Literature DB >> 14639082

Hispanic chronic disease self-management: a randomized community-based outcome trial.

Kate R Lorig1, Philip L Ritter, Virginia M González.   

Abstract

BACKGROUND: In light of health disparities and the growing prevalence of chronic disease, there is a need for community-based interventions that improve health behaviors and health status. These interventions should be based on existing theory.
OBJECTIVE: This study aimed to evaluate the health and utilization outcomes of a 6-week community-based program for Spanish speakers with heart disease, lung disease, or type 2 diabetes.
METHOD: The treatment participants in this study (n = 327) took a 6-week peer-led program. At 4 months, they were compared with randomized wait-list control subjects (n = 224) using analyses of covariance. The outcomes for all the treatment participants were assessed at 1 year, as compared with baseline scores (n = 271) using t-tests.
RESULTS: At 4 months, the participants, as compared with usual-care control subjects, demonstrated improved health status, health behavior, and self-efficacy, as well as fewer emergency room visits (p <.05). At 1 year, the improvements were maintained and remained significantly different from baseline condition.
CONCLUSIONS: This community-based program has the potential to improve the lives of Hispanics with chronic illness while reducing emergency room use.

Entities:  

Mesh:

Year:  2003        PMID: 14639082     DOI: 10.1097/00006199-200311000-00003

Source DB:  PubMed          Journal:  Nurs Res        ISSN: 0029-6562            Impact factor:   2.381


  91 in total

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Review 9.  A systematic review of the effectiveness of peer-based interventions on health-related behaviors in adults.

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Review 10.  Impact of peer nutrition education on dietary behaviors and health outcomes among Latinos: a systematic literature review.

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