People with chronic conditions that are expressed as limitations in activities of daily living utilize a disproportionate level of health care resources. Health promotion has been cited as a potential modality for moderating these disproportionate costs. In this study, the Living Well with a Disability health promotion curriculum was delivered to 188 adults with mobility impairments in 7 states. This curriculum teaches participants to use health behavior change as a means to goal attainment of important life goals (e.g. going back to school). Participants were recruited from the case service records of community-based centers for independent living (CILs) as well as from the community at large. Once recruited, participants were randomly assigned to treatment in a staggered baseline experimental design that allowed collection of extended baseline data two months prior to intervention commencement. Results of repeated measures ANOVA on four waves of data collected immediately pre- to 4 months post-intervention indicated participants used significantly fewer health care resources following the intervention than they had used at baseline (F=3.282, p < .05). Using a 3rd party payer economic perspective, a net financial benefit is realized during the first two follow-up periods (4 months total). However, effects on costs are not maintained at 12 months. Efficacy of the intervention assessed with self-reported limitation due to secondary conditions suggested that effects evident immediately post intervention were maintained across the follow-up period including the 12 the month follow-up (F=4.20, p < .01). See www.livingwellweb.com
Learning Objectives: Attendees will be able to: 1) Articulate a model of health promotion useful to people with disabilities. 2) Describe the utility of using self-report health care utilization as a proxy of health care costs.
Keywords: Health Promotion, Intervention
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.