Harkness Project Title: Chronic Disease Self-Management Programs: Scope of Programs and What Works for Whom in the U.S.?
Mentor: Michael Von Korff, Sc.D., and Edward H. Wagner, M.D., FACP, Group Health Cooperative of Puget Sound
Placement: Group Health Cooperative of Puget Sound
Biography at time of Harkness Fellowship: Malcolm Battersby, a 2003-04 Commonwealth Fund Harkness Fellow in Health Care Policy, is senior lecturer in psychiatry at Flinders University and director of the Flinders Human Behaviour and Health Research Unit. He was a chief investigator of the SA HealthPlus Coordinated Care trial in South Australia. Battersby has a strong interest in behavior change, at both the patient and the clinician level. He has worked extensively with general practitioners and other health professionals to develop a generic assessment and care planning approach for clinicians to assist patients with self management of chronic conditions (The Flinders Model). He has also established the Master of Mental Health Science course in the use of cognitive and behavioral therapy for anxiety, depression and other conditions. His research has included the development of the Partners in Health scale to measure self management capacity, and four projects in aboriginal diabetes, respiratory, cardiac and mental illness communities as part of the South Australian Chronic Disease Self-Management program. He has provided a report on recommended actions for the self-management component of the Australian National Chronic Disease Strategy. Battersby was recently awarded a National Health and Medical Research Council grant with the Aboriginal Health Council of South Australia for the Centre for Clinical Research Excellence in Aboriginal Health. He has been appointed to the editorial board of the Journal of Chronic Illness.
Project: Battersby’s project sought to determine which factors in the patient, clinician, and care system facilitate self-management behaviors. He also examined whether an Australian model of self-management education (the Flinders model) is applicable in a U.S. setting, with an emphasis on Native American populations and patients with mental health problems. He undertook a literature review of evidence for self-management interventions in primary care, a key informant survey of self-management programs, and site visits and key informant interviews.
Career Activity Since Fellowship
- Director, Finders Human Behaviour and Health Research Unit, 2013
- Professor of Psychiatry, Flinders University, 2010
- Health Innovations Award—The Flinders Model, Health & Lifestyle Expo, Waitemata District Health Board, 2006
- Associate Professor of Psychiatry, Flinders University, 2006
Current Position: Professor of Psychiatry, Director, Finders Human Behaviour and Health Research Unit, Flinders University. (Updated 1/2014)
E-Mail: [email protected]
Morefield, K., Harvey, P., Smith, D., Walker, C., Dunn, K. and Battersby, M. An Inpatient Treatment Program for Problem Gambling: Synopsis and Early Outcomes. International Journal of Mental Health and Addiction 2014.
Morefield, K., Walker, C., Smith, D.P., Harvey, P., Dunn, K. and Battersby, M. An Inpatient Treatment Program for People with Gambling Problems: Synopsis and Early Outcomes. International Journal of Mental Health and Addiction 2014, pp. 1-13.
Heatley, E., Harris, M., Battersby, M., McEvoy, R., Chai-Coetzer, C.L. and Antic, N. Obstructive sleep apnoea in adults: A common chronic condition in need of a comprehensive chronic condition management approach. Sleep Medicine Reviews 2013, 17 pp. 349-355.
Heartfield, M., Harris, M., Lawn, S., Stapleton, C. and Battersby, M. e-Learning competency for practice nurses: an evaluation report. Australian Journal of Primary Health 2013, 19(4) pp. 287-291.
Tolchard, B. and Battersby, M. Cognitive Behaviour Therapy for Problem Gamblers: A Clinical Outcomes Evaluation. Behaviour Change 2013, 30(1) pp. 12-23.
Smith, D.P., Pols, R., Battersby, M. and Harvey, P. The Gambling Urge Scale: Reliability and validity in a clinical population. Addiction Research and Theory 2013, 21(2) pp. 113-122.
Smith, D.P., Battersby, M., Pols, R., Harvey, P., Oakes, J. and Baigent, M. Predictors of relapse in problem gambling: A prospective cohort study. Journal of Gambling Studies 2013.
Smith, D.P., Battersby, M., Harvey, P., Pols, R. and Ladouceur, R. (2013). Two-group randomised, parallel trial of cognitive and exposure therapies for problem gambling: a research protocol. BMJ Open 2013, 3(6).
Smith, D., Dunn, K., Harvey, P., Battersby, M. and Pols, R. Assessing Randomised Clinical Trials of Cognitive and Exposure Therapies for Gambling Disorders: A Systematic Review. Behaviour Change 2013, 30(3) pp. 139-158.
Lawn, S.J., Delany, T., Sweet, L., Battersby, M. and Skinner, T. Control in chronic condition self-care management: How it occurs in the health worker-client relationship, and implications for client empowerment. Journal of Advanced Nursing 2013.
Lawn, S., Delany, T., Sweet, L., Battersby, M. and Skinner, T. Barriers and enablers to good communication and information-sharing practices in care planning for chronic condition management. Australian Journal of Primary Health 2013.
