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Chronic disease self-management program for Chinese patients: a preliminary multi-baseline study

Chan, Sam C.C.; Siu, Andrew M.H.; Poon, Peter K.K.; Chan, Chetwyn C.H.

International Journal of Rehabilitation Research: December 2005 - Volume 28 - Issue 4 - p 351-354
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This study reports the preliminary findings on the effects of the Chronic Disease Self-management Program on a group of Chinese participants who suffered from chronic diseases. A total of 23 participants were recruited in a multi-baseline study protocol. Their self-management behaviors, self-efficacy and health status were captured over three baseline assessments and one post-test assessment. The results indicated significant increases in the performance of stretching exercises, the management of cognitive symptoms and communication with physicians. Their self-efficacy in terms of these aspects was found to be significantly increased. However, changes in other aspects of self-management which required more special skills and coordination with outside agencies were not significant. The changes in the physical and mental statuses of the participants were also not significant. It was observed that the positive effects of the program could be attributed to traditional Chinese beliefs of ‘self-discipline’ and a welcoming response towards self-efficacy strategies. Further studies should adhere to standards of a randomized clinical trial and further examine the mechanisms underpinning the changes in self-management behaviors among Chinese people with chronic diseases.

Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hong Kong

Correspondence and requests for reprints to A.M.H. Sui, Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong SAR, China

Tel: +852 2766 6753; fax: +852 2330 8656;

e-mail: rsandsiu@polyu.edu.hk

Received 7 December 2004 Accepted 27 January 2005

© 2005 Lippincott Williams & Wilkins, Inc.