BACKGROUND: When health declines, older @entity1 may benefit from an intervention program that strengthens their self-management and empowers them to keep in control of their own body and life. Therefore we conducted a Randomized Controlled Trial using the @entity102 Self-Management Program (CDSMP) in a sample of 169 older @entity1 in frail health and in need of elderly care. METHODS: We assessed psychological coping resources and wellbeing, pre- and posttreatment and at 6-month follow-up, and investigated whether specific subgroups would benefit in particular from the intervention. RESULTS: The CDSMP appeared effective with respect to sense of mastery but only in the lower educated @entity1 (p   <   .05). Furthermore, the intervention stabilized valuation of life in @entity1 , whereas in the controls valuation of life decreased. The high appreciation score and low drop-out are indicative for the applicability of the CDSMP for this specific target group. CONCLUSIONS: We recommend integration of the ingredients of the program into the daily healthcare practice of professionals working with vulnerable older @entity1 . This would involve professional guidance starting from interpersonal equality and emphasising a @entity1 possibilities given their physical or cognitive limitations. This will help older vulnerable @entity1 to focus on their own attainable goals and to experience being successful. TRIAL REGISTRATION: The trial was registered in the Dutch Trial Register as NTR 1173 at 08-03-2008; 'Is selfmanagement benefical for well-being of average older @entity1 ?' http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=1173.

Benefits for elders with vulnerable health from the XXXX Self-management Program (CDSMP) at short and longer term.

@entity1 :: ('9606', 'Species') :: ['participants', 'persons'] @entity102 :: ('MESH:D002908', 'Disease') :: ['Chronic Disease']
@entity102 :: (MESH:D002908,Disease) :: ['Chronic Disease']
