期刊名称：Internet Journal of Allied Health Science and Practice
印刷版ISSN：1540-580X
出版年度：2009
卷号：7
期号：2
页码：5
出版社：Nova Southeastern University
摘要：Background: The need for chronic disease self-management (CDS-M) is increasing worldwide. CDS-M programs are variably effective for vulnerable and disadvantaged individuals. Objectives: The objects of this study were 1) To explore experiences of health workers leading CDS-M programs for vulnerable and disadvantaged populations, and 2) To develop guiding principles for the delivery of more effective CDS-M programs for vulnerable and disadvantaged populations. Methods: Two focus groups were undertaken, with all primary health workers, and allied health (AH) staff in a large community centre in an Australian city, who worked with vulnerable and disadvantaged individuals with chronic disease. Results: Consistent messages were identified, producing nine guiding principles. Self-management programs / messages should be tailored to cultural groups, learning styles and available supports, cultural sensitivities, group leadership requirements, language, literacy levels, belief systems and social circumstances and supports, past experiences, and individuals’ ability to motivate change. Implications: The draft guiding principles may assist others to deliver more effective CDS-M programs for disadvantaged and vulnerable populations.
关键词：Self-management; chronic disease; vulnerable clients; disadvantaged populations; Stanford model
