Clinical trial NCT01122823: Evaluation of the Online Chronic Disease Self-Management Project at Group Health
Official title: Evaluation of the Online Chronic Disease Self-Management Project at Group Health
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Chronic Conditions
Keywords: Chronic Disease Self-Management Program (CDSMP)
Lead sponsor: Kaiser Permanente
Sponsor class: OTHER
First posted: 2010-05-13
Enrollment: 406
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NA
Intervention model: SINGLE_GROUP
Primary purpose: SUPPORTIVE_CARE

Brief summary: The purpose of this study is to learn if Group Health members who participate in the online chronic disease self-management program will experience improved health outcomes, improved health care utilization, and lower costs.

Detailed description: We will pilot an evidence-based online program for chronic disease self-management that is modeled after the widely-replicated in-person Chronic Disease Self-management Program (CDSMP) developed at Stanford University.

The online CDSMP is an internet-based intervention for people with one or more chronic conditions. It is built on self-efficacy theory and is structured around a formal curriculum that emphasizes problem solving, decision making, and confidence building in weekly sessions over six weeks. The curriculum addresses generic topics and skills that are relevant to managing any chronic condition.

The program is structured around three components: 1) password-protected, interactive web-based instruction; 2) web-based bulletin board discussion groups to enable participatory learning and interaction; 3) and a reference book, Living a Healthy Life with Chronic Conditions, that contains the program content and supplemental information. It is facilitated by two trained lay moderators, at least one of whom has a chronic condition.

Piloting the online CDSMP allows Group Health to learn about and maximize the program's impact in the Group Health system before launching a full-scale program. Since web-based interventions are increasingly recognized as holding promise in health care, our learnings and recommendations will likely be applicable beyond this innovation. The pilot provides GH the opportunity to explore the following about the online CDSMP and web-based tools, in general:

1. Impact of the online CDSMP on participants' psychosocial and health status, health behaviors, and health service utilization
2. Efficient processes for incorporating the online CDSMP into existing operations through use of PDCA cycles
3. An understanding of demographic characteristics of members who are more likely to participate in an online self-management program than an in-person program
4. Effective recruitment and retention strategies
5. Feasibility of sustaining the program without external funding
6. Recommendations for successful implementation of future innovations that utilize web-based media, social networking technology, etc.

Eligibility criteria: Inclusion Criteria:

* Group Health member
* Have access to Group Health enhanced online services
* one or more chronic conditions or a caregiver of someone who fits that criteria
* 18 years of age or older

Exclusion Criteria:

* Not a Group Health member
* No access to Group Health enhanced online services
* No chronic conditions and not a caregiver of someone with a chronic condition
* Under 18 years of age

Primary outcomes:
measure: health outcomes
timeFrame: 6 months and 1 year after the intervention
Secondary outcomes:
measure: health care utilization
timeFrame: 6 months and 1 year after intervention
measure: health behaviors
timeFrame: 6 months and 1 year after interventio
Other outcomes:
Locations:
city: Seattle
country: United States
facility: Group Health Cooperative
state: Washington
Study officials:
affiliation: Group Health Research Institute
name: Judith Schaefer, MPH
role: PRINCIPAL_INVESTIGATOR
References: