Top

Published in:

01-01-2014 | Original Paper

Effectiveness of the Chronic Disease Self-Management Program for Persons with a Serious Mental Illness: A Translation Study

Authors: Kate Lorig, Philip L. Ritter, Carolyn Pifer, Pamela Werner

Published in: Community Mental Health Journal | Issue 1/2014

Abstract

Evaluation of evidence-based interventions in new settings and new populations is the hallmark of successful translation. We evaluated the Chronic Disease Self-Management Program in persons with serious mental illness who were receiving care through Michigan Community Mental Health Services (N = 139). At 6-months, participants demonstrated improvements in health indicators (fatigue, quality of life, sleep, depression, health distress, and days health bad) and health behaviors (medical adherence and communication with doctor). The program was successfully administrated in a “real world” setting and continues to be used. In addition, the program appears to be an effective resource for people with serious mental illness.

Bandura, A. (1997). Self-efficacy: The exercise of control. New York: W.H. Freeman and Company.

Brown, S., Birthwistle, J., Roe, L., & Thompson, C. (1999). The unhealthy lifestyle of people with schizophrenia. Psychological Medicine, 29(3), 697–701.PubMedCrossRef

Centers for Disease Control and Prevention [CDC]. (2011). Behavioral risk factor surveillance system survey questionnaire. Atlanta, Georgia: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/brfss/index.htm.

Cook, J. A., Copeland, M. E., Jonikas, J. A., Hamilton, M. M., Razzano, L. A., Grey, D. D., et al. (2012). Results of a randomized controlled trial of mental illness self-management using Wellness Recovery Action Planning. Schizophrenia Bulletin, 38(4), 881–891. doi:10.1093/schbul/sbr012.PubMedCrossRef

Daumit, G. L., Goldberg, R. W., Anthony, C., Dickerson, F., Brown, C. H., et al. (2005). Physical activity patterns in adults with severe mental illness. Journal of Nervous & Mental Disease, 193(10), 641–646.CrossRef

Dixon, J. S., & Bird, H. A. (1981). Reproducibility along a 10 cm vertical visual analogue scale. Annals of the Rheumatic Diseases, 40, 87–89.PubMedCrossRef

Downie, W., Leatham, P., Rhind, V. M., Pickup, M. E., & Wright, V. (1978a). The visual analogue scale in the assessment of grip strength. Annals of the Rheumatic Diseases, 37, 382–384.PubMedCrossRef

Downie, W., Leatham, P., Rhind, V. M., Wright, V., Branco, J. A., & Anderson, J. A. (1978b). Studies with pain rating scales. Annals of the Rheumatic Diseases, 37, 378–381.PubMedCrossRef

Druss, B. G., Zhao, L., von Esenwein, S. A., Bona, J. R., Fricks, L., et al. (2010). The health and recover peer (HARP) program; A peer-led intervention to improve medical self-management for person with serious mental illness. Schizophrenia Research, 118(1–3), 264–270.PubMedCentralPubMedCrossRef

Fu, D., Fu, H., McGowan, P., Shen, Y. E., Zhu, L., et al. (2003). Implementation and quantitative evaluation of chronic disease self-management programme in Shanghai, China: randomized controlled trial. Bulletin of the World Health Organization, 81, 174–182.PubMedCentralPubMed

Giffiths, C., Motlib, J., & Azad, A. (2005). Randomised controlled trail of a lay-led self-management programme for Bangladeshi patients with chronic disease. British Journal of General Practice, 55(520), 831–837.

Goldman, L. S. (2000). Comorbid medical illness in psychiatric patients. Current Psychiatry Reports, 2(3), 256–263.PubMedCrossRef

Horvitz-Lennon, M., Kilbourne, A. M., & Pincus, H. A. (2006). From silos to bridges: Meeting the general health care needs of adults with severe mental illnesses. Health Affairs, 25, 659–669.PubMedCrossRef

Idler, E. L., & Angel, R. J. (1990). Self-rated health and mortality in the NHANES-I epidemiologic follow-up study. American Journal of Public Health, 80, 446–452.PubMedCrossRef

