Implementation and quantitative evaluation of XXXX self-management programme in Shanghai, China: randomized controlled trial.

@entity1 @entity64 @entity101 @entity625 @entity6 @entity102 @entity299 @entity1030
OBJECTIVE: To evaluate the effectiveness of the Shanghai @entity102 Self-Management Program (CDSMP). METHODS: A randomized controlled trial with six-month follow-up compared @entity1 who received treatment with those who did not receive treatment (waiting-list controls) in five urban communities in Shanghai, China. @entity1 in the treatment group received education from a lay-led CDSMP course and one copy of a help book immediately; those in the control group received the same education and book six months later. FINDINGS: In total, 954 volunteer @entity1 with a medical record that confirmed a diagnosis of @entity101 , @entity299 , @entity1030 , @entity625 , @entity64 , or @entity6 who lived in communities were assigned randomly to treatment (n = 526) and control (n = 428) groups. Overall, 430 (81.7%) and 349 (81.5%) @entity1 in the treatment and control groups completed the six-month study. @entity1 who received treatment had significant improvements in weekly minutes of aerobic exercise, practice of cognitive symptom management, self-efficacy to manage own symptoms, and self-efficacy to manage own disease in general compared with controls. They also had significant improvements in eight indices of health status and, on average, fewer hospitalizations. CONCLUSION: When implemented in Shanghai, the CDSMP was acceptable culturally to Chinese @entity1 . The programme improved @entity1 ' health behaviour, self-efficacy, and health status and reduced the number of hospitalizations six months after the course. The locally based delivery model was integrated into the routine of community government organizations and community health services. Chinese lay leaders taught the CDSMP courses as successfully as professionals.
