Living Well AlaskaAn Action Plan to Health

Barbara Stillwater PhD, RNDPH Section of Chronic Disease

Prevention

• Define CDSMP• Describe Living Well Alaska• Brainstorm referral gateways

OverviewLiving Well Alaska

An Overview

Living Well AlaskaWhat is CDSMP?

• Chronic Disease Self-Management

• 6-session (2.5 hours) peer-led workshop

• Skills: goal setting, making action plans, reinterpreting symptoms, problem solving, positive thinking, guided imagery, healthy eating, relaxation, pain management, and communication.

Living Well AlaskaWhat is Living Well Alaska?

• CDSMP in Alaska

• Alaska DPH – Section of Chronic Disease Prevention is licensed by Stanford University

• 34 trainings

• 330 leaders trained

Living Well AlaskaLeader Training

• 154 workshops

• 1314 participants

Living Well AlaskaParticipant Workshops

Living Well Alaska Action Plans

1. Pick something you want to do.

2. Make it achievable.

3. Make it action-specific.

4. Answer:• What?

• How much?

• When?

• How often?

5. What is your confidence level? 1-10

Living Well AlaskaDoes CDSMP work?

• Increased: self-efficacy, exercise

• Improved: communications with physicians, self-reported health, cognitive sx management

• Decreased: fatigue, disability, depression, anxiety, pain

• Decreased: hospitalizations, ER visits,

• Partnered with CHC• They collected baseline and follow-up

data for 2 years• 2 groups: 120 patients who took self-

management classes and 100 who did not

OverviewLiving Well Alaska

Project Overview

OverviewLiving Well Alaska

Regression Results – Blood Pressure

(OR =2.959, 95% CI = 1.225 – 7.144).

OverviewLiving Well Alaska

Project Results – Body Mass Index

(X22 = 6.71; p=.04).

OverviewLiving Well Alaska

Project Results – Medicaid Cost Assessment

Living Well Alaska Discussion

How do we increase provider or agency referrals to Living Well Alaska?