Harvey, P., Petkov, J., Kowanko, I., Helps, Y. and Battersby, M. Chronic condition management and self-management in Aboriginal communities in South Australia: outcomes of a longitudinal study. Australian Health Review 2013, 37(2) pp. 246-250.
Battersby, M., Beattie, J., Pols, R., Smith, D.P., Condon, J. and Blunden, S. A randomised controlled trial of the Flinders Programâ„¢ of chronic condition management in Vietnam veterans with co-morbid alcohol misuse, and psychiatric and medical conditions. Australian and New Zealand Journal of Psychiatry 2013, 47(5) pp. 451-462.
Oakes, J., Pols, R., Battersby, M., Lawn, S., Pulvirenti, M. and Smith, D.P. A focus group study of predictors of relapse in electronic gaming machine problem gambling, part 1: factors that 'push' towards relapse. Journal of Gambling Studies 2012.
Oakes, J., Gardiner, P., McLaughlin, K. and Battersby, M. A Pilot Group Cognitive Behavioural Therapy Program. International Journal of Mental Health and Addiction 2011.
Hounslow, V., Smith, D.P., Battersby, M.W. and Morefield, K. Predictors of Problem Gambling Severity in Treatment Seeking Gamblers. International Journal of Mental Health and Addiction 2011, 9(6) pp. 682-695.
Ellis, N., MacKenzie, A., McLeod, R. and Battersby, M. Disempowerment of workers in vocational rehabilitation: would self-management help? Journal of Health, Safety and Environment 2011, 27(3) pp. 171-184.
Wise, V., McFarlane, A., Clark, C. and Battersby, M. An integrative assessment of brain and body function 'at rest' in panic disorder: A combined quantitative EEG/autonomic function study. International Journal of Psychophysiology 2011, 79(2) pp. 155-165.
Smith, D.P., Battersby, M., Harvey, P., Pols, R., Baigent, M. and Oakes, J. The influence of depression and other co-occurring conditions on treatment outcomes for problem gamblers: a cohort study. MJA Medical Journal of Australia 2011 195(3) pp. S56-S59.
Reed, R., Battersby, M., Osborne, R., Bond, M., Howard, S. and Roeger, S. Protocol for a randomised controlled trial of chronic disease self-management support for older Australians with multiple chronic diseases. Contemporary Clinical Trials 2011, 32(6) pp. 946-952.
Oakes, J., Pols, R., Battersby, M., Lawn, S., Pulvirenti, M. and Smith, D.P. A focus group study of predictors of relapse in electronic gaming machine problem gambling, part 2:factors that 'pull' the gambler away from relapse. Journal of Gambling Studies 2011.
Cadilhac, D., Hoffmann, S., Kilkenny, M., Lindley, R., Lalor, E., Osborne, R., et al. A Phase II Multicentered, Single-Blind, Randomized, Controlled Trial of the Stroke Self-Management Program. Stroke 2011, 42 pp. 1673-1679.
Petkov, J., Harvey, P. and Battersby, M.W. The internal consistency and construct validity of the Partners in Health scale: validation of a patient rated chronic condition self-management measure. Quality of Life Research 2010, 19(7) pp. 1079-1085.
Ellis, N., Johnston, V., Gargett, S., MacKenzie, A., Strong, J., Battersby, M.W., et al. Does self-management for return to work increase the effectiveness of vocational rehabilitation for chronic compensated musculoskeletal disorders? - Protocol for a randomised controlled trial. BMC Musculoskeletal Disorders 2010, 11 pp. 1-6.
Battersby, M.W., Von Korff, M., Schaefer, J., Davis, C., Ludman, E., Greene, S., et al. Twelve evidence-based principles for implementing self-management support in primary care. Joint Commission Journal on Quality and Patient Safety 2010, 36(12) pp. 561.
Battersby, M.W., Harris, M., Reed, R.L., Harvey, P., Woodman, R.J. and Frith, P.A. A randomised trial of the Flinders Program to improve patient self-management competencies in a range of chronic conditions: study rationale and protocol. Australasian Medical Journal 2010, 1(3) pp. 198-204.
Smith, D.P., Harvey, P., Battersby, M.W., Pols, R.G., Baigent, M.F. and Oakes, J.E. Treatment outcomes and predictors of drop out for problem gamblers in South Australia: a cohort study. Australian and New Zealand Journal of Psychiatry 2010, 44 pp. 911-920.
Tolchard, B. and Battersby, M.W. The Victorian gambling screen : reliability and validation in a clinical population. Journal of Gambling Studies 2010, pp. 1-16.
Battersby, M.W., Sally, H., Cadilhac, D.A., Osborne, R., Lalor, E. and Lindley, R. 'Getting your life back on track after stroke':a Phase II multi-centered, single-blind, randomized, controlled trial of the Stroke Self-Management Program vs the Stanford Chronic Condition Self-Management Program or standard care in stroke survivors. International Journal of Stroke 2009, 4 pp. 137-144.
