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Effectiveness of chronic disease self-management education (CDSME) programs to reduce loneliness

Matthew Lee Smith, Eunice Y. Chen, Christy Ann Lau, Dianne Davis, June Simmons, Ashley L. Merianos

2022Chronic Illness20 citationsDOI

Abstract

Objectives With about half of older adults reporting feelings of loneliness, interventions are needed to improve connectedness among our aging population. The health benefits of Chronic Disease Self-Management Education (CDSME) programs are well documented, but workshops’ ability to reduce loneliness remains unknown. Methods Using the Campaign to End Loneliness Measurement Tool, we examined 295 CDSME participants’ loneliness changes before and after the 6-week face-to-face workshops. Statistical analyzes used generalized estimating equations (GEE). Results On average, participants were age 74.3(±8.9) years and self-reported 3.3(±2.2) chronic conditions. The majority of participants were female (83%) and attended workshops in English (77%). Significant reductions in loneliness scores were observed from baseline to post-workshop ( p < 0.001). Discussion Findings expand our understanding about the benefits of small-group CDSME workshops to reduce loneliness among participants. CDSME workshops may reduce loneliness because of their highly interactive and process-driven format and ability to create bonds between participants with chronic conditions and shared experiences.

Topics & Concepts

LonelinessGeeFeelingPsychological interventionSelf-managementSocial connectednessGerontologyGeneralized estimating equationPsychologyPopulationChronic diseaseClinical psychologyUCLA Loneliness ScaleMedicineNursingFamily medicineSocial psychologyEnvironmental healthMachine learningMathematicsComputer scienceStatisticsDiabetes Management and EducationHealth disparities and outcomesChronic Disease Management Strategies
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