Stanford Chronic Disease Self-Management Program

Stanford Chronic Disease Self-Management Program. Kate Lorig, RN, DrPH. Joined Stanford in 1979 as a Cal Public Health graduate student Developed the Arthritis Self-Help Course Directs the Stanford Patient Education Research Center. Original Research 1991-1996.

Share Presentation

Embed Code

Link

• health
• problem solving
• health distress
• er visits
• program tool box
• reduced health care costs

sthorne + Follow

Stanford Chronic Disease Self-Management Program

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

Presentation Transcript

1. Stanford Chronic Disease Self-Management Program
2. Kate Lorig, RN, DrPH • Joined Stanford in 1979 as a Cal Public Health graduate student • Developed the Arthritis Self-Help Course • Directs the Stanford Patient Education Research Center
3. Original Research 1991-1996 • RCT funded by Agency for Health Care Research & Policy and CA Tobacco Money • Purpose: To develop and evaluate a community-based, self-management program that assists people with chronic illness
4. Tested Program Features • Based on self-efficacy: the confidence one has that he/she can master a new skill or affect one’s own health • Workshop content was derived from focus groups of people with CI
5. Tested Program Process • 17-hour program taught by a team • CI Content: • Manage symptoms • Adhere to medication regimens • Communicate with providers • Maintain functional abilities
6. Tested Outcomes • Health Status • Health Utilization • Self-efficacy • Self-management behaviors
7. Original Study Results at 6 Months • Increased Exercise • Better Coping Strategies and Symptom Management • Better Communication with Physicians • Improved Self-Rated Health, Disability, Social & Role Activities and Health Distress • More Energy, Less Fatigue & Decreased Disability • Fewer MD Visits and Hospitalizations
8. Original Study Results at 1 Year • Significant improvements in energy, health status, social & role Activities and self-Efficacy • Less fatigue or health distress • Fewer visits to the ER • No decline in activity or role functions
9. Original Study Results at 2 Years • No Further Increase in Disability • Reduced Health Distress • Fewer Visits to MDs and ERs • Increased Self-Efficacy
10. Original Study Demonstrated Cost Savings • Reduced hospitalizations, hospital days, ER visits and MD visits resulted in reduced health care costs • Program costs = $70 to $200 per person • Program savings = $320 to $520 per person
11. CDSMP Outcomes
12. Chronic Disease Self-Management Program Diabetes Self-Management Program Arthritis Self-Management Program The Chronic Pain Self-Management Program The Positive Self-Image Program Spanish language programs Stanford Chronic Disease Self-Management Education Programs
13. Delivery of CDSMP • Program is scripted and delivered by trained leaders T-Trainers Master Trainers Program Leaders
14. Designed to help people better manage chronic health conditions and live a happier, healthier life Six-week workshop Highly scripted and structured to protect fidelity Group format–typically led by 2 peers CDSMP “HEALTHIER LIVING”: About the Program
15. Managing symptoms Dealing with difficult emotions Improving communication Relaxation techniques Tips for eating well Effective problem-solving Develop a tool box Setting weekly goals Workshop Overview
16. Make the new behavior as easy to do as possible and help participants develop individualized action plans or routines Provide structured reinforcement to monitor (and celebrate!) progress Provide support through group and facility-based programming Use peers to help reinforce desired behavior Supports “Healthy Behavior” Change Thanks to Dr. Rachel Seymour for permission to use slides
17. Participants Learn and Practice Action Planning • Something YOU want to do • Reasonable • Behavior-specific • Answer the questions: What? How much? When? How often? • Confidence level of 7 or more
18. Program Tool Box • Physical Activity • Better Breathing • Medications • Managing Fatigue • Problem Solving • Planning • Using Your Mind • Managing Pain • Communication • Healthy Eating • Understanding Emotions • Working with Health Professionals
19. Participants Learn How to Manage the Symptom Cycle Poor Sleep Physical Limitations Fatigue SYMPTOMS A Vicious Cycle Pain Shortness of Breath Stress/Anxiety Depression Difficult Emotions
20. CI Symptom Management Techniques • Relaxation • Changing their diets • Managing sleep and fatigue • Using meds correctly • Exercise • Communication with health providers
21. Other CDSMP Content • Sexual Relations • Advance Directives • Nutrition • Pain Management • Text: Living a Healthy Life with Chronic Conditions
22. CDSMP Covers Multiple CI • Focuses on common problems • Coping Strategies: • Action planning & feedback • Behavior modeling • Problem-solving techniques • Decision-making
23. Problem Solving 1. Identify the problem 2. List ideas to solve the problem 3. Select one method to try 4. Check the results 5. Pick another idea if the first one didn’t work 6. Use other resources 7. Accept that the problem may not be solvable NOW
24. Decision-Making Tool

• Related
• More by User

Chronic Disease Self-Management

Chronic Disease Self-Management. A Patient-Centered Option for Managing the Healthcare Challenge. Presentation prepared by: John Irwin , Healthcare & Community Informatics Consultant, Stanford Licensed Chronic Disease Self-management Program Master Trainer. Today you will hear….

1.74k views • 29 slides

Self-Regulation in Chronic Disease

Self-Regulation in Chronic Disease. Noreen M. Clark, Ph.D. March 23, 2002. The day to day manager of chronic disease is the patient. Under best circumstance the physician provides guidelines for effective at home management.

