Effectiveness of chronic disease self-management education (CDSME) programs to reduce loneliness

Chronic Illn. 2023 Sep;19(3):646-664. doi: 10.1177/17423953221113604. Epub 2022 Aug 11.

Abstract

Objectives: With about half of older adults reporting feelings of loneliness, interventions are needed to improve connectedness among our aging population. The health benefits of Chronic Disease Self-Management Education (CDSME) programs are well documented, but workshops' ability to reduce loneliness remains unknown.

Methods: Using the Campaign to End Loneliness Measurement Tool, we examined 295 CDSME participants' loneliness changes before and after the 6-week face-to-face workshops. Statistical analyzes used generalized estimating equations (GEE).

Results: On average, participants were age 74.3(±8.9) years and self-reported 3.3(±2.2) chronic conditions. The majority of participants were female (83%) and attended workshops in English (77%). Significant reductions in loneliness scores were observed from baseline to post-workshop (p < 0.001).

Discussion: Findings expand our understanding about the benefits of small-group CDSME workshops to reduce loneliness among participants. CDSME workshops may reduce loneliness because of their highly interactive and process-driven format and ability to create bonds between participants with chronic conditions and shared experiences.

Keywords: Chronic disease self-management; aging; evaluation; intervention; loneliness.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aged
  • Chronic Disease
  • Emotions
  • Female
  • Humans
  • Loneliness*
  • Male
  • Self Report
  • Self-Management* / education