GSTF Journal of Nursing and Health Care (JNHC)

, 3:4

First online:

Open Access This content is freely available online to anyone, anywhere at any time.

A Pilot Study of Chronic Disease Self-Management in a Homeless Population

  • Linda J. HultonAffiliated withJames Madison University
  • , Sharon StrangAffiliated withJames Madison UniversityStanford University
  • , Susan BrooksAffiliated withJames Madison University
  • , Maria HostetterAffiliated withSentara RMH Medical Center


This pilot project developed, implemented, and evaluated the Stanford Chronic Disease Self-Management Program (CDSMP) with sheltered homeless adults (N=10). Participants demonstrated positive change in self-rated health, health distress, self-efficacy, exercise behaviors, and communication. The CDSMP may be effective with homeless clients if additional incentives are incorporated to overcome barriers to success.


chronic illness homeless clients community health self-efficacy