach, and systematic follow-up.
Abstract
Self-management should be an integral part of primary care, an ongoing iterative process, and patient centered; use collaborative goal setting and decision making; and include problem solving, outreach, and systematic follow-up.
Keywords
MedicineHealth Professions
New England Journal of MedicineReduction in the Incidence of Type 2 Diabetes with Lifestyle Intervention or Metformin
19,026 Citations2002Diabetes Prevention Program Research Group
Lifestyle changes and treatment with metformin both reduced the incidence of diabetes in persons at high risk and the lifestyle intervention was more effective than meetformin.
Annals of Internal MedicineHealth Behavior and Health Education: Theory, Research, and Practice
13,310 Citations1992
Addressing behavioral risks and disparities, and the behaviors related to global health threats, such as flu pandemics, water shortages, increasingly harmful sun exposure, and the need to protect the health of the planet itself, will be critical to world health in the twenty-first century.
JAMAPatient Self-management of Chronic Disease in Primary Care
3,593 Citations2002Thomas Bodenheimer
Self-management education complements traditional patient education in supporting patients to live the best possible quality of life with their chronic condition, and may soon become an integral part of high-quality primary care.
Health AffairsImproving Chronic Illness Care: Translating Evidence Into Action
3,378 Citations2001Edward H. Wagner, Brian T. Austin +4 more
The CCM is described, its use in intensive quality improvement activities with more than 100 health care organizations, and insights gained in the process are described, to guide quality improvement.
Quality Management JournalThe Improvement Guide: A Practical Approach to Enhancing Organizational Performance
2,916 Citations1997
The slogan for quality improvement is, simply, “all improvements involve changes but not all changes are improvements,” and ENM employs this model and method to teach providers in SBHCs to identify practice changes that will lead to improved patient care and help reduce health care costs.
Patient Education and CounselingSelf-management approaches for people with chronic conditions: a review
2,835 Citations2002Julie Barlow, Chris Wright +3 more
Relapse prevention: Maintenance strategies in the treatment of addictive behaviors, 2nd ed.
2,769 Citations2005G. Alan Marlatt, Dennis M. Donovan
Haug, Sorensen, Gruber, Song, Relapse Prevention for Opioid Dependence, and Wheeler, George, Stoner, Enhancing the Relapse prevention model for Sex Offenders: Adding Recidivism Risk Reduction Therapy to Target Offenders' Dynamic Risk Needs.
Journal of Studies on AlcoholRelapse Prevention: Maintenance Strategies in the Treatment of Addictive Behaviors
2,548 Citations1986Arnold M. Washton
Medical CareEvidence Suggesting That a Chronic Disease Self-Management Program Can Improve Health Status While Reducing Hospitalization
2,245 Citations1999Kate Lorig, David S. Sobel +7 more
An intervention designed specifically to meet the needs of a heterogeneous group of chronic disease patients, including those with comorbid conditions, was feasible and beneficial beyond usual care in terms of improved health behaviors and health status.
Diabetes CareEffectiveness of Self-Management Training in Type 2 Diabetes
1,860 Citations2001Susan L. Norris, Michael M. Engelgau +1 more
Evidence supports the effectiveness of self-management training in type 2 diabetes, particularly in the short term, and further research is needed to assess the effectiveness on sustained glycemic control, cardiovascular disease risk factors, and ultimately, microvascular and cardiovascular disease and quality of life.
Diabetes CareSelf-Management Education for Adults With Type 2 Diabetes
1,764 Citations2002Susan L. Norris, Joseph Lau +3 more
Self-management education improves GHb levels at immediate follow-up, and increased contact time increases the effect, suggesting that learned behaviors change over time.
Harnessing Complexity: Organizational Implications of a Scientific Frontier
1,317 Citations2000Robert Axelrod, Michael D. Cohen
Annals of Internal MedicineCollaborative Management of Chronic Illness
1,277 Citations1997Michael Von Korff, Jessie Gruman +3 more
This work identified essential elements of collaborative management of chronic illness in light of behavioral principles and empirical evidence about enhancement of self-care, and discussed critical next steps to improve care of Chronic illness in organized health care systems.
