Living Well 101

1. Living Well 101 Oregon Living Well Program

2. What is Self-Management? The tasks that individuals must undertake to live with one or more chronic conditions.” “What people do 99.9% of the time.” Oregon Living Well

3. Disease Fatigue Tense Muscles Shortness of Breath Pain Depression Stress/Anxiety Difficult Emotions The Symptom Cycle Oregon Living Well

4. Programs Offered in Oregon • Living Well with Chronic Conditions - English language Stanford Chronic Disease Self-Management Program • Tomando Control de su Salud – Spanish language and cultural adaptation of Living Well • Positive Self-Management Program – adapted for people living with HIV/AIDS and their caregivers Oregon Living Well

5. Living Well Programs • Peer led small groups (10-15 people) • Standardized training for leaders • Highly structured teaching protocol • Standardized participant materials • Licensed organizations Oregon Living Well

6. Program Overview • 2 ½ hours per week; 6 weeks • Multiple chronic diseases and symptoms in the same group • Focus on self-efficacy, action planning, problem solving, and communication. Oregon Living Well

7. Physical activity Medications Managing fatigue Action Planning Better breathing Understanding emotions Problem-solving Using your mind Managing pain Communication Healthy eating Working with health professionals The Self-Management Toolbox Oregon Living Well

8. Action Planning • Something you want to do • Achievable • Action-specific • Answers the questions: What? When? How much? and How often? • Confidence level of 7+ (out of 10) Oregon Living Well

9. Problem Solving • Identify the problem • List ideas • Select one • Assess the results • Substitute another idea • Use other resources • Accept that the problem may not be solvable Oregon Living Well

10. Evidence-Base • Research indicates participants spend • Fewer days in the hospital • Fewer outpatient and ER visits • Participants report • Improvement in self-reported health and health distress • Improvement in social life/activities • Improved energy/less fatigue • Demonstrated cost-savings Oregon Living Well

11. Living Well Programs by County (2005-2009) Oregon Living Well

12. Living Well Programs by Year Oregon Living Well

13. Living Well Participation by Year Oregon Living Well

14. Chronic Conditions • Living Well participants report an average of 3.1 chronic conditions • Arthritis 44% • High blood pressure 37% • Chronic pain 35% • Depression 31% • High cholesterol 29% • Diabetes 27% • Heart disease 16% • Asthma 15% Oregon Living Well

15. Living Well in Oregon • 400 Trained Leaders • 60 + Master Trainers • 30 Licensed Organizations • Regional Infrastructure • Regional Coordinators • Regional Training Centers Oregon Living Well

16. What Participants are Saying “This program has given me the confidence that I can have a future worth living. I have learned there are people like me, not living life to the fullest because of a chronic condition and that we can move forward. Great people teaching us to live again.” -- Laura Furrey Oregon Living Well

18. Questions? Contact us Oregon Living Well Program 800 NE Oregon St., Suite 730 Portland, OR 97232 1-888-576-74214 living.well@state.or.us [Add your own quotes or use these & remove this line] “I was tired. My pain was my boss. It was telling me what I could and couldn’t do. {insert your program name} workshops put me back in charge.” “Now I have the energy to do the things that matter. I am calmer and more confident about my health. I got relief from my pain.” “I put life back in my life.” Oregon Living Well