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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Award

Fall 2018

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

School of Nursing

Advisor(s)

Linda J. Hulton

Andrea Knopp

Sharon Zook

Abstract

Background: The incidence of chronic diseases signifies a need to redesign the U.S. healthcare system to better support minority individuals. This project examined the impact of the chronic disease self-management program (CDSMP) workshop in the Kurdish community. The literature shows many positive outcomes of CDSMP workshops, including improvements in physical health, self-efficacy, depression, communication with providers, as well as reduced emergency department visits and hospitalizations. This results in healthcare cost savings for our local communities and our nation. The literature is limited on managing chronic diseases in the Kurdish population, a growing refugee population in the United States and central Virginia region. Furthermore, after speaking with the CDSMP coordinator and reviewing the literature, the CDSMP workshop has not been implemented or evaluated with a Kurdish population. A Logic Model and the PRECEDE-PROCEED model framework were used to implement the CDSMP workshop in the Kurdish community. During the PRECEDE section of this paper, there was a discussion of the social, environmental, epidemiological, administrative, and policy assessment before implementing the CDSMP workshop in the Kurdish population. During the PROCEED section, there was a discussion of the implementation and evaluation of the CDSMP workshop.

Methods: A CDSMP workshop was implemented in the Kurdish dialect to a group of female participants living in a Mid-Atlantic state (N=11). Outcome measures included general health, health distress symptoms, physical activities, self-efficacy, social/role activity limitations, and communication with providers.

Results: At 6-weeks post-intervention, there was improvement in all outcome measures with significant improvement in self-reported health and health distress symptoms. At 12-weeks post-baseline data collection, all outcome measures continued to show improvement except for self-efficacy and physical activity that demonstrated a fade out effect.

Discussions: CDSMP workshops can be modified and successfully implemented in diverse community settings while still maintaining the key components of the program.

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