Evaluation of a Chronic Disease Self-Management Program in Kentucky

This report presents a detailed overview of a chronic disease self-management program designed for the residents of Kentucky, initiated by the Kentucky Department of Public Health. The program aims to address the growing prevalence of chronic illnesses, particularly among rural and low-income populations. It includes strategies for cultural competence, ethical considerations, and stakeholder engagement, such as healthcare professionals and community members. The program involves workshops focusing on self-management techniques, lifestyle changes, and medication management, with both short-term (increased knowledge) and long-term (improved health behaviors) outcomes defined. The report also covers resource utilization, including human and financial resources, budget sustainability through funding, and evaluation methods like pre and post-program health assessments to measure the program's effectiveness and success. The program's ultimate goal is to reduce mortality rates and improve the overall health satisfaction of the community, aligning with industry benchmarks for successful implementation.

PROGRAM DESIGN PLAN
AND EVALUATION

INTRODUCTION
 Community health focuses on the protection, maintenance,
and enhancement of health status of a population communities
and group.
 Kentucky Department of Public Health is responsible for
introducing and operating different health study programs for
the residents of Kentucky.
 It has different programs initiated for diabetes, tuberculosis,
heart disease, cancer, oral health complication Along with
smoking and drinking (Ky.gov, 2019).

POTENTIAL PROGRAM
DEVELOPMENT
 According to CDC (2019), chronic disease is the condition that
will last up to 1 year or more than that.
 Based on the treatment or attention provided.
 Chronic disease can be only prevented by the self-
management of the disease. Around 6 out of 10 Americans are
suffering from chronic illness (CDC, 2019).
 A self-management program will be developed among the
Kentucky community for the chronic illness management.

DISPARITIES
 There are people who are residing in the rural areas or
belongs to low economic class; poverty rate of USA is 12.3 %.
 such populations, does not access to the health care and also
cannot afford the expensive treatment used for chronic illness
(Douthit et al., 2015).
 The organization has developed such programs to ensure that
the mortality rate among the people under the poverty rate
should reduce.

CULTURAL COMPETENCE
 It is available for different cultural groups of the Kentucky
with no disparities and should be modified accordingly.
 The cultural competency is also a part of this awareness
program.
 The self management program will also include the healthy
diet planning and the life style changing programs in order to
prevent chronic disease.
 This includes diet change on the basis of the ethnic and
cultural beliefs such as for vegetarians the diet should include
soybean in replacement of meat and eggs (Stanton, Scott
&Happell, 2016).

STRATEGY
 The program will help in creating
attention among the residents of
Kentucky to adapt different
changes in their life style.
 Managing the risk factor
associated with the disease,
adapting strategies in enhancing
the lifestyle and adaptability
 Low calorie diet and daily
exercise to prevent chronic
disease is the primary focus
(Stanton, Scott &Happell, 2016).

ALLINGMENT
 The 4 key ethical principles are to be implemented for a
health program
 Beneficence,
 Autonomy,
 Non-malficience
 Justice (Purtilo & Doherty, 2015)

STAKEHOLDER
 The key stakeholder in the self-
management program of chronic
disease prevention are
 The residents of the Pike County
in Kentucky
 The health care professionals that
are physicians, nurses, pharmacists
 Social workers
 Kentucky Department of Health
(Phillips et al., 2016).

Activities
 The workshops will be divided into the 2 and a half hours per
session
 This workshop will be divided into 1 session per week for
about 6 weeks.
 It is important to highlight that 12 to 16 participants will be
divided into each of the workshops (Ory et al., 2013).
 Things that will be taught to the participants of the workshop
are techniques so that they can deal with the isolation, pain,
fatigue and frustration;
 Appropriate usage of medications, nutrition, decision making

OUTCOMES
The short term outcome
 Families and individuals will
have increased knowledge and
skills
 More number of the families
and the individuals will have
increased amount of
knowledge
 The disease processes and
their daily role in self-
managing (Ory et al., 2013).

Continued..
The long term outcomes
 More number of people will be able to exhibit healthy
behaviors.
 Increased amount of community participation and
increased community and individual health satisfaction.
 The mortality rates of the older adults will improve
considerably.
 The self-management program will help in reducing the
negative health impacts.

Logic model of awareness program

Resource Utilization in the program
Human resources
 Certified doctors,
 Nurses,
 Pharmacists,
 Physicians,
 Volunteers, and
 Social care homeowners (De Mauro, Greco, Grimaldi & Ritala,
2018, pp. 807-817).
Financial resources
 Government and raising donations from the community
users of the Pike County
 Crowd funding by an individual to raise funds (Marín-
Vinuesa, Scarpellini, Portillo-Tarragona & Moneva, 2018).

BUDGET

SUSTAINABILITY
 To meet the project goals crowd funding, a subsidy from the
government, and donations from the Kentucky health
department (Hissa and et al., 2019, pp. 23-39).
 The program would be successfully implement by meeting
the funding needs of this project.
 It is recommended to use the dashboard system to keep track
of all the activities of this event to track its progress that all
are completed on time or not

EVALUATION
 In checking the effectiveness of
a program, the previous health
history of the patient is
analyzed such as disease of the
patient, Blood pressure,
allergies of patients (Snyder &
Deters, 2019, pp. 219-224)
 15 participants after the 12
sections will be tested and
60%-70% pass rate will
indicate how effective the
program been.

SUCCESS
 The final result of all of these is matched with the industry’s
benchmarks to ensure the successful implementation
 Taking feedback of the patients attending this event will also
help in ensuring the success or failure

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