The Chronic Disease Self Management Program

Transcription

1 The Chronic Disease Self Management Program Implementing Evidence Based Health Promotion Programs Presenters Courtney Barkley Evidence Based Facilitator Starr Sowers Health & Wellness Division Manager 1

2 Thanks to Phyllis Madachy,, Howard County Administration Nancy Whitelaw, NCOA Kate Lorig, Stanford University Department of Medicine Patient Education Research Center 2

3 Taking a Closer Look at CDSMP: Background Created by Kate Lorig from the Stanford Patient Education Research Center Designed to address chronic diseases such as lung and heart disease, diabetes and arthritis Shifts the sites of care from the medical setting to the community The goal is improved function and comfort, not cure Source: Adapted from Kate Lorig presentation, AHRQ conference,

4 Taking a Closer Look at CDSMP: Improved Function and Comfort Through Self-management What is self-management? The task that individuals must undertake to live with one or more chronic conditions. These tasks include having confidence to deal with medical management, role management and emotional management of their conditions. Institute of Medicine, 2004 Source: Adapted from Kate Lorig presentation, AHRQ conference,

5 Taking a Closer Look at CDSMP: The reasoning behind the program Goals Focuses on building self-confidence Systematically uses strategies to enhance self-confidence Skills mastery Modeling Reinterpretation of symptoms Social persuasion and sharing Action planning Source: Adapted from Kate Lorig presentation, AHRQ conference,

6 CDSMP Core Components Regardless of Type of Chronic Disease Small peer-led groups of people Standardized training for leaders Highly structured teaching protocol Standardized participant materials 2 1/2 hours once each week for six consecutive weeks. e.g., symptom management, exercise, nutrition, problems solving, communications, advanced directives Source: Adapted from Kate Lorig presentation, AHRQ conference,

7 Evidence That CDSMP Works 6 month improvements in health outcomes Increased self-rated health and energy Reduced fatigue, social and role activity limitations, distress with health state Fewer days in hospital in past six months Trend for fewer outpatient and ER visits Cost-effective and long-lasting lasting Source: Adapted from Kate Lorig presentation, AHRQ conference,

8 What is so urgent about developing an evidence-based health promotion plan for Howard County? 8

9 Howard County LIVING WELL Take Charge of Your Health 9

10 Living Well It consists of 6 highly participative structured workshops, held in community settings where participants learn processes and skills to better manage their own health and become actively engaged in their treatments. The programs is for persons with chronic conditions. The workshops are facilitated by two lay leaders who have been trained by two Master Trainers at Stanford University. 10

11 Living Well The Workshop covers topics such as: Communicating with your doctor Physical Activity Relaxation Managing Symptoms Eating Well Effective Problem Solving Goal Setting 11

12 Living Well Successful participants of both programs will: Learn new skills to better manage their health Improve their outlook on life Learn new problem solving skills Be empowered 12

13 Living Well Sponsoring organizations will: Increase community recognition Provide a service to the community Build partnerships with other community agencies Create healthier and happier members 13

14 Living Well How to implement the program: Stanford Licensing Agreement Cost of Program License Master training Lay leader training Course materials Administrative costs 14

15 Living Well Recruitment of Lay Leaders Persons that have a chronic disease or someone that lives with someone that has a chronic disease Leaders do not have to be health care professionals Leaders must be able to follow a programmed script Recruitment of Participants Persons that have a chronic disease or someone that lives with someone that has a chronic disease Persons need to be able to attend at least 4 sessions 15

16 Living Well Location of Workshops Senior Centers Howard County General Hospital Wellness Center Libraries Senior Housing Accessible Facilities Faith-Based Community 16

17 Contact Information Courtney Barkley, BSW Evidence Based Facilitator Howard County Office on Aging Starr Sowers, MSW Health & Wellness Division Manager Howard County Office on Aging