Patient Self-Management Support Programs: An Evaluation. Table 3a

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Table 3a. Examples of Evaluation Measures for Self-management Support Programs for Common Chronic Conditions

A. Structure of self-management support program

B. Processes of self-management support

C. Patient self-efficacy and knowledge

D1. Patient behavior

Staffing ratios.
Caseload.
Staff qualifications.
Hours of training.

Reach

Initial contact rate.
Enrollment rate.
Completion rate.
Appropriate referrals to self-management support program.

Assessment

Knowledge, gaps.
Self-efficacy barriers.
Attitude and behavior barriers.
Documented staging.

Education

Education sessions.
Content covered.

Coaching

Contact frequency.
Call duration.
Call content.
A written action plan.
Spacers and peak flow meters distributed.
Smoking cessation counseling.

Knowledge

Patient knowledge.
Asthma knowledge acquisition.
Diabetes knowledge and beliefs.
Diabetes knowledge deficiency.

Self-efficacy

Self-efficacy.
Health locus of control.

Prescription drug purchase/refills (e.g., beta agonists, inhaled corticosteroids, leukotrine modifiers, oral steroids, other asthma drugs).
Persistency of medication use.
Time to refill.
Self-management practices regarding diet, foot care, physical activity, glucose monitoring, M.D. visits, diabetes health exams.
Smoking rates.
Quantity and frequency ofexercise.
Stress management.
Breakfast eaten.
Patient-provider communication.
Ownership and use of peak flow meter.
Cognitive symptom management.

Note: For this table, common chronic conditions are defined as asthma, cardiovascular disease, depression, diabetes, heart failure, and migraine headaches. Examples are taken from the literature.

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