Diabetes CareInterventions to Improve the Management of Diabetes in Primary Care, Outpatient, and Community Settings
1,067 Citations2001Carry M. Renders, Gerlof D. Valk +4 more
Multifaceted professional interventions and organizational interventions that facilitate structured and regular review of patients were effective in improving the process of care.
American Journal of Preventive MedicineEvaluating primary care behavioral counseling interventions An evidence-based approach
1,045 Citations2002Evelyn P Whitlock
Two separate analytic frameworks derived from screening topic tools that are developed to guide USPSTF behavioral topic reviews are presented and the use of the Five A's construct-assess, advise, agree, assist, and arrange-adapted from tobacco cessation interventions in clinical care provides a workable framework to report behavioral counseling intervention review findings.
Jossey-Bass Publishers eBooksThe improvement guide : a practical approach to enhancing organizational performance
884 Citations1996Gerald J. Langley
BMJA primer on leading the improvement of systems: Fig 1
789 Citations1996Don Berwick
The mother handed me her up to date list of treatments, including nebuliser treatment with β2 agonists, that she had administered with equipment that had been installed in her home, having been trained by the asthma outreach nurse.
The Joint Commission Journal on Quality ImprovementQuality Improvement in Chronic Illness Care: A Collaborative Approach
732 Citations2001Edward H. Wagner, Russell E. Glasgow +6 more
The initial Chronic Illness BTS was sufficiently encouraging that replication and evaluation of the BTS collaborative model is being conducted in more than 50 health care systems for diabetes, congestive heart failure, depression, and asthma.
Annals of Internal MedicineNurse Case Management To Improve Glycemic Control in Diabetic Patients in a Health Maintenance Organization
557 Citations1998Ronald E. Aubert, William H. Herman +6 more
A 12-month randomized, controlled trial compared a nurse case management model of diabetes care with usual diabetes management in a primary care setting and showed a strong association between algorithm-directed nurse interventions and improved glycemic control.
American Journal of Preventive MedicineThe effectiveness of disease and case management for people with diabetesA systematic review
500 Citations2002Susan L. Norris, Phyllis Nichols +8 more
Evidence supports the effectiveness of disease management on glycemic control; on screening for diabetic retinopathy, foot lesions and peripheral neuropathy, and proteinuria; and on the monitoring of lipid concentrations.
Journal of Aging and HealthSelf-Management of Chronic Disease by Older Adults
492 Citations1991Noreen M. Clark, Marshall H. Becker +4 more
There are strong commonalities in the essential nature of tasks that exist across disease entities and the context for self-management of disease by the ill elderly is likely to differ somewhat from the contexts for other age groups.
Health Education QuarterlyArthritis Self-Management Studies: A Twelve-Year Review
433 Citations1993Kate Lorig, Halsted R. Holman
The ASMP in randomized trails improves behaviors, self-efficacy, and aspects of health status, and the mechanism by which the ASMP affects health status appears to be more closely linked to changes in self- efficacy than toChanges in behaviors.
Diabetes CareChronic Care Clinics for Diabetes in Primary Care
411 Citations2001Edward H. Wagner, Louis C. Grothaus +5 more
periodic primary care sessions organized to meet the complex needs of diabetic patients imrproved the process of diabetes care and were associated with better outcomes, including patient satisfaction and HbA1c levels.
Annals of Behavioral MedicineSelf-Management aspects of the improving chronic illness care breakthrough series: Implementation with diabetes and heart failure teams
385 Citations2002Russell E. Glasgow, Martha M. Funnell +4 more
Improvements were found for both diabetes and heart failure teams, suggesting that this improvement process may be broadly applicable and lessons learned, keys to suc cess, and directions for future research and practice are discussed.
Diabetes CareDiabetes management in a health maintenance organization. Efficacy of care management using cluster visits.
350 Citations1999C N Sadur, N. Moline +8 more
A 6-month cluster visit group model of care for adults with diabetes improved glycemic control, self-efficacy, and patient satisfaction and resulted in a reduction in health care utilization after the program.
