TY - JOUR
KW - Adolescent
KW - Adult
KW - Aged
KW - Aged, 80 and over
KW - Chronic Disease
KW - Cooperative Behavior
KW - Depression/nursing/therapy
KW - Disease Management
KW - Female
KW - Health Care Surveys
KW - Humans
KW - Male
KW - Middle Aged
KW - Patient Compliance
KW - Patient Satisfaction/statistics & numerical data
KW - Primary Health Care/methods/organization & administration
KW - Professional-Patient Relations
KW - Self Care/methods
KW - Self Report
KW - Young Adult
AU - R. S. DeJesus
AU - L. Howell
AU - M. Williams
AU - J. Hathaway
AU - K. S. Vickers
A1 - 
AB - BACKGROUND: Chronic disease management in the primary care setting increasingly involves self-management support from a nurse care manager. Prior research had shown patient acceptance and willingness to work with care managers. METHODS: This survey study evaluated patient-perceived satisfaction with care management and patient opinions on the effectiveness of care management in promoting self-management. Qualitative and quantitative survey responses were collected from 125 patients (79% female; average age 46; 94% Caucasian) enrolled in care management for depression. Qualitative responses were coded with methods of content analysis by 2 independent analysts. RESULTS: Patients were satisfied with depression care management. Patients felt that care management improved their treatment above and beyond other aspects of their depression treatment (mean score, 6.7 [SD, 2]; 10 = Very much), increased their understanding of depression self-management (mean score, 7.2 [SD, 2]; 10 = Very much), and increased the frequency of self-management goal setting (mean score, 6.9 [SD, 3]; 10 = Very much). Predominant qualitative themes emphasized that patients value emotional, motivational, and relational aspects of the care manager relationship. Patients viewed care managers as caring and supportive, helpful in creating accountability for patients and knowledgeable in the area of depression care. Care managers empower patients to take on an active role in depression self-management. Some logistical challenges associated with a telephonic intervention are described. CONCLUSION: Care manager training should include communication and motivation strategies, specifically self-management education, as these strategies are valued by patients. Barriers to care management, such as scheduling telephone calls, should be addressed in future care management implementation and study.
BT - Postgraduate medicine
C5 - Education & Workforce
CP - 2
CY - United States
DO - 10.3810/pgm.2014.03.2750
IS - 2
JF - Postgraduate medicine
N2 - BACKGROUND: Chronic disease management in the primary care setting increasingly involves self-management support from a nurse care manager. Prior research had shown patient acceptance and willingness to work with care managers. METHODS: This survey study evaluated patient-perceived satisfaction with care management and patient opinions on the effectiveness of care management in promoting self-management. Qualitative and quantitative survey responses were collected from 125 patients (79% female; average age 46; 94% Caucasian) enrolled in care management for depression. Qualitative responses were coded with methods of content analysis by 2 independent analysts. RESULTS: Patients were satisfied with depression care management. Patients felt that care management improved their treatment above and beyond other aspects of their depression treatment (mean score, 6.7 [SD, 2]; 10 = Very much), increased their understanding of depression self-management (mean score, 7.2 [SD, 2]; 10 = Very much), and increased the frequency of self-management goal setting (mean score, 6.9 [SD, 3]; 10 = Very much). Predominant qualitative themes emphasized that patients value emotional, motivational, and relational aspects of the care manager relationship. Patients viewed care managers as caring and supportive, helpful in creating accountability for patients and knowledgeable in the area of depression care. Care managers empower patients to take on an active role in depression self-management. Some logistical challenges associated with a telephonic intervention are described. CONCLUSION: Care manager training should include communication and motivation strategies, specifically self-management education, as these strategies are valued by patients. Barriers to care management, such as scheduling telephone calls, should be addressed in future care management implementation and study.
PP - United States
PY - 2014
SN - 1941-9260; 0032-5481
SP - 141
EP - 146
EP - 
T1 - Collaborative care management effectively promotes self-management: patient evaluation of care management for depression in primary care
T2 - Postgraduate medicine
TI - Collaborative care management effectively promotes self-management: patient evaluation of care management for depression in primary care
U1 - Education & Workforce
U2 - 24685978
U3 - 10.3810/pgm.2014.03.2750
VL - 126
VO - 1941-9260; 0032-5481
Y1 - 2014
ER -