Patient Self-Management Support Programs: An Evaluation

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.

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


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


  • Education sessions.
  • Content covered.


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

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


  • 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 of exercise.
  • 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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Page last reviewed October 2014
Page originally created September 2012
Internet Citation: Table 3a. Examples of Evaluation Measures for Self-management Support Programs for Common Chronic Conditions. Content last reviewed October 2014. Agency for Healthcare Research and Quality, Rockville, MD.