Evaluation of the Online Chronic Disease Self-Management Project at Group Health

This study has been completed.
Sponsor:
Information provided by (Responsible Party):
Group Health Cooperative
ClinicalTrials.gov Identifier:
NCT01122823
First received: May 11, 2010
Last updated: August 23, 2013
Last verified: August 2013
  Purpose

The purpose of this study is to learn if Group Health members who participate in the online chronic disease self-management program will experience improved health outcomes, improved health care utilization, and lower costs.


Condition Intervention
Chronic Conditions
Behavioral: chronic disease self-management program (online)

Study Type: Interventional
Study Design: Endpoint Classification: Efficacy Study
Intervention Model: Single Group Assignment
Masking: Open Label
Primary Purpose: Supportive Care
Official Title: Evaluation of the Online Chronic Disease Self-Management Project at Group Health

Resource links provided by NLM:


Further study details as provided by Group Health Cooperative:

Primary Outcome Measures:
  • health outcomes [ Time Frame: 6 months and 1 year after the intervention ] [ Designated as safety issue: No ]
    health status; self-efficacy; activities of daily living; symptomatology; mood; weight


Secondary Outcome Measures:
  • health care utilization [ Time Frame: 6 months and 1 year after intervention ] [ Designated as safety issue: No ]
    number of physician visits, number of hospitalizations, number of nights in the hospital (all in past 6 months)

  • health behaviors [ Time Frame: 6 months and 1 year after interventio ] [ Designated as safety issue: No ]
    physical activity; stress management; medication adherence; communication with health care team;


Enrollment: 406
Study Start Date: February 2009
Study Completion Date: July 2012
Primary Completion Date: July 2011 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: On-line workshop
The online CDSMP is an internet-based program for people with 1 or more chronic conditions. It's built on self-efficacy theory, facilitated by lay leaders, and uses a curriculum emphasizing problem solving, decision making, and confidence building in weekly sessions over six weeks. It addresses generic topics and skills relevant to managing any chronic condition, including: action plans; problem solving; nutrition; exercise; fatigue; breathing; managing medications; managing stress and emotions; working with health care providers. The structure includes: 1) password-protected, interactive web-based instruction; 2) web-based bulletin board discussion groups to enable participatory learning and support; 3) and a reference book that contains the program content and supplemental information.
Behavioral: chronic disease self-management program (online)
The online CDSMP is an internet-based program for people with 1 or more chronic conditions. It's built on self-efficacy theory, facilitated by lay leaders, and uses a curriculum emphasizing problem solving, decision making, and confidence building in weekly sessions over six weeks. It addresses generic topics and skills relevant to managing any chronic condition, including: action plans; problem solving; nutrition; exercise; fatigue; breathing; managing medications; managing stress and emotions; working with health care providers. The structure includes: 1) password-protected, interactive web-based instruction; 2) web-based bulletin board discussion groups to enable participatory learning and support; 3) and a reference book that contains the program content and supplemental information.
Other Names:
  • Healthier Living with Ongoing Health Problems
  • Chronic Disease Self-Management Program

Detailed Description:

We will pilot an evidence-based online program for chronic disease self-management that is modeled after the widely-replicated in-person Chronic Disease Self-management Program (CDSMP) developed at Stanford University.

The online CDSMP is an internet-based intervention for people with one or more chronic conditions. It is built on self-efficacy theory and is structured around a formal curriculum that emphasizes problem solving, decision making, and confidence building in weekly sessions over six weeks. The curriculum addresses generic topics and skills that are relevant to managing any chronic condition.

The program is structured around three components: 1) password-protected, interactive web-based instruction; 2) web-based bulletin board discussion groups to enable participatory learning and interaction; 3) and a reference book, Living a Healthy Life with Chronic Conditions, that contains the program content and supplemental information. It is facilitated by two trained lay moderators, at least one of whom has a chronic condition.

Piloting the online CDSMP allows Group Health to learn about and maximize the program's impact in the Group Health system before launching a full-scale program. Since web-based interventions are increasingly recognized as holding promise in health care, our learnings and recommendations will likely be applicable beyond this innovation. The pilot provides GH the opportunity to explore the following about the online CDSMP and web-based tools, in general:

  1. Impact of the online CDSMP on participants' psychosocial and health status, health behaviors, and health service utilization
  2. Efficient processes for incorporating the online CDSMP into existing operations through use of PDCA cycles
  3. An understanding of demographic characteristics of members who are more likely to participate in an online self-management program than an in-person program
  4. Effective recruitment and retention strategies
  5. Feasibility of sustaining the program without external funding
  6. Recommendations for successful implementation of future innovations that utilize web-based media, social networking technology, etc.
  Eligibility

Ages Eligible for Study:   18 Years and older
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  • Group Health member
  • Have access to Group Health enhanced online services
  • one or more chronic conditions or a caregiver of someone who fits that criteria
  • 18 years of age or older

Exclusion Criteria:

  • Not a Group Health member
  • No access to Group Health enhanced online services
  • No chronic conditions and not a caregiver of someone with a chronic condition
  • Under 18 years of age
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT01122823

Locations
United States, Washington
Group Health Cooperative
Seattle, Washington, United States, 98112
Sponsors and Collaborators
Group Health Cooperative
Investigators
Principal Investigator: Judith Schaefer, MPH Group Health Research Institute
  More Information

Additional Information:
No publications provided

Responsible Party: Group Health Cooperative
ClinicalTrials.gov Identifier: NCT01122823     History of Changes
Other Study ID Numbers: 2008-Innov-4
Study First Received: May 11, 2010
Last Updated: August 23, 2013
Health Authority: USA: Group Health Research Institute Institutional Review Board

Keywords provided by Group Health Cooperative:
Chronic Disease Self-Management Program (CDSMP)

Additional relevant MeSH terms:
Chronic Disease
Disease Attributes
Pathologic Processes

ClinicalTrials.gov processed this record on October 23, 2014