Living Healthy (i.e. The Chronic Disease Self-Management Program, CDSMP)

1. Living Healthy(i.e. The Chronic Disease Self-Management Program, CDSMP)

2. Self-management There is no way [a patient] can avoid managing a chronic condition. If he/she does nothing but suffer, this is a management style. If the patient chooses to be a “positive self-manager” and undergo all the best treatments that health care professionals have to offer, along with being proactive in his/her day-to-day management, this will lead to the healthiest life possible. Kate Lorig, RN, DPH, et al. Living A Healthy Life with Chronic Conditions

3. Chronic Disease Self-Management Program (CDSMP) • Evidence-based program developed by Stanford Univ. • Format: Train the Trainer • Lay Leader Led – teams of 2 • 2 ½ hours session; 1x/wk; 6 weeks • 10 – 15 participants Stanford Univ. / T Trainers Master Trainers Lay Leaders Workshop Participants

4. CDSMP – Program Goal • To enable participants to build self-confidence to assume a major role maintaining their health and managing their chronic health conditions.

5. Illustration of self-management problems for a sample of chronic conditions Lorig, et al., 2006

6. Reasoning behind the program’s design and elements • People with chronic conditions have similar concerns and problems. • People with chronic conditions must deal not only with their disease(s), but also with the impact on their lives and emotions. • Lay people with chronic conditions, when given a detailed leader's manual, can lead the CDSMP as effectively, if not more effectively, than health professionals. • The process or the way the CDSMP is taught is as important, if not more important, than the subject matter that is taught.

7. Essential program components and activities • Coping strategies incorporated include: • goal setting and feedback • behavior modeling • problem-solving techniques • decision making • Individuals are taught to control their symptoms through: • Relaxation techniques • Changing their diets • Managing sleep and fatigue • Using medications correctly • Physical activity • Communication with health providers

8. Workshop Session Content

9. Workshop Content, Continued

10. Research Shows That CDSMP Participants… • Increased their levels of physical activity. • Developed better coping strategies and symptom management. • Showed better communication with their physicians. • Improved their self-rated health and social/role activities, • Experienced less health distress. • Had less fatigue. • Experienced decreased disability. • Had lower numbers of physician visits and hospitalizations.

11. Tremendous National Support • US Administration on Aging (AoA) • Over $50 million in grants awarded • Other federal agencies: • CDC • AHRQ • CMS • Dozens of private funders, including: • Atlantic Philanthropies • John A. Hartford Foundation • Health Foundation of South Florida • Robert Wood Johnson Foundation • Archstone Foundation

12. Living Healthy(i.e. CDSMP) • 3-year demonstration grant from AoA in 2007 • 7 Area Agencies on Aging (AAAs) covering 46 counties • Have expanded to 7 more AAAs  now covering 80 counties • Will be state wide by the end of 2012 • Working to target hard-to-reach, underserved adults 60+ and offer the program in a wide variety of settings.

13. Current Reach{State wide by the end of 2012}

14. How can you get involved in Living Healthy? • Participate in a Living Healthy workshop! • Becoming a Lay Leader or help identify people who would be interested in becoming Lay Leaders • Locate new sites for workshops and/or trainings • Help us get the word out  Refer clients, and mention the program to colleagues, family members, and friends • Help us connect with people, groups, organizations, etc. that may be interested.

15. Serena Weisner, MS CDSMP Project Director NC Division of Aging & Adult Services serena.weisner@dhhs.nc.gov (919) 733-0440 Contact Information