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The Good Life Club

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Project Manager - Jill Kelly. Today.... Describe project model. Describe evaluation framework ... Improved self-management capacity of people over 50 years of ... – PowerPoint PPT presentation

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Title: The Good Life Club


1

Good Life Club Project A National Sharing Health
Care Project (Chronic Disease
Self-Management)Project Manager - Jill Kelly
2
Today.
  • Describe project model
  • Describe evaluation framework
  • Overview outcomes

3
Good Life Club Consortium
  • Inner East Community Health Service
  • Manningham Community Health Service
  • MonashLink Community Health Service
  • Whitehorse Community Health Service
  • Chinese Health Foundation of Australia
  • Whitehorse City Council
  • Eastern Health
  • Whitehorse Division of General Practice (auspice)

4
Objective of project
  • Improved self-management capacity of people over
    50 years of age with diabetes living in eastern
    suburbs of Melbourne
  • Sub target of older men and Chinese community

5
Major Strategies
  • Telephone coaching by Allied Health Practitioners
    general practice nurses
  • Promotion of Multi-disciplinary care planning
  • Client Website www.goodlifeclub.info
  • Club activities
  • Client newsletter
  • email newsletter

6
National Evaluation Framework
  • CLIENT
  • PROCESS
  • Marketing/Reach/Recruitment
  • Care Planning
  • IMPACT
  • Behaviour self-efficacy
  • Satisfaction with program

7
  • OUTCOME
  • Baseline, 6 m, 12 m 18 m
  • Health status
  • Health related QOL
  • Functional status
  • Social functioning
  • Psychological distress
  • Satisfaction with life (overall well-being)
  • Health Service usage (self-reported)

8
  • HEALTH SERVICE PROVIDER
  • PROCESS
  • Marketing/reach
  • IMPACT
  • Perceptions key informant
  • interviews focus groups of
  • HSP GPs

9
  • HEALTH SERVICE SYSTEM
  • PROCESS
  • Infrastructure development
  • Integration
  • IMPACT
  • Sustainability

10
Project Enrolment
  • 353 clients
  • 10 enrolments were Chinese-speaking
  • 43 enrolments were men
  • One third of enrolled clients
  • referred by GPs
  • High level of patient, GP satisfaction

11
Interim 6 Month Client Outcomes (n85)
  • Increased confidence in managing condition
  • Increased physical activity
  • Less time being fearful/worried about health
  • Able to turn taps (results of strength training)
  • Fall in mean number of GP visits

12
Interim 12 month data(n 49)
  • Decreased hospital Emergency Department
    presentation
  • Increased use of allied health practitioners

13
18 month / End of project data
  • CLIENTS
  • Mixed bag of evidence
  • Health service usage patterns trending in desired
    directions
  • Sustained involvement in walking exercise
  • Clients had a wide range of benefits including
  • ? motivation, ?ability to cope with diabetes,
    better knowledge and strong social supports

14
  • CLIENT GAINS THAT HAVE BEEN SUSTAINED
  • Self-reported symptoms of
  • Pain, shortness of breath
  • Levels of discouragement attributed to health
    problems
  • Fear of health problems
  • Associated worries and frustrations
  • Changes in confidence not sustained

15
  • HEALTH SERVICE PROVIDERS
  • Implementation difficulties e.g.
  • Competing demands
  • After-hours work
  • Difficulty contacting
  • clients
  • Av. Number of coaching
  • sessions per client 6

16

Figure 1. Mean scores for the pre-training and
post-training assessments for 35 coaches
17
FIVE SUSTAINABILITY PROJECTS
  • Trialled different models
  • Barriers and facilitators identified
  • Facilitators
  • Supportive and proactive management
  • Organisational and health professional behaviour
    change supported

18
Transition Phase 2 years
  • Action Plans to embed CDSM
  • Organisational support
  • Train the Trainers Flinders Uni model
  • Regional Practitioners network
  • Stanford course leader
  • training

19
National themes.
  • CLIENTS
  • ? Hospital readmissions, ? specialist visits
  • ? Quality of life
  • Difficult to engage people from CALD backgrounds
  • Lack of male participation
  • Those with worse health, made greatest change

20
National themes
  • HEALTH SERVICE PROVIDERS
  • Difficulty engaging GPs
  • CDSM not a priority in acute health sector
  • HSPs had most difficulty (competing demands,
    resources)
  • Projects are clear about benefits challenges
    for SM for clients, practitioners and
    organisations

21
More Information
  • www.goodlifeclub.info
  • (see Health Professionals/Resources)
  • Australian Journal of Primary Health
  • Vol. 9 23 2003
  • www.chronicdisease.health.gov.au
  • http//sharinghealthcare.pwcglobal.com.au./Sharing
    HealthCare/healthcare.nsf
  • (PriceWaterHouse Coopers)
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