Transcript Honest doc -- if I had known I was gonna to live this long

Living Healthy
(i.e. The Chronic Disease
Self-Management Program, CDSMP)
Feel Better. Take Charge.
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
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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
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CDSMP – Program Goal
• To enable participants to build self-confidence to
assume a major role maintaining their health
and managing their chronic health conditions.
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Illustration of self-management problems
for a sample of chronic conditions
Chronic
Condition
Pain
Fatigue
Arthritis
X
X
Asthma/Lung
Disease
X
Diabetes
X
X
Heart Disease
X
X
Shortness
of
Breath
X
X
Physical
Function
Emotions
X
X
X
X
X
X
X
X
Lorig, et al., 2006
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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.
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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
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Workshop Session Content
Session 1
1.
2.
3.
4.
5.
6.
Introduction
Workshop Overview
& Responsibilities
Differences
Between Acute &
Chronic Conditions
Using Your Mind to
Manage Symptoms
& Distraction
Introduction to
Action Plans
Closing
Session 2
1.
2.
3.
4.
5.
Feedback /
Problem-Solving
Dealing with Difficult
Emotions
Introduction to
Physical Activity &
Exercise
Making an Action
Plan
Closing
Session 3
1.
2.
3.
4.
5.
6.
7.
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Feedback
Problem-Solving
Better Breathing
Muscle Relaxation
Pain & Fatigue
Management
Endurance
Activities
Making an Action
Plan
Closing
Workshop Content, Continued
Session 4
1.
2.
3.
4.
5.
6.
7.
Feedback /
Problem-Solving
Future Plans for
Health Care
Healthy Eating
Communication
Skills
Problem-Solving
Making an Action
Plans
Closing
Session 5
1.
2.
3.
4.
5.
6.
7.
8.
Feedback /
Problem-Solving
Medication Usage
Making Informed
Treatment
Decisions
Depression
Management
Positive Thinking
Guided Imagery
Making an Action
Plan
Closing
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Session 6
1.
2.
3.
4.
Feedback
Problem-Solving
Working With Your
Health Care
Professional and
the Health Care
System
Looking Back and
Planning for the
Future
Closing
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.
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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:
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–
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Atlantic Philanthropies
John A. Hartford Foundation
Health Foundation of South Florida
Robert Wood Johnson Foundation
Archstone Foundation
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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.
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Current
Reach
North Carolina
{State
wide
by
the
end
of
CDSMP/Living Healthy Project Map
2012}
Winston-Salem
y
me
r
Mo
nt
go
Granville
Johnston
Harnett
ton
hing Tyrrell
Was
Martin
Cumb
erland
Beaufort
Hyde
Greene
Wayne
Moore
Richm
ond
so
n
nd
er
He
e
mb
Anson
rq
ui
m
an
s
Wilson
Lee
Hoke
m
de
n
nk
ta
uo
sq
Nash
an
ow
Ch
Bertie
eco
Edg
Stanly
Union
Charlotte
Durham
Gaston
Franklin
Pitt
Cabarrus
Pe
Halifax
Chatham
Ca
Gates
Hertford
Wake
Davidson
Randolph
Lincoln
Northampton
Warren
Rowan
rg
Mecklenbu
Rutherford
Polk
Davie
Iredell
Catawba
d
elan
Tr
a
ni
xa
Guilford
Burke
Clev
n
so
Clay
y
ck
Macon
Cherokee
a
lv
sy
an
e
Al
er
nd
Orange
e
nc
Buncombe
Ja
Graham
Caldwell
Forsyth
Alamance
Ya
ll
he
tc
Mi
d
oo
yw
Ha
Swain
Avery
McDowell
Person
Wilkes
Yadkin
Madison
Rockingham Caswell
Lenoir
Craven
Pa
ml
ic
Jones
Sampson
Duplin
Scot
land
Onslow
Robeson
Bladen
Pender
New
Hanov er
Columbus
Brunswick
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Carteret
o
ck
itu
Stokes
Pa
Watauga
Surry
Vance
Alleghany
Ashe
rr
Cu
Asheville
Raleigh
Dare
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.
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Contact Information
Serena Weisner, MS
CDSMP Project Director
NC Division of Aging & Adult Services
[email protected]
(919) 733-0440
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