Self-managed care improves perceived health among the 60+
Older Australians living with multiple chronic diseases perceive their health to be better after receiving chronic disease self-management support.
The full results of the study led by Flinders University and Deakin University have been published in the Medical Journal of Australia.
Chronic disease self-management support (CDSMS) programs have been widely implemented in Australia and overseas, but until now the evidence for their effectiveness has been both limited and mixed.
Such programs involve regular health assessments from a clinician who acts as a ‘coach’ and are underpinned by collaborative goal-setting, individualised care plans and problem-solving support.
The objective of CDSMS programs is to increase patients’ skills and confidence in managing their chronic diseases with a view to enhancing their coping ability and avoiding unplanned hospitalisations.
The research team recruited general practice patients aged 60 years or more with at least two chronic conditions.
Study participants were divided into two groups: one that received CDSMS and one that did not.
Patients in the non-CDSMS group received health information and supportive listening from a health professional only.
“Our study showed that those patients who received CDSMS were more likely than those patients who did not receive CDSMS to report improved self-rated health,” said Professor Richard Reed from Flinders University, who led the study.
“Unexpectedly, improvements in self-rated health did not appear to correlate with measurable improvements to specific aspects of health such as pain, depression and fatigue.”
Members of the research team are now conducting a clinical trial to test whether improvements to general practice services can enhance patient health outcomes.
As part of this new trial, high-risk patients with chronic illnesses will be provided with access to extended appointments with a doctor and will be followed-up by their general practice after a significant health event such a hospitalisation.
Reference: Reed RL, Roeger L, Howard S et al, “A self-management support program for older Australians with multiple chronic conditions: a randomised controlled trial”, Medical Journal of Australia, 22 January 2018, vol. 208, no. 2, doi: 10.5694/mja17.00127.
29 January 2018.