Chronic Disease Self-Management Program

The CDSMP specifically addresses the needs of SNAP-Ed adults as it is typically offered free of cost (or low cost) in community settings, such as churches, libraries, or on site in community housing settings. The program is also offered virtually allowing those with transportation barriers to have access from their home where internet is available. Finally, it can be offered in small group phone calls accompanied by a mailed kit of print and audio materials.  It is a peer lead intervention, which helps to build trust and empathy in the group. The programs were developed based on focus groups with potential participants, reviewing professional organizational standards and national standards for areas such as exercise and nutrition. Combined, these inputs with processes increase self-efficacy and allow participants to self-tailor the workshops to their own needs.  Settings:  Gardens (School/Community), Worksites, Faith-based centers, Healthcare, Food Pantries, Tribal Reservations  Age/Population Group: Adults, Older Adults, Unhoused  Race: All Ethnicity: All

The small group workshop (8-16 participants) is offered either face-to-face or virtual for 2.5 hours once a week for six weeks. Virtual workshops are 8-12 participants and telephone workshops are 3-5 participants. Workshops are facilitated by 2 trained leaders, one or both of whom are non-health professionals with a chronic condition themselves or experience supporting someone with a chronic condition. Leaders must be trained by Self-Management Resource Center certified Master Trainers. The workshop topics include techniques to deal with symptoms of chronic conditions (e.g., fatigue, pain, and emotional problems, such as depression), and participants learn appropriate exercises for maintaining and improving strength and endurance, falls prevention, healthy eating, better breathing techniques, appropriate use of medication, working more effectively with health care providers, communication skills, action planning, problem solving, and decision making. Participants are highly encouraged to participate in brainstorming, problem solving, and action planning and decision-making activities throughout.

Each participant receives a Living a Healthy Life with Chronic Conditions book which expands upon topics introduced in the workshop setting. CDSMP must be implemented by a Self-Management Resource Center (SMRC) licensed entity.

The program was developed by the Stanford University School of Medicine and involved many community partners such as the U.S. National Arthritis Foundation and Kaiser Permanete. Participants in the randomized trial of the CDSMP completed a pre-survey and then a post-survey at 6 months post completion. There is strong evidence across studies that CDSMP has a beneficial effect on physical and emotional outcomes, and health‐related quality of life. This statement is based on high‐quality information, standardized measures and is made with a high degree of confidence. The program consistently results in greater energy/reduced fatigue, more exercise, fewer social role limitations, better psychological well‐being, enhanced partnerships with physicians, improved health status, and greater self-efficacy.  It is generally (although not always) associated with reductions in pain symptoms. These findings have been replicated in at least five other longitudinal studies.   Chronic Disease Self-Efficacy Scales (survey):   https://selfmanagementresource.com/resources/evaluation-tools/   Review of Findings on CDSMP Outcomes:  https://selfmanagementresource.com/wp-content/uploads/2019/07/Review_Findings_CDSMP_Outcomes1_8_08.pdf    Articles about the CDSMP:  https://selfmanagementresource.com/resources/bibliography/cdsmp-bibliography/   Southern NH Area Health Education Center Fall 2020 Semi-Annual Report:  https://www.snhahec.org/uploads/1/3/2/1/132121212/fall_2020_cdsmp_report.pdf   Evidence Base: Research-tested

Based on the SNAP-Ed Evaluation Framework, the following outcome indicators can be used to evaluate intervention progress and success.   Readiness and Capacity - Short Term (ST) Changes - Medium Term (MT) Effectiveness and Maintenance - Long Term (LT) Population Results (R) Individual   MT1 ,  MT2 ,  MT3 LT3 R11 Environmental Settings       Sectors of Influence       LT3: Physical Activity and Reduced Sedentary Behavior   Reliable data shows that participants have increased physical activity and maintained the increase 6-month post workshop R11-b: Proportion of SNAP-Ed eligible adults or youth who self-report good or better mental health   Significant improvement reported of improved mental health at 6-month post workshop

Participants take a pre workshop survey and a post survey at 6 months. Southern NH AHEC collects this data and produces a report highlighting the program results on a semi-annual basis.   A link to the survey tool is here: https://selfmanagementresource.com/wp-content/uploads/English_-_self-efficacy_for_managing_chronic_disease_6-item.pdf

Website: The Chronic Disease Management Program website ( https://selfmanagementresource.com ) includes more details regarding training, licensing, and program implementation.   Contact Person(s):   Self-Management Resource Center Email: smrc@selfmanagementresource.com Phone: 650-242-8040  * If intervention-related links on this page are broken or incorrect, please contact the developer listed here for updates.