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Conference Abstracts

The online Living Well self-management programme for adults with chronic illness benefits health and wellbeing

Authors:

Maeve McKeon ,

Trinity College Dublin, IE
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David Hevey,

Trinity College Dublin, IE
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Olga Cleary,

Trinity College Dublin, IE
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Caroline Peppard,

Trinity College Dublin, IE
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Jennifer Wilson O'Raghallaigh,

Trinity College Dublin, IE
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David Evans

Trinity College Dublin, IE
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Abstract

Introduction: Chronic Disease Self-Management Support (CDSMP) programmes potentially reduce morbidity, mortality and the cost of chronic illness. The Irish National Framework for the Integrated Prevention and Management of Chronic Disease embeds self-management supports as a critical component of chronic disease care. The Stanford model CDMSP was adapted for use in Ireland as the “Living Well” programme. The Living Well programme was delivered online by trained facilitators over six weeks (2.5 hours/week) to adults with chronic illness. The programme supports participants to develop the knowledge, skills and confidence required to self-manage their conditions, its symptoms and negative psychological responses effectively.

Aims, Objectives, Theory or Methods: A prospective, longitudinal, observational cohort study evaluated the effectiveness of the online Living Well programme delivery. Outcome data were collected via online surveys pre (T1) and immediately post (T2) the programme. Internationally validated measures of Quality of Life (QOL), health related quality of life (HRQOL), healthcare utilisation, depression, limitations, self-efficacy, and activity levels were administered.  Changes in variables over time were examined using either paired samples t-tests or Wilcoxon signed rank test where appropriate. Statistical significance was set at p < .05.

Results: Out of the 1225 potential participants in the evaluation at the time of this submission 815 T1 surveys and 456 T2 surveys were returned; 320 T1 and T2 surveys could be matched. High completion (92%) and satisfaction (94%) rates were recorded.  Both overall QoL and HRQOL significantly increased.  There was a statistically significant increase in self-efficacy for managing health as well as for completing an online programme to support health. Participants’ perception of support available to manage their health significantly increased.  There was a significant decrease in depression. There was a significant decrease in the extent to which illness interfered in overall activities, in social activities, hobbies and work (where relevant). No significant increase in exercise activities was found;  however, engagement in activities was impacted by restricted access to facilities during Covid restrictions and fear of contracting Covid-19 during lockdown.  A process review examined facilitators and barriers to programme implementation.

Conclusion: The high participation rate in the online sessions and the extremely high ratings of satisfaction indicate the online Living Well Programme is acceptable to participants and that they are satisfied with the support it provides.  Living Well programme  participants reported a range of statistically significant changes across key outcomes of depression, self-efficacy, quality of life, decreased limitations in social/role activities, and perceived satisfaction with support available. The pattern of beneficial effects of the online programme are comparable to those reported from the face-to-face CDSMP.

Implications for applicability/transferability, sustainability, and limitations: In response to the Covid-19 pandemic in Ireland, the Living Well programme pivoted to deliver an online self-management support model. This yielded extremely high participation and satisfaction rates demonstrating its potential for inclusion in integrated care pathways for chronic conditions.

 

How to Cite: McKeon M, Hevey D, Cleary O, Peppard C, Wilson O'Raghallaigh J, Evans D. The online Living Well self-management programme for adults with chronic illness benefits health and wellbeing. International Journal of Integrated Care. 2022;22(S3):470. DOI: http://doi.org/10.5334/ijic.ICIC22246
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Published on 04 Nov 2022.

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