Jones, D. R., Macias, C., Barreira, P. J., Fisher, W. H., Hargreaves, W. A., & Harding, C. M. (2004). Prevalence, severity, and co-occurrence of chronic physical health problems of persons with serious mental illness. Psychiatric Services, 55(11), 1250–1257.PubMedCentralPubMedCrossRef

Kennedy, A. P., Reeves, D., Bower, P. J., Lee, V., Middleton, E., Richardson, G., et al. (2007). The effectiveness and cost effectiveness of a national lay led self care support programme for patients with long term conditions: A pragmatic randomised controlled trial. Journal of Epidemiology Community Health, 61, 254–261. doi:10.1136/jech.2006.053538.PubMedCrossRef

Kilbourne, A. M., Post, E. P., Nossek, A., Drill, L., Colley, S., & Bauer, M. S. (2008). Improving medical and psychiatric outcomes among individuals with bipolar disorder: A randomized controlled trial. Psychiatric Services, 59(7), 760–768. doi:10.1176/appi.ps.59.7.760.PubMedCrossRef

Kilbourne, A. M., Brar, J., Drayer, R. A., Xu, S., & Post, E. P. (2007). Cardiovascular disease and metabolic risk factors in patients with schizophrenia, schizoaffective disorder, and bipolar disorder. Psychosomatics, 48, 412–417.PubMedCrossRef

Kreyenbuhl, J., Dixon, L. B., McCarthy, J. F., Soliman, S., Ignacio, R. V., & Valenstein, M. (2008). Does adherence to medications for type 2 diabetes differ between individuals with vs without schizophrenia? Schizophrenia Bulletin, 36(2), 428–435.PubMedCrossRef

Kroenke, K., Strine, T. W., Spitzer, R. L., Williams, J. B., Berry, J. T., & Mokdad, A. H. (2009). The PHQ-8 as a measure of current depression in the general population. Journal of Affective Disorders, 114(1–3), 163–173.PubMedCrossRef

Lawn, S., Battersby, M. W., Pols, R. G., Lawrence, J., Parry, T., & Urukalo, M. (2007). The mental health expert patient: Findings from a pilot study of a generic chronic condition self-management programme for people with mental illness. International Journal of Social Psychiatry, 53, 63–74. doi:10.1177/0020764007075010.PubMedCrossRef

Lorig, K., Holman, H., Sobel, D., Laurent, D., González, V., & Minor, M. (2006). Living a healthy life with chronic conditions (3rd ed.). Boulder: Bull Publishing.

Lorig, K. R., Ritter, P. L., & Jacquez, A. (2005a). Outcomes of border health Spanish/English chronic disease self-management programs. The Diabetes Educator, 31, 401–409.PubMedCrossRef

Lorig, K., Ritter, P., & Plant, K. (2005b). A disease-specific self-help program compared with a generalized chronic disease self-help program for arthritis patients. Arthritis Care & Research, 53(6), 950–957.CrossRef

Lorig, K., Ritter, P., Stewart, A. L., Sobel, D. S., Brown, B. W., González, V. M., et al. (2001a). Chronic disease self-management program: 2-Year health status and health care utilization outcomes. Medical Care, 39, 1217–1223.PubMedCrossRef

Lorig, K. R., Sobel, D. S., Ritter, P. L., Laurent, D., & Hobbs, M. (2001b). Effect of a self-management program on patients with chronic disease. Effective Clinical Practice, 4, 256–262.PubMed

Lorig, K., Sobel, D. S., Stewart, A. L., Brown, B. W., Bandura, A., Ritter, P., et al. (1999). Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized trial. Medical Care, 37, 5–14.PubMedCrossRef

Lorig, K., Stewart, A., Ritter, P., González, V., Laurent, D., & Lynch, J. (1996). Outcome measures for health education and other health care interventions. Thousand Oaks, CA: Sage Publications.

McGowan, P. (2011). The effectiveness of diabetes patient education and self-management education in persons with type 2 diabetes. Canadian Journal of Diabetes, 35(1), 46–53.CrossRef

Meyer, J., & Nasrallah, H. (Eds.). (2009). Medical illness and schizophrenia. Washington: American Psychiatric Press.

