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Assessment and Enhancement of Social and Community Resources Utilization for Disease Self-Management

Oregon Research Institute in Eugene

Russell E. Glasgow, PhD

AMC Cancer Research Center in Denver, Colorado

This article describes an integrated intervention to encourage the use of community resources for dietary behavior change in older adults. Conducted as part of a randomized trial of Type 2 diabetes patients, the intervention components were designed to be broadly useful across chronic diseases and settings. A community resources guidebook, a survey and feedback procedure to assess and suggest resources for supporting chronic disease management at multiple levels (e.g., family, work, community), a newsletter, and postcards to document resource use were evaluated. All components were developed from a conceptual model of a pyramid of social and environmental support influences based on social-ecological theory. For each intervention component, the authors describe the rationale for development; present process and utilization, reach, and satisfaction data (when available); and discuss lessons learned. The authors conclude that such an intervention is promising, but the specific menu of intervention activities should be tailored to the participant, community, and resources available.

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