CDSMP Current Program History

1. Chronic Disease Self-Management ProgramIntroducing: Take Charge of Your Health Programs Maria D. Oquendo-ScharneckAntonia GamezCDSMP Master Trainers

2. AgeOptions, licensed provider of the Stanford Patient Education Research Center programs since 2006 .Chronic Disease Self-Management Program;Take Charge of Your HealthDiabetes Self-Management Program;Take Charge of Your Diabetes Culturally adapted versionsTomando Control de su Salud and Diabetes

3. CDSMP Current Program History National • 2006 – 16 states involved currently 46 states including D.C. and Puerto Rico • 2010 – 52,436 participants in CDSMP Illinois • 2006 – Three Area Agencies on Aging • March 2010 –over 2,100 participants • 2011 – Ten Area Agencies on Aging

4. AgeOptions Program History • Trained over 80 class leaders in the last four years • Facilitated 85 workshops with an additional 15 currently scheduled • Over 1200 older adults participants have gone through the program

5. AgeOptions Program History • Partners in a 2-year statewide evaluation of CDSMP implementation headed by UIC School for Public Health • Hispanic Elders Learning Network • Elders Learning Network for Illinois focusing on CDSMP and healthcare partnership

6. AgeOptions Program History We have over 40 diverse community based host site partners. Program is in the following communities: • Spanish • Korean • Urdu • Hindi • Persons with disabilities

7. What is Take Charge of Your Health and Tomando Control de su Salud?

8. Take Charge of Your Health The Program • Each workshop consists of 6 sessions • Session are 2 ½ hours per week • Sessions are free to participants • Class materials are available for purchase • Classes are taught by 2 certified class leaders trained as instructed by Stanford University

9. The Workshop, Six Session Series • Each session consists of 4-8 different activities • Each activity has a specified time limit • Each activity has scripted content • Core techniques taught to participants • Goal setting through action plans and feedback • Modeling • Reinterpreting symptoms • Persuasion

10. Tomando Control de su Salud • Workshops consist of 6 weekly sessions • Sessions are 2 ½ hours per day • Sessions are free to participants • Class materials are available for purchase • Classes are taught by 2 bilingual certified class leaders trained as instructed by Stanford University

11. Tomando Control de su Salud • The workshop is delivered entirely in Spanish. • Tomando Control de su Salud is a culturally adapted version.Topics are presented in ways that are culturally appropriate.

12. Tomando Control de su Salud • All Spanish materials • Companion Book Tomando Control de su Salud • Casete de Relajación • ¡Hagamos Ejercicio!

13. Tomando Control de su Salud • Healthy eating Activities • Meal planning • Nutrition Label • Physical Activity Sessions • Exercise with music

14. Research Supporting Take Charge of Your Health and Tomando Control de su Salud

15. What Do Participants Learn • Learn about exercises that help maintain and improve strength and flexibility. • How to manage problems through brainstorming and other techniques. • Learn how to evaluate medication, nutrition and new treatments.

16. Why is Take Charge of Your Health an Evidence Base Program? In over 20 randomized trials of six months and longer Participants showed: • Decrease symptoms • Improve behaviors • Improve self-efficacy (empowerment) • Sometimes decrease health care utilization

17. The Research on Effectiveness Five year research project of 1000 CDSMP Participants improved healthful behaviors such as: • Exercise • Healthy Eating • Coping • Symptom management

18. Take Charge of Your Health Impact on Health Services • Fewer visits to the emergency room. • A cost saving of $390 to $520 per patient decrease healthcare utilization. • Disseminated by hospital and healthcare systems across the nation.

19. Take Charge of Your Health and Communities Putting Prevention to Work (CPPW) Model Communities

20. Brainstorming Why did you choose Take Charge of Your Health as part of your Model Community proposal

21. Take Charge of Your Health- Programmatic System Change • Making a Difference • Changing the course of ongoing health conditions • Changing systems • Working from an Evidence-based Perspective • Drawing from the evidence • Contributing to new evidence • Working Collaboratively • Shaping an inclusive, far reaching agenda • Creating conditions for sustained improvement

22. Systems Change Model Policy Multisector Collaboration Research Organizational Networks Evidence-based Programs By: Nancy Whitelaw, PhD National Council on Aging

23. Model Communities Take Charge of Your HealthProgram Goals • Embed Take Charge of Your Health as part of collaborative community wellness system across sectors • Create complimenting community referral system linked to a statewide delivery system

24. Brainstorming • What do you see as your most urgent technical assistance need in implementing the program?

25. AgeOptions Technical Assistant Plan • Planning • Implementation for sustainability • Partnership building • Recruitment for class leader, host sites • Program toolkit with templates • Training – Class Leaders • Participant evaluation • Monthly support in implementation

26. Take Charge of Your Health Implementation Model Community Partnerships Recruitment Sustainability Model Community Grantee Outreach Referrals Program Budget Registration Workshop Scheduling AgeOptions Technical Assistance Program Fidelity Evaluation Class Leader Training

27. Community Referral System Example Community Partnerships Referrals Referrals Referrals Model Community Grantee Participant Registration Participant Registration Community Host Sites Community Host Sites Workshop Scheduling Workshop Scheduling Participant Evaluations AgeOptions Technical Assistance

28. Technical Assistance Plan

29. Model Community TA Contact Maria D. Oquendo-Scharneck at maria.oquendo-scharneck@ageoptions.org Class leader Training Support : Nisha Baliga at nisha.baliga@ageoptions.org Program Fidelity Support : Antonia Gamez at antonia.gamez@ageoptions.org Call 708-383-0258 Thank you ! AgeOptions Team