Frequently Asked Questions
Does the Program replace existing programs and treatments?
The online workshop will not conflict with existing programs or treatment. It is designed to enhance regular treatment and disease-specific education such as Better Breathers, cardiac rehabilitation, or diabetes education. In addition, many people have more than one chronic condition. The program is especially helpful for these people, as it gives them the skills to coordinate all the things needed to manage their health, as well as to help them keep active in their lives.
How was the Program developed?
The workshop is the online version of the community-based Chronic Disease Self-Management Program (CDSMP), which was developed and evaluated during a five-year randomized, controlled research project completed in 1996. Development and evaluation of the online program was funded by the Robert Wood Johnson Foundation and the Archstone Foundation.
The process of both the online and community-based workshops are based on the experience of the investigators and others with self-efficacy, the confidence one has that he or she can master a new skill or affect one's own health. The content of the workshop was the result of focus groups with people with chronic health problems, in which the participants discussed which content areas were the most important to them.
How was the online program evaluated?
We recruited 958 adult study participants in 2002-2003. All participants had a diagnosis of heart disease (excluding uncomplicated hypertension), lung disease, or type 2 diabetes. Qualified participants were randomly assigned to either participate in the workshop or to a control group. Both groups completed 3 online questionnaires about their health status, health care utilization, self-efficacy and self-management behaviors over a 12-month period. The control group did not receive the workshop, but received a gift certificate after completing each questionnaire and the book used in the workshop* at the end of the 12-month period.
What were the results?
At 1 year, the group who took the online workshop had significant improvements in health statuses compared with the control group. The intervention group had similar results to the small-group CDSMP participants. Change in self-efficacy at 6 months was found to be associated with better health status outcomes at 1 year.
Is the program being offered?
Canary Health has licensed the Better Choices, Better Health® program. See the Canary Health website for more information. If you are a participant and would like to take part in a workshop, please email firstname.lastname@example.org.