Expired Study
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Seattle, Washington 98112


Purpose:

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.


Study summary:

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.


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


Study is Available At:


Original ID:

2008-Innov-4


NCT ID:

NCT01122823


Secondary ID:


Study Acronym:


Brief Title:

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


Overall Status:

Completed


Study Phase:

N/A


Genders:

N/A


Minimum Age:

18 Years


Maximum Age:

N/A


Quick Facts

Healthy Volunteers
Oversight Has DMC
Study Is FDA Regulated
Study Is Section 801
Has Expanded Access

Study Source:

Kaiser Permanente


Oversight Authority:

USA: Group Health Research Institute Institutional Review Board


Reasons Why Stopped:


Study Type:

Interventional


Study Design:


Number of Arms:

1


Number of Groups:

0


Total Enrollment:

406


Enrollment Type:

Actual


Overall Contact Information

Official Name:Judith Schaefer, MPH
Principal Investigator
Group Health Research Institute

Study Dates

Start Date:February 2009
Completion Date:July 2012
Completion Type:Actual
Primary Completion Date:July 2011
Primary Completion Type:Actual
Verification Date:October 2017
Last Changed Date:October 11, 2017
First Received Date:May 11, 2010

Study Outcomes

Outcome Type:Secondary Outcome
Measure:health behaviors
Time Frame:6 months and 1 year after interventio
Safety Issues:False
Description:physical activity; stress management; medication adherence; communication with health care team;
Outcome Type:Secondary Outcome
Measure:health care utilization
Time Frame:6 months and 1 year after intervention
Safety Issues:False
Description:number of physician visits, number of hospitalizations, number of nights in the hospital (all in past 6 months)
Outcome Type:Primary Outcome
Measure:health outcomes
Time Frame:6 months and 1 year after the intervention
Safety Issues:False
Description:health status; self-efficacy; activities of daily living; symptomatology; mood; weight

Study Interventions

Intervention Type:Behavioral
Name:chronic disease self-management program (online)
Description:The online CDSMP is an internet-based program for people with 1 or more chronic conditions. It's built on self-efficacy theory, facilitated by lay leaders, and uses a curriculum emphasizing problem solving, decision making, and confidence building in weekly sessions over six weeks. It addresses generic topics and skills relevant to managing any chronic condition, including: action plans; problem solving; nutrition; exercise; fatigue; breathing; managing medications; managing stress and emotions;
Arm Name:On-line workshop
Other Name:Healthier Living with Ongoing Health Problems

Study Arms

Study Arm Type:Experimental
Arm Name:On-line workshop
Description:The online CDSMP is an internet-based program for people with 1 or more chronic conditions. It's built on self-efficacy theory, facilitated by lay leaders, and uses a curriculum emphasizing problem solving, decision making, and confidence building in weekly sessions over six weeks. It addresses generic topics and skills relevant to managing any chronic condition, including: action plans; problem solving; nutrition; exercise; fatigue; breathing; managing medications; managing stress and emotions;

Study Agencies

Agency Class:Other
Agency Type:Lead Sponsor
Agency Name:Kaiser Permanente

Sample and Retention Information

There are no available Sample and Retention Information

Study References

There are no available Study References

Data Source: ClinicalTrials.gov

Date Processed: October 09, 2019

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