Michigan Department of Community Health. (2012). Medicaid provider manual. (version July 1, 2012). Retrieved from http://www.mdch.state.mi.us/dch-medicaid/manuals/MedicaidProviderManual.pdf.

Miller, C. J., Druss, B. G., Dombrowski, E. A., & Rosenheck, R. A. (2003). Barriers to primary medical care among patients at a community mental health center. Psychiatric Services, 54, 1158–1160.CrossRef

Morisky, D. E., Green, L. W., & Levine, D. M. (1986). Concurrent and predictive validity of a self-reported measure of medication adherence. Medical Care, 24, 67–74.PubMedCrossRef

Parks, J., Svendsen, D., Singer, P., & Foti, M. E. (Eds.) (2006). Morbidity and mortality in people with serious mental illness (Thirteenth in a series of technical reports). Alexandra, Virgnia: National Association of State Mental Health Program Directors.

Ritter, P. L., González, V., Laurent, D. D., & Lorig, K. R. (2006). Measurement of pain using the visual numeric scale. Journal of Rheumatology, 33, 574–580.PubMed

Ritter, P. L., Stewart, A. L., Kaymaz, H., Sobel, D. S., Bloch, D. A., & Lorig, K. R. (2001). Self-reports of health care utilization compared to provider records. Journal of Clinical Epidemiology, 54, 136–141.PubMedCrossRef

Siu, A. M. H., Chan, C. C. H., Poon, P. K. K., Chui, D. Y. Y., & Chan, S. C. C. (2007). Evaluation of the chronic disease self-management program in a Chinese population. Patient Education and Counseling, 65, 42–50.PubMedCrossRef

Sokal, J., Messias, E., Dickerson, F. B., Kreyenbuhl, J., Brown, C. H., Goldberg, R. W., et al. (2004). Comorbidity of medical illnesses among adults with serious mental illness who are receiving community psychiatric services. Journal of Nervous and Mental Disease, 192(6), 421–427.PubMedCrossRef

Sterling, E. W., von Esenwein, S. A., Tucker, S., Fricks, L., & Druss, B. G. (2010). Integrating wellness, recovery, and self-management for mental health consumers. Community Mental Health Journal, 46(2), 130–138.PubMedCrossRef

Stewart, A. L., Hays, R. D., & Ware, J. E. (1992). Health perceptions, energy/fatigue, and health distress measures. In A. L. Stewart & J. E. Ware (Eds.), Measuring functioning and well being: the medical outcomes study approach (pp. 143–172). Durham, NC: Duke University Press.

Streiner, D., & Geddes, J. (2001). Intention to treat analysis in clinical trials when there are missing data. Evidence Based Mental Health, 4, 70–71.PubMedCrossRef

Swerissen, H., Belfrage, J., Weeks, A., Jordan, L., Walker, C., Furler, J., et al. (2006). A randomized control trail of a self-management program for people with a chronic illness from Vietnamese, Chinese, Italian and Greek backgrounds. Patient Education and Counseling, 641, 360–368.CrossRef

Title: Effectiveness of the Chronic Disease Self-Management Program for Persons with a Serious Mental Illness: A Translation Study
Authors: Kate Lorig
Philip L. Ritter
Carolyn Pifer
Pamela Werner
Publication date: 01-01-2014
Publisher: Springer US
Published in: Community Mental Health Journal / Issue 1/2014
Print ISSN: 0010-3853
Electronic ISSN: 1573-2789
DOI: https://doi.org/10.1007/s10597-013-9615-5

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Effectiveness of the Chronic Disease Self-Management Program for Persons with a Serious Mental Illness: A Translation Study

Abstract

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 1/2014

Economic Burden Associated with Extrapyramidal Symptoms in a Medicaid Population with Schizophrenia

Expanding the Playing Field: Public and Community Psychiatry Fellowship and Beyond

Psychiatry Residents’ Perception of Public/Community Psychiatry Fellowship Training

Reliability and Practicality of Measuring Waist Circumference to Monitor Cardiovascular Risk Among Community Mental Health Center Patients

Dialectical Behavior Therapy Training to Reduce Clinical Burnout in a Public Behavioral Health System

Employment Specialist Competencies as Predictors of Employment Outcomes