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Living with Chronic Conditions: Why Self-Management Works in the Community and Online

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

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  1. Living with Chronic Conditions: Why Self-Management Works in the Community and Online Sue Lachenmayr and Katy Plant

  2. 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.

  3. Look Who’s Already Here and Who’s Coming

  4. Trend: Growing Epidemic of Chronic Diseases Source: Medical Expenditure Panel Survey, 2006

  5. Key Risks for Chronic Conditions • Smoking • Poor diet & nutrition • Physical inactivity • Falls • Alcohol & substance abuse • Stress • Social isolation

  6. 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.

  7. 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

  8. 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

  9. CDSMP – A Proven Program • Skill-building components • Goal setting • Brainstorming • Problem solving • Feedback and sharing

  10. CDSMP Participants Reached • 160,000 + participants enrolled in CDSMP

  11. CDSMP Implementation Sites • More than 11,500 workshops held at nearly 7,000 unique implementation sites

  12. CDSMP Participant Characteristics

  13. CDSMP Participants - Chronic Conditions

  14. 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

  15. 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

  16. 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

  17. 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

  18. 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

  19. 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/

  20. Suite of online self-management programs Cancer: Thriving and Surviving

  21. Core Self-Management Concepts • Systematically use the following strategies to enhance self-efficacy: • Goal Setting • Modeling • Reinterpretation of Symptoms • Social Persuasion

  22. 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

  23. Getting started at www.restartliving.org

  24. Demo

  25. Workshop Invitation

  26. Secure Enrollment

  27. Participant Consent

  28. 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?

  29. Visit Us Online! • www.ncoa.org/cha

  30. Questions? Katy Plant katy.plant@ncoa.org Sue Lachenmayr sue.lachenmayr@ncoa.org

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