Introducing the chronic disease self-management program in Switzerland and other German-speaking countries: findings of a cross-border adaptation using a multiple-methods approach.

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State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_A43973C036A2
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Introducing the chronic disease self-management program in Switzerland and other German-speaking countries: findings of a cross-border adaptation using a multiple-methods approach.
Journal
BMC health services research
Author(s)
Haslbeck J., Zanoni S., Hartung U., Klein M., Gabriel E., Eicher M., Schulz P.J.
ISSN
1472-6963 (Electronic)
ISSN-L
1472-6963
Publication state
Published
Issued date
28/12/2015
Peer-reviewed
Oui
Volume
15
Pages
576
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: epublish
Abstract
Stanford's Chronic Disease Self-Management Program (CDSMP) stands out as having a large evidence-base and being broadly disseminated across various countries. To date, neither evidence nor practice exists of its systematic adaptation into a German-speaking context. The objective of this paper is to describe the systematic German adaptation and implementation process of the CDSMP (2010-2014), report the language-specific adaptation of Franco-Canadian CDSMP for the French-speaking part of Switzerland and report findings from the initial evaluation process.
Multiple research methods were integrated to explore the perspective of workshop attendees, combining a longitudinal quantitative survey with self-report questionnaires, qualitative focus groups, and interviews. The evaluation process was conducted in for both the German and French adapted versions to gain insights into participants' experiences in the program and to evaluate its impact. Perceived self-efficacy was measured using the German version of the Self-Efficacy for Managing Chronic Disease 6-Item Scale (SES6G).
Two hundred seventy eight people attending 35 workshops in Switzerland and Austria participated in the study. The study participants were receptive to the program content, peer-led approach and found principal methods useful, yet the structured approach did not address all their needs or expectations. Both short and long-term impact on self-efficacy were observed following the workshop participation (albeit with a minor decrease at 6-months). Participants reported positive impacts on aspects of coping and self-care, but limited effects on healthcare service utilization.
Our findings suggest that the process for cross-border adaptation was effective, and that the CDSMP can successfully be implemented in diverse healthcare and community settings. The adapted CDSMP can be considered an asset for supporting self-management in both German-and French-speaking central European countries. It could have meaningful, wide-ranging implications for chronic illness care and primary prevention and potentially tertiary prevention of chronic disease. Further investigations are needed to tailor the program for better access to vulnerable and disadvantaged groups who might benefit the most, in terms of facilitating their health literacy in chronic illness.
Keywords
Adaptation, Psychological, Adult, Aged, Aged, 80 and over, Canada, Chronic Disease/therapy, Delivery of Health Care/statistics & numerical data, Emigration and Immigration, Europe, Female, Focus Groups, Humans, Male, Middle Aged, Patient Acceptance of Health Care, Qualitative Research, Self Care/methods, Self Efficacy, Self Report, Switzerland, Young Adult
Pubmed
Web of science
Open Access
Yes
Create date
19/05/2020 11:56
Last modification date
11/01/2024 7:14
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