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

Author:

Smith Matthew Lee12ORCID,Chen Eunice3,Lau Christy Ann4,Davis Dianne4,Simmons June W.4,Merianos Ashley L.25

Affiliation:

1. Department of Environmental and Occupational Health, School of Public Health, Texas A&M University, College Station, TX, USA

2. Center for Population Health and Aging, Texas A&M University, College Station, TX, USA

3. AltaMed, Los Angeles, CA, USA

4. Partners in Care Foundation, San Fernando, CA, USA

5. School of Human Services, University of Cincinnati, Cincinnati, OH, USA

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.

Funder

Administration for Community Living

Publisher

SAGE Publications

Subject

Health Policy,General Medicine

Reference52 articles.

1. Solway E, Piette J, Kullgren J, et al. Loneliness and health. University of Michigan National Poll on Healthy Aging. https://www.healthyagingpoll.org/reports-more/report/loneliness-and-health (2019, accessed 17 January 2022).

2. Mental Health of Elders in Retirement Communities: Is Loneliness a Key Factor?

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