Factors Associated with Successful Completion of the Chronic Disease Self-Management Program among Middle-Aged and Older Asian-American Participants: A National Study.
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abstract
Asian-Americans are a small but fast-growing population in the United States who are increasingly experiencing multiple chronic diseases. While the evidence-based Chronic Disease Self-Management Program (CDSMP) has been disseminated among various racial and ethnic populations, few studies specifically investigate participants with an Asian background. The study aims to identify characteristics of middle-aged and older Asian-American CDSMP participants (older than 50years) and investigate factors related to successful workshop completion (i.e., attending 4+ of the 6 sessions) among this population. Data were analyzed from 2,716 middle-aged and older Asian-Americans collected during a 2-year national dissemination of CDSMP. Multilevel logistic regression analyses were conducted to identify individual- and workshop-level covariates related to successful workshop completion. The majority of participants were female, living with others, and living in metro areas. The average age was 71.3years old (9.2), and the average number of chronic conditions was 2.0 (1.5). Successful completion of CDSMP workshops among participants was associated with their number of chronic conditions (OR=1.10, P=0.011), living in non-metro areas (OR=1.77, P=0.009), attending workshops from area agencies on aging (OR=1.56, P=0.018), and attending a workshop with higher completion rates (OR=1.03, P<0.001). This study is the first large-scale examination of Asian-American participants enrolled in CDSMP and highlights characteristics related to intervention attendance among this under-studied minority population. Knowing such characteristics is important for serving the growing number of Asian-Americans with chronic conditions.
