The Chronic Disease Self-Management Program

Overview of Fairhill Partners Define Evidenced Based Health Promotion Prevalence of Chronic Diseases in US Role of Stanford University Patient Education Research Center Assumptions for Chronic Disease Self Management Programs (CDSMP) CDSMP Workshop Overviews Matter of Balance Overview “Now I have more energy than I’ve had in years. I’m calmer and more confident about my health.”

3 Lifelong learning, earning, and service

Fairhill Partners Our Mission: Connect people to opportunities for lifelong learning, intergenerational relationships, and successful aging. Successful Aging Means: Adapting to the inevitable changes and challenges of aging, developing and maintaining dynamic relationships and living with a sense of purpose and joy. Every day, Fairhill connects individuals, families and caregivers and 30 + tenant organizations with solutions through our:  Lifelong Learning Programs  Kinship Care Resources  Senior Guest House  School for Caregivers  Volunteer Opportunities  Leased Space

Evidenced Based Health Promotion(EBHP) EBHP is the process of planning, implementing and documenting programs using tested models/ interventions in order to address health issues at an individual and community level. EBHP programs have individual, organizational, community and public policy implications.

EBHP Some of the most widely accepted EBHP programs planned for next two years: Chronic Disease Self Management (CDSMP) since 2008 Diabetes Self Management (DSMP) since 2008 Matter of Balance (MOB) since 2006

Chronic ConditionPrevalence Hypertension51.5% Arthritis49.3% Heart Disease21.2% Cancer20.8% Diabetes16.5% Sinusitis13.9% Ulcer12.1% Stroke9.1% Asthma8.5% Hay Fever6.7% Chronic Bronchitis5.8% Emphysema5.1% Kidney Disease3.7% Liver Disease1.3% US Adults Ages 65 and Over Prevalence of Select Chronic Conditions

Chronic Conditions in Ohio 58% of Ohioans have at least one diagnosed chronic disease 80% of adults over 65 have one or more chronic diseases 50% have 2 or more

How was the Program developed? Stanford received a five year research grant. Over 1,000 people with heart disease, lung disease, stroke or arthritis participated in a random controlled trial. The model is built around self-efficacy: the confidence a person has that he or she can master a new skill or affect his or her own health. Research followed participants for up to three years, evaluating :  health status  health care utilization  self-efficacy  self-management of key behaviors

Stanford Patient Education Research Center CDSMP Outcomes Beneficial effect on physical and emotional outcomes and health related quality of life. Evidence suggests the CDSMP results in more appropriate use of healthcare resources. See Fairhill Partner handouts

CDSMP Assumptions People with chronic conditions have similar concerns/problems. People with chronic conditions must deal not only with their disease (s) but also with the impact these have on their lives and emotions.

CDSMP Assumptions Lay people with chronic conditions, when given a detailed manual, can teach the CDSMP as effectively as a health professional. The way (process)the CDSMP is taught is important, if not more important, than the subject matter that is taught.

Workshop Topics Find practical ways to deal with pain and fatigue. Discover better nutrition and exercises choices. Medication management. Learn better ways to communicate with doctor and family. Action plans and goal setting. Refer to Stanford University handout: Workshop Overview

CDSMP Workshop Workshop Details Time: 2.5 hours once a week for 6 weeks Where: community settings, churches, libraries, hospitals Who: People with different chronic conditions OR People caring for someone with a chronic condition attend Leaders: Workshops are facilitated by 2 certified trained leaders, who either have a chronic condition or have a loved one with a chronic condition

Matter of Balance Workshop Details Time: 2 hours once a week for 8 weeks or 2 hours twice a week for 4 weeks Where: community settings, churches, libraries, hospitals Who: seniors concerned about falling and limited in their activities as a result, or conscientious about falling Leaders: Workshops are facilitated by 2 certified trained leaders

Fall Prevention In the United States, more than one-third of adults age 65 and over fall each year. Of those who fall, 20 percent to 30 percent will experience serious injuries Those who are not injured may develop a fear of falling, which may increase their actual risk of falling. Many people limit their activities after a fall, which may reduce strength, physical fitness, and mobility.

Fairhill Partners Licensed by Stanford University Patient Education Center and University of Maine graduates of CDSMP, DSMP, MOB programs “Regional Hub” to lead WRAAA 5 county initiative 3 Master Trainers; 45 leaders Multiple partners at community sites, churches, hospitals, retirement communities, etc.

Thank you! Stacey Rokoff MSSA, LSW Director, Successful Aging Programs Fairhill Partners T-Trainer CDSM/DSM Master Trainer MOB