Active Living Tool Kit for Chronic Conditions

Study Overview
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Brief Summary
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The development and pilot testing of a self-management program that would be delivered in a one time mailing.

Detailed Description
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The mailing will consist of (1) A self-test that will help users know how he or she can best use the materials and where to start; (2) A copy of the 2012 Living Healthy Life with Chronic Conditions book. If people are visually impaired or have low literacy an audio CD of the book will be available in place of the print copy; (3)An exercise CD with flexibility and strengthening exercises at three different levels of intensity, designed for people with chronic conditions; (4) A relaxation CD with three different relaxation exercises; and (5) In addition, there will be tip sheets, one for each major tool such as managing pain, managing sleep, etc. It is expected that there will be 10-20 tip sheets in total. The key content of the self-test and the tip sheets will be developed surveying master trainers of the existing small-group Chronic Disease Self Management Program (100 active trainers) and asking about 500 additional trainers to rank importance of key content items generated in initial survey. Pilot testing of the program will be by 250 people with chronic diseases. Participants will be surveyed by mailed questionnaires at baseline and six-months. A subgroup with diabetes (estimated 25-30%) will be asked to submit hemoglobin A1C blood test kits at baseline and six months.

Official Title
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Development of a Mailed Chronic Disease Self-Management Program

Conditions
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Chronic Diseases

Intervention / Treatment
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* Behavioral: Mailed Chronic Disease Self-Management Program


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Have a chronic health condition 18 years of age Literate in English (for the blood test subset): have type 2 diabetes Exclusion Criteria: Taken the small group or online Chronic Disease Self Management Program or related programs under 18 active cancer treatment pregnant

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Mailed Chronic Disease Self-Management<br>Mailed Chronic Disease Self-Management Program: self management information and self assessment | Behavioral: Mailed Chronic Disease Self-Management Program<br>* materials are mailed to participants<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Health Status (symptoms, activity limitation) |  | six months | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Metabolic control (HbA1c) | For subset of participants with type 2 diabetics | six months | 
| health behavior (exercise, communication with physician) |  | six months | 
| Health care utilization | MD, emergency, hospital times and total nights | six months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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chronic disease, patient education, self management