Journal of the American Geriatrics SocietyA Randomized Trial of Group Outpatient Visits for Chronically Ill Older HMO Members: The Cooperative Health Care Clinic
303 Citations1997Arne Beck, John C. Scott +5 more
The impact of group outpatient visits to traditional “physician‐patient dyad” care among older chronically ill HMO members on health services utilization and cost, self‐reported health status, and patient and physician satisfaction is compared.
Medical CareThe Effect of Automated Calls With Telephone Nurse Follow-Up on Patient-Centered Outcomes of Diabetes Care
263 Citations2000John D. Piette, Morris Weinberger +1 more
This intervention had several positive effects on patient-centered outcomes of care but no measurable effects on anxiety or HRQL.
Health Education QuarterlyA School Health Education Program for Children with Asthma Aged 8-11 Years
225 Citations1987David Evans, Noreen M. Clark +7 more
It was hypothesized that a health education program for children with asthma aged 8-11 years that was delivered in elementary schools, would increase children's asthma management skills, self-efficacy and influence on parents' management decisions and improve school performance.
Diabetes CareReport of the Health Care Delivery Work Group
175 Citations2001Russell E. Glasgow, Roland G. Hiss +6 more
The quality of care provided to the vast majority of diabetic patients is problematic, but this is principally not the fault of either individual patients or health care professionals, and it is a systems issue emanating from the acute illness model of care.
Medical Entomology and ZoologyThe Art of Empowerment : Stories and Strategies for Diabetes Educators
109 Citations2003Bob Anderson, Martha M. Funnell
This book will discover how to structure a richer learning environment for patients using interactive techniques as well as philosophical and practical approaches that will benefit the novice to the expert.
Journal of Continuing Education in the Health ProfessionsCan we alter physician behavior by educational methods? Lessons learned from studies of the management and follow-up of hypertension
99 Citations2002Karen Tu, Dave Davis
Although physician educational interventions, especially reminders, improved the follow‐up of hypertension, they were ineffective in changing blood pressure levels, however, they may have some utility in improving compliance with guideline recommendations.
Annals of Internal MedicineBarriers to Care in Non-Insulin-dependent Diabetes Mellitus: The Michigan Experience
94 Citations1996Roland G. Hiss
American Journal of Preventive MedicinePreventive care practices for diabetes management in two primary care samples
88 Citations2000Russell E. Glasgow, Lisa A. Strycker
Greater attention should be focused on self-management and patient-focused activities, given that these are delivered less frequently than medical/laboratory checks.
Medical Office‐based Interventions
66 Citations2000Russell E. Glasgow, Elizabeth Eakin
Current Diabetes ReportsChanging office practice and health care systems to facilitate diabetes self-management
61 Citations2003Martha M. Funnell, Robert M. Anderson
In order to provide effective diabetes education and ongoing support, office practices and health care systems will have to fundamentally redefine the roles of health professionals and patients with diabetes, and redesign practices and systems to allow for effective long-term self-management education and support.
Diabetes SpectrumMaking a Difference With Interactive Technology: Considerations in Using and Evaluating Computerized Aids for Diabetes Self-Management Education
45 Citations2001Russell E. Glasgow, Sheana Bull
The strengths and limitations of interactive technologies as supplements to and extensions of diabetes self-management education and the RE-AIM framework is used to consider how different interactive technologies have been used to enhance the Reach, Effectiveness, Adoption, Implementation, and Maintenance of interventions.
Current Diabetes ReportsEnhancing support via interactive technologies
41 Citations2002John D. Piette
Recent evidence regarding the feasibility and impact of 1) clinic-based CD-ROM systems supporting behavior change; 2) automated telephone diabetes management allowing for ongoing monitoring and patient education between face-to-face clinical encounters; and 3) Web-based systems focusing on a range of diabetes management goals are described.
Annals of Internal MedicineForum Three: Changes in the U.S. Health Care System That Would Facilitate Improved Care for Non-Insulin-dependent Diabetes Mellitus
21 Citations1996Roland G. Hiss, Sheldon Greenfield
After the presentations by several authorities on intensification of noninsulin-dependent diabetes mellitus (NIDDM) therapy, all conference attendees were divided into three groups (fora) to discuss and make recommendations about a major aspect of NIDDM.
