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The Better Health Self Management Course Known Internationally as The Chronic Disease Self Management Course. Zanne Kawalsky Health Educator: Occupational Therapist 14 September 2011. What Is It?. 6 week group based course 2.5 hours per week
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The Better Health Self Management CourseKnown Internationally as The Chronic Disease Self Management Course Zanne Kawalsky Health Educator: Occupational Therapist 14 September 2011
What Is It? • 6 week group based course • 2.5 hours per week • Facilitated by 2 leaders which can be a peer leader and/or health professional • Standardized, licensed program • For people with one or more chronic condition/s • Participants can attend with a support person
Self Management Skills • Take care of your health problem • Carry out normal activities • Manage your emotional changes
Symptom Cycle Difficulty breathing Tense muscles Fatigue Stress and anxiety Disease Pain Low mood Anger, fear and frustration Adapted from Stanford University Chronic Disease Self-Management Program
Topics Covered • Physical activity • Medications • Managing fatigue • Planning • Better breathing • Working with health professionals • Problem-solving • Using your mind • Managing pain • Communication • Healthy eating • Understanding emotions
Self Efficacy • Role modeling • Persuasion • Skills mastery • Re-interpreting symptoms
Skills • Problem-solving • Brainstorming • Action-planning • Goal-setting
Does it Work? Economic benefits • Navigation of health care system • Cost-benefit Clinical and health outcomes • Symptom management • Health behaviours • Quality of life • Self-efficacy Lorig,K.,Sobel, D. et al. 1999. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: A randomized. Medical Care 37(1):5-14. Lorig,K.,Ritter,P. et al. 2001 chronic disease self management program 2 year health status and health care utilization outcomes. Medical Care 39(11):1217-1223. Osborne, R.,Wilson, T. et al 2007 Does Self-Management Lead to sustainable Health Benefits in people with Arthritis? A 2 year Transition Study of 452 Australians. The Journal of Rheumatology; 34:5: 1112-1117. Swerissen, H & Belfrage, J. 2006 A randomized control trial of a self management program for people with chronic illness from Vietnamese, Chinese, Italian and Greek backgrounds. Patient Education and Counseling 64: 360-368.
Contact Details • Zanne Kawalsky • 8531 8047 • Zanne.kawalsky@arthritisvic.org.au Stanford University Website http://patienteducation.stanford.edu/