Objective
This study assessed the feasibility of the Chronic Disease Self-Management Program
(CDSMP) among patients with congestive heart failure (CHF). The program emphasizes
patients' central role and responsibility in managing their illness.
Methods
Patients were randomly assigned to the program, which was led by a cardiac nurse specialist
and a CHF patient. Data on performance according to protocol, adherence, and opinion
about the program were collected among 186 patients and 18 leaders.
Results
Eighty percent of the group sessions were carried out largely according to protocol.
Three fourths of the patients attended at least 4 of the 6 sessions. Female sex and
lower New York Heart Association classification predicted good attendance.
Conclusion
Directly after the program and at 12-month follow-up, approximately three fourths
of the patients stated that they had benefited from the program. Recommendations mainly
concerned spending more time on several program topics and specifying patient-selection
criteria in more detail. The program was considered feasible.
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Article info
Publication history
Published online: April 03, 2009
Identification
Copyright
© 2009 Mosby, Inc. Published by Elsevier Inc. All rights reserved.
