ArticleFrontiers in public health2014
The reach of chronic-disease self-management education programs to rural populations.
Article in Frontiers in public health, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.
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Who cites it
16 citing papers in PubMed.
- Impact of a community-based approach to patient engagement in rural, low-income adults with type 2 diabetes.Public health nursing (Boston, Mass.) · 2020Trial
- The role of residence tenure on rural Medicare beneficiaries' health outcomes.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2026Article
- Trajectory of medical expenditure and regional disparities in hypertensive patients in South Korea.Frontiers in public health · 2024Article
- Cardiometabolic risk among rural Native American adults in a large multilevel multicomponent intervention trial.PLOS global public health · 2023Article
- Recruitment and engagement in disease self-management programs: Special concerns for rural residents reporting depression and/or anxiety.Preventive medicine reports · 2022Article
- Effects of Sequential Participation in Evidence-Based Health and Wellness Programs Among Older Adults.Innovation in aging · 2018Article
- Assessing Statewide Need for Older Adult Health Promotion Services: The Oklahoma Experience.Journal of social service research · 2018Article
- Association of multiple chronic conditions and pain among older black and white adults with diabetes mellitus.BMC geriatrics · 2017Article
- Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality.International journal of environmental research and public health · 2017Article
- Prevalence of Arthritis and Arthritis-Attributable Activity Limitation by Urban-Rural County Classification - United States, 2015.MMWR. Morbidity and mortality weekly report · 2017Article
- Assessing Diabetes and Factors Associated with Foregoing Medical Care among Persons with Diabetes: Disparities Facing American Indian/Alaska Native, Black, Hispanic, Low Income, and Southern Adults in the U.S. (2011-2015).International journal of environmental research and public health · 2017Article
- Essential Resources for Implementation and Sustainability of Evidence-Based Health Promotion Programs: A Mixed Methods Multi-Site Case Study.Journal of community health · 2017Article
- Programs and Place: Risk and Asset Mapping for Fall Prevention.Frontiers in public health · 2017Article
- Reaching diverse participants utilizing a diverse delivery infrastructure: a replication study.Frontiers in public health · 2015Article
- Research, practice, and policy perspectives on evidence-based programing for older adults.Frontiers in public health · 2015Article
- Weight loss in a digital app-based diabetes prevention program powered by artificial intelligence.Digital healthArticle
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This study assessed the sociodemographic characteristics of rural residents who participated in chronic-disease self-management education (CDSME) program workshops and the extent to which CDSME programs were utilized by those with limited access to health care services. We analyzed data from the first 100,000 adults who attended CDSME program workshops during a national dissemination spanning 45 states, the District of Columbia, and Puerto Rico. Approximately 24% of participants lived in rural areas. Overall, 42% of all participants were minorities; urban areas reached more minority participants (48%) than rural areas (25%). The average age of participants was high in rural (age, μ = 66.1) and urban (age, μ = 67.3) areas. In addition, the average number of chronic conditions was higher (p < 0.01) in rural (μ = 2.6 conditions) versus urban (μ = 2.4 conditions) areas. Successful completion of CDSME programs (i.e., attending four or more of the six workshop sessions) was higher (p < 0.01) in rural versus urban areas (78% versus 77%). Factors associated with higher likelihood of successful completion of CDSME programs included being Black (OR = 1.25) versus White and living in rural (versus urban) areas (OR = 1.09). Factors associated with lower likelihood of successful completion included being male (OR = 0.92) and residing in a primary care Health Professional Shortage Area or HPSA (versus a non-HPSA) (OR = 0.93). Findings highlight the capability of CDSME programs to reach rural residents, yet dissemination efforts can be further enhanced to ensure minorities and individuals in a HPSA utilize this program. Tailored strategies are needed to increase participant recruitment and retention in rural areas to overcome traditional barriers to health service access.
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