Crotty, M., Prendergast, J., Battersby, M.W., Rowett, D.S., Graves, S.E., Leach, G., et al. Self-management and peer support among people with arthritis on a hospital joint replacement waiting list: a randomised controlled trial. Osteoarthritis and Cartilage 2009, 17(11) pp. 1428-1433.
Lawn, S.J., Battersby, M.W., Lindner, H., Mathews, R., Morris, S., Wells, L., et al. What skills do primary health care professionals need to provide effective self-management support?: seeking consumer perspectives. Australian Journal of Primary Health 2009, 15(1) pp. 37-44.
Lawn, S.J., Pols, R.G. and Battersby, M.W. Working effectively with patients with comorbid mental illness and substance abuse: a case study using a structured motivational behavioural approach. BMJ Case Reports, 2009.
Pols, R.G., Battersby, M.W., Regan-Smith, M., Markwick, M.J., Lawrence, J.S., Auret, K., et al. Chronic condition self-management support: proposed competencies for medical students. Chronic Illness 2009, 5(1) pp. 7-14.
Wise, V., McFarlane, A.C., Clark, C.R. and Battersby, M.W. Event-related potential and autonomic signs of maladaptive information processing during an auditory oddball task in panic disorder. International Journal of Psychophysiology 2009, 74(1) pp. 34-44.
Crotty, M., Prendergast, J., Battersby, M., Rowett, D., Graves, S., Leach, G. & Giles, G. "Self-management and peer support among people with arthritis on a hospital joint replacement waiting list: A randomized controlled list." Osteoarthritis & Cartilage 2009, 17, 1428-1433.
Lawn, S., Battersby, M., Lindner, H., Mathews, R., Morris, S., Wells, L., et al. "What skills do primary health care professionals need to provide effective self-management support?: A consumer perspective." Australian Journal of Primary Health 2009, 15, 37-44.
Pols, R. G., Battersby, M. W., Regan-Smith, M., Markwick, M. J., Lawrence, J., Auret, K., Carter, J., Cole, A., Disler, P., Hassed, C., McGuiness, C. & Nguyen, H. “Chronic condition self-management support: proposed competencies for medical students.” Chronic Illness 2009, 5, 7-14.
Battersby, M., Hoffmann, S., Cadilhac, D., Osborne, R., Lalor, E., & Lindley, R. “‘Getting your life back on track after stroke’ A Phase 2 Multi Centred, Single Blind, Randomised Controlled Trail (RCT) of the Stroke Self-Management Program (SSMP) Vs the Stanford Chronic Condition Self Management Program (CCSMP) or Standard Care in Stroke Survivors.” International Journal of Stroke 2009, 4(2) 137-44.
Battersby, M. W., J. Ah Kit, C. Prideaux, P. W. Harvey, J. P. Collins and P. D. Mills. "Implementing the Flinders Model of self-management support with Aboriginal people who have diabetes: findings from a pilot study." Australian Journal of Primary Health 14(1): 66-74d Care in Stroke Survivors. International Journal of Stroke 2008, 4(2) 137-44.
Harvey, P. W., J. Petkov, G. Misan, K. Warren, J. Fuller, M. Battersby, N. Cayetano and P. Holmes. "Self-management support and training for patients with chronic and complex conditions improves health related behaviour and health outcomes." Australian Health Review 2008; 32(2): 330- 338.
Lawn, S., M. Battersby, R. G. Pols, J. Lawrence, T. Parry and M. Urukalo. "The mental health expert patient: Findings from a pilot study of a generic chronic condition self-management programme for people with mental illness." International Journal of Social Psychiatry 2007 53(1): 63-74.
Battersby, M. "Das selbstmanagement - Model der Flinders University" Managed Care 2007 2: 23-26.
Battersby M, Harvey P, Mills PD, Kalucy E, Pols RG, Frith PA, McDonald P, Esterman A, Tsourtos G, Donato R, Pearce R, McGowan C. “SA HealthPlus: A Controlled Trial of a Statewide Application of a Generic Model of Chronic Illness Care,” The Milbank Quarterly 2007; 85(1):37-67.
Pols, R. G., M. W. Battersby "Chronic condition self-management: Is there a need for a specific curriculum for medical students?" Medical Education 2006 40: 719-721.
Regan-Smith, M., K. Hirschmann, W. Iobst and M. W. Battersby "Teaching residents chronic disease management using the Flinders model." Journal of Cancer Education 2006 21(2): 60-62.
Battersby, M. W. and S. H. P. team. "Health reform through coordinated care: SA HealthPlus." BMJ 2005 330(7492): 662-665.
Battersby M, Report on Collaboratives for Chronic Illness Care Implementation in Primary Care to the South Australian Government, March 15, 2004.
Ah Kit, J., C. Prideaux, P. W. Harvey, J. Collins, M. W. Battersby and P. D. Mills. "Chronic disease self-management in Aboriginal communities: Towards a sustainable” Journal of Primary Health 2003 9(2&3): 168-176.
Battersby, M., A. Ask, M. Reece, M. Markwick and J. Collins (2003). "The partners in health scale: The development and psychometric properties of a generic assessment scale for chronic condition self-management."