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Living with Chronic Conditions: Why Self-Management Works in the Community and Online. Sue Lachenmayr and Katy Plant. NCOA - National Council on Aging . NCOA is a nonprofit service and advocacy organization.
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Living with Chronic Conditions: Why Self-Management Works in the Community and Online Sue Lachenmayr and Katy Plant
NCOA - National Council on Aging NCOA is a nonprofit service and advocacy organization. Our mission is to improve the lives of millions of older adults, especially those who are vulnerable and disadvantaged.
Trend: Growing Epidemic of Chronic Diseases Source: Medical Expenditure Panel Survey, 2006
Key Risks for Chronic Conditions • Smoking • Poor diet & nutrition • Physical inactivity • Falls • Alcohol & substance abuse • Stress • Social isolation
Chronic Disease Self-Management Assumptions • People with different chronic diseases have similar self-management problems and disease-related tasks. • Individuals can learn to take day-to-day responsibility for their diseases. • Confident, knowledgeable people practicing self-management will experience improved health status and use fewer health resources.
Stanford University’s Chronic Disease Self-Management Program (CDSMP) • Background • Over 20 years of proven impact • ‘Gold standard’ of evidence-based programming • Offered locally and worldwide
CDSMP – A Proven Program • Program basics • Six weekly sessions • Peer facilitated • Opportunities for discussion and problem solving • Workshop topics include: • Exercise and nutrition • Medication usage • Stress management • Talking with your doctor • Dealing with emotions and depression
CDSMP – A Proven Program • Skill-building components • Goal setting • Brainstorming • Problem solving • Feedback and sharing
CDSMP Participants Reached • 160,000 + participants enrolled in CDSMP
CDSMP Implementation Sites • More than 11,500 workshops held at nearly 7,000 unique implementation sites
CDSMP: Better Care Notes. † These statistics control for covariates gender, age, race/ethnicity, education, number of chronic conditions. Indicates that larger scores are better for this measure Indicates that smaller scores are better for this measure. **p<0.01, *p<.05
CDSMP: Better Outcomes Notes. † These statistics control for covariates gender, age, race/ethnicity, education, number of chronic conditions. Indicates that larger scores are better for this measure Indicates that smaller scores are better for this measure. **p<0.01, *p<.05
CDSMP: Lower Health Care Costs Notes. † Odds Ratio or Mean Ratio after controlling for covariates gender, age, race/ethnicity, education, number of chronic conditions. Indicates that larger scores are better for this measure Indicates that smaller scores are better for this measure. **p<0.01, *p<.05
Where To Go For Resources If You Are Offering Programs • Title III D of the Older Americans Act • Language requires that funds be used for “programs and activities which have been demonstrated through rigorous evaluation to be evidence-based and effective.” • Embedding within systems • Senior housing • Department of Corrections • Veterans Administration • Integration with other state and regional initiatives • State Units on Aging/Area Agencies on Aging • Department of Public Health • Multicultural/Minority Health • Mental Health and Substance Abuse • SCSEP
Where To Go For Resources If You Are Offering Programs • Partnerships with health care providers/systems • State Health Insurance Assistance Program • Federally Qualified Health Centers • Care Transitions Initiatives • Patient-Centered Medical Homes • Other ACA Initiatives
Where To Start If You Want to Get Involved • As a Participant • As a Workshop Leader • As a Program Provider http://restartliving.org http://patienteducation.stanford.edu/organ/
Suite of online self-management programs Cancer: Thriving and Surviving
Core Self-Management Concepts • Systematically use the following strategies to enhance self-efficacy: • Goal Setting • Modeling • Reinterpretation of Symptoms • Social Persuasion
Online workshop characteristics • Six-week workshop; new workshop session starts each week • 20-25 participants • Highly interactive (discussion boards) • Participants log on several times a week for a total of 2-3 hours each week • No “real time” commitment • Peer led by two Facilitators and monitored by a Mentor
Workshop Demo • Now we will take a look at a Better Choices Better Health workshop set to session 2 of 6 • Interested in offering online workshops?
Visit Us Online! • www.ncoa.org/cha
Questions? Katy Plant katy.plant@ncoa.org Sue Lachenmayr sue.lachenmayr@ncoa.org