Evidence map›Paper›PMID 24314032›Full record

ArticleBMC public health2013

The impact of chronic disease self-management programs: healthcare savings through a community-based intervention.

SangNam Ahn, Rashmita Basu, Matthew Lee Smith, Luohua Jiang, Kate Lorig, Nancy Whitelaw, Marcia G Ory

Registry-linked trialAbstract read
In one paragraph

Article in BMC public health, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03993574 (Feasibility of a Stroke Specific Self-management Program), which is not on this map. Cited by 74 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
74citing papers in PubMed, 3 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03993574 naunknown statusnot on this mapstarted 2019, after this paper: background citation

Feasibility of a Stroke Specific Self-management Program

TypeinterventionalSponsorThe University of Texas Medical Branch, GalvestonRan2019 to 2022Enrolled28ConditionsStroke, Chronic ConditionsArmsSelf- management program, Standard care
3 · Its place in the literature

Who cites it

74 citing papers in PubMed, 3 syntheses or guidelines pooled it.

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  6. Measurement Reactivity in a Randomized Clinical Trial Using Self-Reported Data.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2017
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14 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

SangNam AhnSchool of Public Health, Division of Health Systems Management and Policy, The University of Memphis, Memphis, TN, USA. sahn@memphis.edu.
Rashmita Basu
Matthew Lee Smith
Luohua Jiang
Kate Lorig
Nancy Whitelaw
Marcia G Ory

Funding

BUILDING CAPACITY IN RURAL AND UNDERSERVED COMMUNITIES: CTR. COMM. HEALTH DEVE. U48DP001924 · DP · TEXAS A&M UNIVERSITY HEALTH SCIENCE CTR · PI MCLEROY, KENNETH R. · 2009 to 2013
$7.6M
Community Research Center for Senior HealthRC4AG038183 · NIA · SCOTT AND WHITE MEMORIAL HOSPITAL · PI STEVENS, ALAN B · 2010 to 2010
$995k
NCCDPHP CDC HHS 1U48/DP001924NIA NIH HHS 1RC4AG038183-01
6 · The paper itself

Abstract

backgroundAmong the most studied evidence-based programs, the Chronic Disease Self-Management Program (CDSMP) has been shown to help participants improve their health behaviors, health outcomes, and reduce healthcare utilization. However, there is a lack of information on how CDSMP, when nationally disseminated, impacts healthcare utilization and averts healthcare costs. The purposes of this study were to: 1) document reductions in healthcare utilization among national CDSMP participants; 2) calculate potential cost savings associated with emergency room (ER) visits and hospitalizations; and 3) extrapolate the cost savings estimation to the American adults.

methodsThe national study of CDSMP surveyed 1,170 community-dwelling CDSMP participants at baseline, 6 months, and 12 months from 22 organizations in 17 states. The procedure used to estimate potential cost savings included: 1) examining the pattern of healthcare utilization among CDSMP participants from self-reported healthcare utilization assessed at baseline, 6 months, and 12 months; 2) calculating age-adjusted average costs for persons using the 2010 Medical Expenditure Panel Survey; 3) calculating costs saved from reductions in healthcare utilization; 4) estimating per participant program costs; 5) computing potential cost savings by deducting program costs from estimated healthcare savings; and 6) extrapolating savings to national populations using Census data combined with national health statistics.

resultsFindings from analyses showed significant reductions in ER visits (5%) at both the 6-month and 12-month assessments as well as hospitalizations (3%) at 6 months among national CDSMP participants. This equates to potential net savings of $364 per participant and a national savings of $3.3 billion if 5% of adults with one or more chronic conditions were reached.

conclusionsFindings emphasize the value of public health tertiary prevention interventions and the need for policies to support widespread adoption of CDSMP.

Indexed as

AdolescentAdultAgedChronic DiseaseCommunity Health ServicesCost SavingsDelivery of Health CareEmergency Service, HospitalFemaleHealth Care CostsHospitalizationHumansMaleMiddle AgedSelf CareUnited States

Identifiers

PMID24314032
PMCPMC3878965

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.