Jörg Haslbeck|S. Zanoni|Uwe Hartung|Michel C. A. Klein|Edith Gabriel|Manuela Eicher|Peter Schulz
Introducing the chronic disease self-management program in Switzerland and other German-speaking countries: findings of a cross-border adaptation using a multiple-methods approach
Kalaidos University of Applied Sciences|Kalaidos University of Applied Sciences|Università della Svizzera italiana|University Hospital of Bern|HES-SO Fribourg|Università della Svizzera italiana
stanfords chronic disease selfmanagement program cdsmp stands large evidencebase broadly disseminated across various countries date neither evidence practice exists systematic adaptation germanspeaking context objective paper describe systematic german adaptation implementation process cdsmp 20102014 report languagespecific adaptation francocanadian cdsmp frenchspeaking part switzerland report findings initial evaluation processmultiple research methods integrated explore perspective workshop attendees combining longitudinal quantitative survey selfreport questionnaires qualitative focus groups interviews evaluation process conducted german french adapted versions gain insights participants experiences program evaluate impact perceived selfefficacy measured using german version selfefficacy managing chronic disease 6item scale ses6gtwo hundred seventy eight people attending 35 workshops switzerland austria participated study study participants receptive program content peerled approach found principal methods useful yet structured approach address needs expectations short longterm impact selfefficacy observed following workshop participation albeit minor decrease 6months participants reported positive impacts aspects coping selfcare limited effects healthcare service utilizationour findings suggest process crossborder adaptation effective cdsmp successfully implemented diverse healthcare community settings adapted cdsmp considered asset supporting selfmanagement germanand frenchspeaking central european countries could meaningful wideranging implications chronic illness care primary prevention potentially tertiary prevention chronic disease investigations needed tailor program better access vulnerable disadvantaged groups might benefit terms facilitating health literacy chronic illness