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 |
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| 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 |
| 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. |
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| ISSN: | 1090-1981 |
| DOI: | 10.1177/1090198113477112 |
