EVIDENCE-BASED SELF-MANAGEMENT PROGRAMS FOR

ADULTS WITH CHRONIC HEALTH CONDITIONS

Presentation Objectives:

  At the conclusion of the training, participants will be able to demonstrate their knowledge by: •  Explaining the core components of Stanford University

School of Medicine Patient Education Research Center’s evidence-based Chronic Disease Self-Management Education (CDSME) Programs

•  Discussing the effectiveness of the CDSME Programs. •  Listing the available CDSME Programs in New Mexico.

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Conflicts of Interest 3

  No Personal Conflicts of Interest as this is a program delivered through the City of Albuquerque Department of Senior Affairs to the general public for no charge

  Principle funding is through a federal grant from the ACL

  Some contributions and support provided by various health care organizations for program delivery and participant referrals

Stanford University’s CDSME Programs: 4

  Peer led small groups   Standardized training for leaders   Highly structured teaching protocol   Standardized participant materials   Several topics per session   Well researched and studied

•  Evaluated in randomized trials to establish the evidence base

  Available in English and Spanish

What is Program Fidelity and Why Bother?

At the community and organizational level, program fidelity refers to the how closely individuals and staff follow the program that the developers provide. This includes consistency of delivery as intended as well as program timing and costs.

Special Considerations for Working with Different Cultures (Even Your Own):

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The Stanford CDSME programs are designed to be as near as possible culturally neutral.

Available CDSME Programs, Known as the Manage Your Chronic Disease or MyCD in NM:

  Chronic Disease Self-Management Program (MyCD/CDSMP)

  Tomando Control de su Salud (MyCD/Tomando)   Diabetes Self-Management Program (MyCD/

DSMP)   Programa de Manejo Personal de la Diabetes

(MyCD/Manejo)   Cancer: Thriving and Surviving Program (MyCD/

CTS)

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Recent National Study of the CDSMP 8

Whitelaw, N., Lorig, K., Smith, M. L., & Ory, M. G. (March 19, 2013). National Study of Chronic Disease Self-Management Programs (CDSMP). Retrieved February 1, 2014, from http://www.ncoa.org/improve-health/center-for-healthy-aging/content-library/findings-from-the-cdsmp.html

MyCD Programs Approved By:

  U.S. Administration for Community Living/Administration on Aging

  National Council Aging   U.S. Centers for Disease Control and Prevention   New Mexico Department of Health   New Mexico Aging and Long Term Services

Department

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MyCD Statewide Infrastructure:

Regional Licensed Providers:   Department of Senior Affairs, City of

Albuquerque*

  Montañas del Norte Area Health Education Center, affiliated with Luna Community College*

  Southern Area Health Education Center, affiliated with New Mexico State University*

  NM Non-Metro Area Agency on Aging^

Trainer Capacity:   One (1) authorized Train-the-Trainer

(T-Trainers)

  9 active certified Master Trainers

  Approximately 70+ active certified Leaders statewide.

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*Currently receiving DOH funding ^Self-sustaining and receiving technical assistance from DOH and three funded regional providers

Program Personnel:

  Workshop Leaders - are authorized to only facilitate community workshops.

  Master Trainers - are authorized to train individuals to become certified Leaders. Can also facilitate the six-week workshop.

  T-Trainers - are authorized to train certified Leaders as Master Trainers. Can also lead

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What Makes the Programs Effective?

It is the process in which the program is taught that makes it effective. Classes are highly participative, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.

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MyCD Partnership Network:

  DOH Chronic Disease Prevention and Control Bureau

  DOH Health Promotion Regions   NM Aging and Long Term

Services Department   NM Retiree Health Care

Authority   Molina Healthcare of NM   Presbyterian Health Care

Services   Blue Cross Blue Shield of NM   NM Aging and Disability

Resource Center   NM State University Cooperative

Extension Service   HealthInsight NM

  NM Association for Home and Hospice Care

  NM Healthy Aging Collaborative

  Christus St. Vincent Regional Medical Center

  Nor-Lea Hospital District   NM Chronic Disease

Prevention Council   Las Clinicas del Norte   First Choice Community

Healthcare in Albuquerque   La Casa Family Health Center   Albuquerque Public Schools

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What Can You Do? 15

  Assist with referrals   Promote or market existing workshops   Attend a six-week community workshop   Consider becoming certified as a Workshop Leader   Join the CDSME Partnership Network   Serve as an implementation site   Sponsor a six-week workshop in your community

New Mexico Department of Health

Chris Lucero Diabetes Prevention and Control Program Phone: (505) 222-8605 Email: Christopher.Lucero@state.nm.us

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MyCD Statewide Coordinator

Albuquerque and Santa Fe Metro Regions

Catherine Offutt Authorized T-Trainer and Master Trainer Phone: (505) 884-8389 Email: catoff@msn.com

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MyCD Regional Coordinator

Southwest and Southeast Regions

Alma Gross Phone: (575) 646-3061 Email: algross@nmsu.edu

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MyCD Regional Coordinator

Northwest and Northeast Regions

Elaine Luna Authorized Master Trainer Phone: (505) 454-2585 Email: eluna@luna.edu

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Non-Metro Area Agency on Aging

MyCD/CDSMP Coordinator Toby Kessler Certified Workshop Leader Phone: (505) 395-2679 Email: tkessler@ncnmedd.com

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