Self-care management is recognized as a key component of care for multi-morbid older adults, but the characteristics of those most likely to participate in Chronic Disease Self-Management (CDSM) programs and how to maximize participation in such programs are unknown.
To identify individual factors associated with attending CDSM programs in a sample of multi-morbid older adults.
Participants in the intervention arm of a matched-pair cluster-randomized controlled trial of the Guided Care model were invited to attend a six-session CDSM course. Logistic regression was used to identify factors independently associated with attendance.
All subjects (N=241) were 65 years or older, were at high risk for health care utilization, and were not homebound.
Baseline information on demographics, health status, health activities, and quality of care was available for CDSM participants and non-participants. Participation was defined as attendance at five or more CDSM sessions.
22.8% of multi-morbid older adults who were invited to CDSM courses participated in five or more sessions. Having better physical health (OR[95% CI] = 2.3[1.1–4.8]) and rating one’s physician poorly on support for patient activation (OR[95% CI] = 2.8[1.3–6.0]) were independently associated with attendance.
Multi-morbid older adults who are in better physical health and who are dissatisfied with their physicians’ support for patient activation are more likely to participate in CDSM courses.
Keywords: health promotion, self-management, geriatrics, Guided Care, chronic disease, selection bias