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The Hepatitis C Self-Management Program: Sustainability of Primary Outcomes at 1 Year

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Title: The Hepatitis C Self-Management Program: Sustainability of Primary Outcomes at 1 Year
Language: English
Authors: Groessl, Erik J., Ho, Samuel B., Asch, Steven M., Stepnowsky, Carl J., Laurent, Diana, Gifford, Allen L.
Source: Health Education & Behavior. Dec 2013 40(6):730-740.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 11
Publication Date: 2013
Document Type: Journal Articles
Reports - Research
Descriptors: Communicable Diseases, Self Management, Sustainability, Health Behavior, Program Effectiveness, Veterans, Workshops, Intervention, Comparative Analysis, Cognitive Restructuring, Behavior Modification, Well Being, Drug Therapy
Assessment and Survey Identifiers: Center for Epidemiologic Studies Depression Scale
DOI: 10.1177/1090198113477112
ISSN: 1090-1981
Abstract: Objective: Chronic hepatitis C infection afflicts millions of people worldwide. Although antiviral treatments are increasingly effective, many hepatitis C virus (HCV) patients avoid treatment, do not complete or respond to treatment, or have contraindications. Self-management interventions are one option for promoting behavioral changes leading to liver wellness and improved quality of life. Our objective was to evaluate whether the effects of the HCV self-management program were sustained at the 12-month follow-up assessment. Methods: Veteran Affairs patients with hepatitis C ("N" = 134; mean age = 54.6 years, 95% male, 41% ethnic minority, 48% homeless in last 5 years) were randomized to either a 6-week self-management workshop or an information-only intervention. The weekly 2-hour self-management sessions were based on a cognitive-behavioral program with hepatitis C-specific modules. Outcomes including hepatitis C knowledge, depression, energy, and health-related quality of life were measured at baseline, 6 weeks, 6 months, and 12 months later. Data were analyzed using repeated measures ANOVA. Results: Compared with the information-only group, participants attending the self-management workshop improved more on HCV knowledge ("p" < 0.005), SF-36 energy/vitality ("p" = 0.016), and the Quality of Well-Being Scale ("p" = 0.036). Similar trends were found for SF-36 physical functioning and Center for Epidemiologic Studies Short Depression Scale. Conclusion: Better outcomes were sustained among self-management participants at the 12-month assessment despite the intervention only lasting 6 weeks. HCV health care providers should consider adding self-management interventions for patients with chronic HCV.
Abstractor: As Provided
Number of References: 88
Entry Date: 2014
Accession Number: EJ1019993
Database: ERIC
FullText Text:
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  Data: 10.1177/1090198113477112
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  Data: 1090-1981
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: Objective: Chronic hepatitis C infection afflicts millions of people worldwide. Although antiviral treatments are increasingly effective, many hepatitis C virus (HCV) patients avoid treatment, do not complete or respond to treatment, or have contraindications. Self-management interventions are one option for promoting behavioral changes leading to liver wellness and improved quality of life. Our objective was to evaluate whether the effects of the HCV self-management program were sustained at the 12-month follow-up assessment. Methods: Veteran Affairs patients with hepatitis C (&quot;N&quot; = 134; mean age = 54.6 years, 95% male, 41% ethnic minority, 48% homeless in last 5 years) were randomized to either a 6-week self-management workshop or an information-only intervention. The weekly 2-hour self-management sessions were based on a cognitive-behavioral program with hepatitis C-specific modules. Outcomes including hepatitis C knowledge, depression, energy, and health-related quality of life were measured at baseline, 6 weeks, 6 months, and 12 months later. Data were analyzed using repeated measures ANOVA. Results: Compared with the information-only group, participants attending the self-management workshop improved more on HCV knowledge (&quot;p&quot; &lt; 0.005), SF-36 energy/vitality (&quot;p&quot; = 0.016), and the Quality of Well-Being Scale (&quot;p&quot; = 0.036). Similar trends were found for SF-36 physical functioning and Center for Epidemiologic Studies Short Depression Scale. Conclusion: Better outcomes were sustained among self-management participants at the 12-month assessment despite the intervention only lasting 6 weeks. HCV health care providers should consider adding self-management interventions for patients with chronic HCV.
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  Data: 2014
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  Data: EJ1019993
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        Value: 10.1177/1090198113477112
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      – Text: English
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    Subjects:
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        Type: general
      – SubjectFull: Self Management
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      – SubjectFull: Sustainability
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