The Chronic Disease Self-Management

Program

Overview of Fairhill PartnersDefine Evidenced Based Health PromotionPrevalence of Chronic Diseases in USRole of Stanford University Patient Education Research CenterAssumptions for Chronic Disease Self Management Programs (CDSMP)CDSMP Workshop OverviewsMatter 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 PartnersOur 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.

EBHPSome of the most widely accepted EBHP

programs planned for next two years:

Chronic Disease Self Management (CDSMP) since 2008

Diabetes Self Management (DSMP) since 2008Matter of Balance (MOB) since 2006

Chronic Condition Prevalence

Hypertension 51.5%

Arthritis 49.3%

Heart Disease 21.2%

Cancer 20.8%

Diabetes 16.5%

Sinusitis 13.9%

Ulcer 12.1%

Stroke 9.1%

Asthma 8.5%

Hay Fever 6.7%

Chronic Bronchitis 5.8%

Emphysema 5.1%

Kidney Disease 3.7%

Liver Disease 1.3%

US Adults Ages 65 and Over

Prevalence of Select Chronic Conditions

Chronic Conditions in Ohio58% 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 OutcomesBeneficial 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 www.patienteducation.stanford.edu

CDSMP AssumptionsPeople 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 TopicsFind 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 WorkshopWorkshop Details

Time: 2.5 hours once a week for 6 weeks Where: community settings, churches,

libraries, hospitalsWho: 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 BalanceWorkshop 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 injuriesThose 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 PartnersLicensed by Stanford University Patient

Education Center and University of Maine.200+ graduates of CDSMP, DSMP, MOB

programs“Regional Hub” to lead WRAAA 5 county

initiative3 Master Trainers; 45 leadersMultiple partners at community sites,

churches, hospitals, retirement communities, etc.

Thank you!

Stacey Rokoff MSSA, LSWDirector, Successful Aging Programs

Fairhill PartnersT-Trainer CDSM/DSMMaster Trainer MOB