Testing the Feasibility of a Self-Management Support Program for Patient With Chronic Diseases in Israel

Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age21+
SponsorUniversity of Haifa

About this trial

This study explores an intervention to support people in Israel who are living with chronic health conditions such as cancer or after kidney transplantation. It focuses on a well-known international program called the Chronic Disease Self-Management Program (CDSMP), which was developed at Stanford University. The program helps individuals build confidence and skills to better manage their health, feel more in control, and improve their day-to-day quality of life.

Participants will take part in a six-week group program, delivered online, where they will learn practical strategies for managing symptoms like fatigue or pain, setting achievable health goals, communicating effectively with healthcare professionals, and staying active and engaged. The sessions are guided by trained facilitators and include support from others facing similar health challenges.

The study will involve surveys before and after the program, as well as a follow-up six months later, to understand how the program may have helped participants. Some participants will also be invited to share their experiences in small discussion groups.

By testing this program in Israel, the researchers hope to learn how it can be adapted and offered more widely to help others living with chronic conditions.

Eligibility criteria

This trial does not accept healthy volunteers

Qualifiers

Age 21 years or older

Diagnosed with at least one chronic disease (as documented in the medical record)

Community-dwelling

Fluent in Hebrew

Disqualifiers

Documented cognitive impairment

Diagnosis of major depression or other psychiatric disorder (based on self-report or medical records)

Hospitalization in the past 3 months

Trial design

Design model

Single group

Treatments tested in this trial

  • Chronic Disease Self-Management Program (CDSMP)

    Behavioral

    A structured, peer-led, six-week online intervention developed at Stanford University to enhance self-management skills in individuals with chronic conditions. Sessions include action planning, symptom management, medication adherence, healthy behaviors, and emotional coping.

Treatment groups

45 Participants
are divided into 1 treatment group
Group A: CDSMP GroupExperimental treatment 1 intervention

Trial outcomes

Primary outcomes

1

Patient Activation Measure (PAM-13)

The Patient Activation Measure (PAM-13) is a validated self-report questionnaire that assesses individuals' knowledge, skills, and confidence in managing their health. Higher scores reflect greater activation and self-management ability.

Time frame
Baseline, immediately post-intervention, 6-month follow-up
2

health-related behaviors

Assessed using a custom self-report questionnaire developed by the research team, covering physical activity, nutrition, medication adherence, and use of health services.

Time frame
Baseline, immediately post-intervention, 6-month follow-up
3

chronic disease symptom burden

Evaluated using the Self-Management Resource Center (SMRC) symptom survey, which includes ratings of fatigue, pain, emotional distress, sleep, depression, anxiety, and social isolation.

Time frame
Baseline, immediately post-intervention, 6-month follow-up
4

health-related quality of life (EQ-5D)

Baseline, immediately post-intervention, 6-month follow-up

Time frame
Measured by the EQ-5D instrument, which assesses five dimensions of functioning and includes a global self-rated health visual analogue scale.

Secondary outcomes

1

Themes from focus group analysis regarding participant experience

Semi-structured focus groups will be conducted with a subset of participants to explore their perceptions of the program's relevance, usefulness, cultural fit, and overall impact on daily life. Audio recordings will be transcribed and analyzed thematically using a structured multi-stage coding process.

Time frame
through study completion, an average of 6-month
2

Perceived facilitators and barriers to self-management

Identified from qualitative data in focus group discussions. Participants will describe what helped or hindered their ability to engage in self-management behaviors following the intervention.

Time frame
through study completion, an average of 6-month
3

Participant suggestions for improving the CDSMP

Within one month after program completion

Time frame
through study completion, an average of 1 year

Other outcomes

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