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Diabetes Educ. 2005 May-Jun;31(3):401-9.

Outcomes of border health Spanish/English chronic disease self-management programs.

Author information

1
Patient Education Research Center, Stanford University, Stanford, California, USA. lorig@stanford.edu

Abstract

PURPOSE:

The purpose of this study was to evaluate the community-based Chronic Disease Self-management Program (CDSMP) and the Spanish-language version (Tomando Control de Su Salud) programs as delivered in settings along the Texas/New Mexico/Mexico border. The programs had proven effective in randomized trials, and the authors wished to determine if they would be as effective when administered by others to different populations.

METHODS:

The El Paso Diabetes Association administered the CDSMP and Tomando to 445 persons with chronic illness (two thirds with diabetes) in Texas, New Mexico, and Mexico. Four-month and 1-year outcomes were compared to baseline using t tests of change scores. Regression models were used to test whether baseline demographics and self-efficacy were associated with positive outcomes of the programs.

RESULTS:

Participants showed improvements in health behaviors, health status, and self-efficacy at both 4 month and 1 year. Baseline self-efficacy and 4-month change in self-efficacy were significantly associated with improved 1-year outcomes.

CONCLUSIONS:

The CDSMP and Tomando are effective when used in settings other than that of the original study for populations other than those for which they were initially developed.

PMID:
15919640
DOI:
10.1177/0145721705276574
[Indexed for MEDLINE]
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