Abstract
Background/rationale: The Chronic Disease Self-Management Programme (CDSMP) intervention is an evidence-based program that aims to encourage citizens with a chronic condition, as well as their caregivers, to better manage and maintain their own health. CDSMP intervention is expected to achieve greater health gains in citizens with a low socioeconomic position (SEP), because citizens with a low SEP have fewer opportunities to adhere to a healthy lifestyle, more adverse chronic conditions and a poorer overall health compared to citizens with a higher SEP. In the EFFICHRONIC project, CDSMP intervention is offered specifically to adults with a chronic condition and a low SEP, as well as to their caregivers (target population). Study objective: The objective of our study is to evaluate the benefits of offering CDSMP intervention to the target population. Methods: A total of 2500 participants (500 in each study site) are recruited to receive the CDSMP intervention. The evaluation study has a pre-post design. Data will be collected from participants before the start of the intervention (baseline) and six months later (follow up). Benefits of the intervention include self-management in healthy lifestyle, depression, sleep and fatigue, medication adherence and health-related quality of life, health literacy, communication with healthcare professionals, prevalence of perceived medical errors and satisfaction with the intervention. The study further includes a preliminary cost-effectiveness analysis with a time horizon of six months. Conclusion: The EFFICHRONIC project will measure the effects of the CDSMP intervention on the target population and the societal cost savings in five European settings.
Highlights
According to the World Health Organization (WHO), 35% of women and 29% of men suffer from a chronic condition, such as a cardiovascular disease, chronic respiratory disease or diabetes [1,2].The high prevalence of chronic conditions puts a large burden on national budgets, and healthcare costs of chronic conditions reach 7% of the gross domestic product in some European countries [3,4].chronic conditions affect the working population by reducing their productivity and competitiveness
The intervention is, expected to achieve greater health gains in citizens with a low socioeconomic position (SEP), because citizens with a low SEP have fewer opportunities to adhere to a healthy lifestyle, more adverse chronic conditions and a poorer overall health compared to citizens with a higher SEP [2,20]
The objective of our study is to evaluate the benefits of offering the Chronic Disease Self-Management Programme (CDSMP) intervention to adults with a chronic condition and a low SEP, as well as to their caregivers
Summary
According to the World Health Organization (WHO), 35% of women and 29% of men suffer from a chronic condition, such as a cardiovascular disease, chronic respiratory disease or diabetes [1,2].The high prevalence of chronic conditions puts a large burden on national budgets, and healthcare costs of chronic conditions reach 7% of the gross domestic product in some European countries [3,4].chronic conditions affect the working population by reducing their productivity and competitiveness. According to the World Health Organization (WHO), 35% of women and 29% of men suffer from a chronic condition, such as a cardiovascular disease, chronic respiratory disease or diabetes [1,2]. The high prevalence of chronic conditions puts a large burden on national budgets, and healthcare costs of chronic conditions reach 7% of the gross domestic product in some European countries [3,4]. Chronic conditions affect the working population by reducing their productivity and competitiveness. —in addition to the use of medications—chronic conditions can be prevented or controlled by reducing modifiable risk factors, such as a healthy lifestyle and depression [2,5]. To achieve societal cost savings, the ability of citizens with a chronic condition to self-manage their condition for as long as possible has become increasingly important.
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