Homing in on Health: Study of a Home Delivered Chronic Disease Self Management Program

NCT00263939 | Completed DMC

• 1 other identifier: R01HS013603
• Study Type: interventional
• Target: 415
• Locations: 1 country
• Sites: 1

Brief Summary

The purpose of the study is to determine the effectiveness of a home-delivered variant of the chronic disease self management program in improving health outcomes in patients with chronic conditions.

Conditions

Diabetes Mellitus; Congestive Heart Failure; Arthritis; COPD; Depression

Keywords

chronic disease; patient education; self-efficacy; self-management

Outcome Measures

Primary Outcomes (1)

• Health related quality of life (HRQoL) at 2wks and 4wks during the intervention, immediately post intervention and at 6 months and 1 year post intervention

Secondary Outcomes (1)

• self-care self-efficacy at 2wks and 4wks during the intervention, immediately post intervention and at 6 months and 1 year post intervention

Study Arms (3)

1 - In home intervention

EXPERIMENTAL

In home (face to face) delivery of the study intervention, Homing in on Health

Behavioral: Homing in on Health

2 - Telephone intervention

EXPERIMENTAL

Telephone delivery of the study intervention, Homing in on Health

Behavioral: Homing in on Health

3 - Usual care

NO INTERVENTION

Patients receiving the care their usual health providers supply, without an study intervention

Interventions

Homing in on Health BEHAVIORAL

A peer (non-health professional) delivered intervention to enhance patient self-efficacy for chronic disease self-management. Developed as a modification of the Stanford Chronic Disease Self-Management Program.

1 - In home intervention; 2 - Telephone intervention

Eligibility Criteria

• Age: 40 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• receive primary care 1 of 12 UC Davis Primary Care Network (PCN) offices
• live in a private home
• age 40 or older
• able to read and speak english
• Adequate vision and hearing to read study materials and use a standard telephone
• have one or more of the following conditions: arthritis, asthma, COPD, CHF, depression, DM
• suffer functional impairment as manifest by at least one of the following: self-reported impairment in at least 1 basic activity of daily living on Health Assessment Questionnaire (HAQ); or score higher than 3 on the 10-item version of the Center for Epidemiologic Studies Depression Scale (CES-D)

Sponsors & Collaborators

• Agency for Healthcare Research and Quality (AHRQ): lead

Study Sites (1)

UC Davis Medical Center

Sacramento, California, 95817, United States

Location

Related Publications (8)

• Jerant AF, von Friederichs-Fitzwater MM, Moore M. Patients' perceived barriers to active self-management of chronic conditions. Patient Educ Couns. 2005 Jun;57(3):300-7. doi: 10.1016/j.pec.2004.08.004.

  PMID: 15893212 BACKGROUND

• Jerant A, DiMatteo R, Arnsten J, Moore-Hill M, Franks P. Self-report adherence measures in chronic illness: retest reliability and predictive validity. Med Care. 2008 Nov;46(11):1134-9. doi: 10.1097/MLR.0b013e31817924e4.

  PMID: 18953223 BACKGROUND

• Jerant A, Chapman BP, Franks P. Personality and EQ-5D scores among individuals with chronic conditions. Qual Life Res. 2008 Nov;17(9):1195-204. doi: 10.1007/s11136-008-9401-y. Epub 2008 Oct 7.

  PMID: 18839336 BACKGROUND

• Franks P, Chapman B, Duberstein P, Jerant A. Five factor model personality factors moderated the effects of an intervention to enhance chronic disease management self-efficacy. Br J Health Psychol. 2009 Sep;14(Pt 3):473-87. doi: 10.1348/135910708X360700. Epub 2008 Sep 20.

  PMID: 18808733 RESULT

• Jerant A, Moore M, Lorig K, Franks P. Perceived control moderated the self-efficacy-enhancing effects of a chronic illness self-management intervention. Chronic Illn. 2008 Sep;4(3):173-82. doi: 10.1177/1742395308089057.

  PMID: 18796506 RESULT

• Jerant A, Kravitz R, Moore-Hill M, Franks P. Depressive symptoms moderated the effect of chronic illness self-management training on self-efficacy. Med Care. 2008 May;46(5):523-31. doi: 10.1097/MLR.0b013e31815f53a4.

  PMID: 18438201 RESULT

• Chapman BP, Franks P, Duberstein PR, Jerant A. Differences between individual and societal health state valuations: any link with personality? Med Care. 2009 Aug;47(8):902-7. doi: 10.1097/MLR.0b013e3181a8112e.

  PMID: 19543121 DERIVED

• Jerant A, Chapman BP, Duberstein P, Franks P. Is personality a key predictor of missing study data? An analysis from a randomized controlled trial. Ann Fam Med. 2009 Mar-Apr;7(2):148-56. doi: 10.1370/afm.920.

  PMID: 19273870 DERIVED

MeSH Terms

Conditions

Diabetes Mellitus; Heart Failure; Arthritis; Pulmonary Disease, Chronic Obstructive; Depression; Chronic Disease

Condition Hierarchy (Ancestors)

Glucose Metabolism Disorders; Metabolic Diseases; Nutritional and Metabolic Diseases; Endocrine System Diseases; Heart Diseases; Cardiovascular Diseases; Joint Diseases; Musculoskeletal Diseases; Lung Diseases, Obstructive; Lung Diseases; Respiratory Tract Diseases; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms; Behavioral Symptoms; Behavior

Study Officials

• Anthony F Jerant, MD

  University of California, Davis

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: DOUBLE
• Who Masked: INVESTIGATOR, OUTCOMES ASSESSOR
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: FED

Study Record Dates

• First Submitted: December 9, 2005
• First Posted: December 12, 2005
• Study Start: July 1, 2004
• Primary Completion: October 1, 2006
• Study Completion: October 1, 2007
• Last Updated: October 5, 2010

Record last verified: 2010-02

Locations

US (1)