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American Public Health Association
133rd Annual Meeting & Exposition
December 10-14, 2005
Philadelphia, PA
APHA 2005
 
5151.0: Wednesday, December 14, 2005 - 3:15 PM

Abstract #106335

Self-management and social capital: Working towards a common goal

Julie A. Becker, PhD, MPH1, Christine Arenson, MD2, Robyn Salkey2, Abbie Schlener3, and Molly A. Rose, PhD4. (1) Department of Family Medicine, Thomas Jefferson University, 1015 Walnut Street, Suite 401, Philadelphia, PA 19107, 215-955-1332, ja.becker@verizon.net, (2) Department of Family Medicine, Thomas Jefferson University, 1015 Walnut Street 4th Floor, Philadelphia, PA 19107, (3) Department of Family Medicine, Jefferson Medical College, 1015 Walnut Street, Suite 401, Philadelphia, PA 19107, (4) College of Health Professions, Department of Nursing, Thomas Jefferson University, 130 S. 9th Street Suite 1215, Philadelphia, PA 19107

The evidence that chronic disease self-management have been used to promote health and/or prevent disease among community members has been demonstrated in the research literature. For older adults who generally suffer an increased burden of chronic disease, self-management programs are used to help promote principles of disease prevention and healthy behaviors. The burden is profoundly apparent in minority elders, where access to care and education are limited and the ability to assimilate and utilize that knowledge may be hindered. To ameliorate this burden, a chronic disease self-management program was administered using the Stanford Patient Education Model to an older (average: 72 years), predominantly African-American population (>90%) in lower income senior housing facilities, senior centers, and churches. Throughout the six-week program, participants reported anecdotally that they experienced increased levels of trust and social networking, mirroring themes discussed in the social capital literature. To test this observation, we conducted focus groups with people who have completed the program 6 or more months prior and administered a tool to measure constructs of social capital. The feasibility of using a social capital tool was tested with this population of senior citizens, as well as measuring pre and post intervention, to examine if social capital at the individual level changed during the time of the chronic disease self-management program. We hypothesized that participation in a chronic disease self-management program will increase trust and social networks. This study will provide quantitative measures to assess the relationship between self-management and social capital.

Learning Objectives: At the end of this presentation, participants will be able to

Keywords: Self-Management, Social Class Measurement

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

[ Recorded presentation ] Recorded presentation

Evidence-based Programs to Promote Health and Prevent Disease

The 133rd Annual Meeting & Exposition (December 10-14, 2005) of APHA