750 views • 46 slides

Also known nationally as the Chronic Disease Self-Management Program - Developed by Stanford University -

Living Well with Chronic Conditions. Also known nationally as the Chronic Disease Self-Management Program - Developed by Stanford University - . Introductory Note. The Utah Approach to CDSMP and Diabetes Care : In no way is CDSMP to take the place of Diabetes Self-Management Education (DSME)

1k views • 70 slides

Chronic Disease Management

Chronic Disease Management . Beyond CDM Payments Dr Bruce Davies. Scope. What common diseases? Should they be formally managed? Frequency Importance Follow up affects outcome Know what to do Where is follow-up most appropriate?. Brainstorm.

313 views • 13 slides

Chronic Disease Self-Management

Chronic Disease Self-Management. Does It work? Sharon Johnson M.S. Associate Professor Health and Human Sciences Oregon State University Extension Service . Do you have….

454 views • 21 slides

Chronic Disease Self Management Program Tomando Control de su Salud Washington State

Chronic Disease Self Management Program Tomando Control de su Salud Washington State. Maureen Lally, MSW WA Aging and Disability Services Administration. The Chronic Disease Self-Management Program . My Goal Today .

297 views • 20 slides

Background: Chronic Disease Self-Management Program (CDSMP)

Translation and Dissemination of the Evidence-based Chronic Disease Self-Management for Cancer Survivors Colorado CPCRN (with Texas A&M) Steering Committee Call, 2/15/2012. Background: Chronic Disease Self-Management Program (CDSMP).

509 views • 10 slides

Chronic Disease Self-Management Program

Sponsored by The National Council on the Aging and CareSource. Healthy Aging Briefing Series. Chronic Disease Self-Management Program. WELCOME.

443 views • 24 slides

Patient Navigator Program to Improve Chronic Disease Self Management

Presented at the 2014 Crossroads Conference: Navigating Health Care in West Texas June 4, 2014. Patient Navigator Program to Improve Chronic Disease Self Management. M. Christina R. Esperat , RN, PhD, FAAN , Professor and Associate Dean for Clinical Services, Texas Tech University Health

557 views • 43 slides

ABHI PCIP Chronic Disease Self Management

ABHI PCIP Chronic Disease Self Management. ‘A leading Division providing General Practice with quality innovative services that improve health outcomes for individuals and the community’. Objective. Presentation focused on:

343 views • 19 slides

Chronic disease management

Chronic disease management. Looking after people with long term conditions in General Practice. In trios …. Think of all the long term conditions GPs are involved in managing. Chronic diseases to be managed?. Cardiovascular - IHD, HT, heart failure, AF, peripheral vascular disease

518 views • 15 slides

Online Chronic Disease Program

Online Chronic Disease Program. Elizabeth Majestic, MS, MPH Missale Ayele, JD, MPH. Agenda. Introduction Provide overview of program Demo the program website Q&A. Process. Analysis. Development/Delivery. Developed by experts in public health and academia

182 views • 8 slides

Supporting Self-Management in Chronic Disease

Supporting Self-Management in Chronic Disease. Michael Vallis, PhD, R Psych Psychologist and Lead, CH Behaviour Change Institute Associate Professor, Dalhousie University Halifax, CANADA. What, Me Judgmental?. What is the Standard of Care?. Dominant models of behaviour in health care

403 views • 21 slides

Chronic Disease Management

Chronic Disease Management. and the Expert Patients Programme. Level 3. Highly. Case. complex. Mgt. patients. Level. 2. Disease. High risk. Management. patients. Level 1. Self. 70-80% of a. Management. CDM pop. Chronic Disease Management.

736 views • 24 slides

Chronic Disease Self Management

Chronic Disease Self Management. Leigh Caplan, RN, MA, CDE, Diabetes Nurse Educator, Sunnybrook Academic Family Health Team Judith Manson, RN, BScN, NCMP, Executive Director, Sunnybrook Academic Family Health Team May 4, 2012. Learning Objectives.

736 views • 48 slides

Chronic Disease Self-Management Programs

Chronic Disease Self-Management Programs Take Control of Your Health & Better Choices, Better Health. New Jersey Department of Human Services. Training Goals.

333 views • 24 slides

Chronic Disease Self-Management

Chronic Disease Self-Management. Does It work? Sharon Johnson M.S. Associate Professor Health and Human Sciences Oregon State University Extension Service. Do you have….

438 views • 21 slides

Chronic Disease Management

Chronic Disease Management. Beyond QoF Payments Dr Bruce Davies. Scope. What common diseases? Should they be formally managed? Frequency Importance Follow up affects outcome Know what to do Where is follow-up most appropriate?. Brainstorm.

254 views • 13 slides

Chronic Disease Self-Management Programs

Chronic Disease Self-Management Programs Take Control of Your Health & Better Choices, Better Health. New Jersey Department of Human Services. Training Goals.

253 views • 24 slides

Disease Self-Management

Disease Self-Management. Sharon Johnson M.S. Oregon State University Extension Service. “ The Silver Tsunami”. Increased life expectancy More older adults More chronic disease. More Chronic Disease…. 88% of people over sixty-five have one chronic condition Example :

122 views • 9 slides