Chronic Disease Self-Management Program
Introducing:
Take Charge of Your Health Programs
Maria D. Oquendo-Scharneck
Antonia Gamez
CDSMP Master Trainers
AgeOptions, licensed provider of the Stanford
Patient Education Research Center programs since
2006 .
Chronic Disease Self-Management Program;
Take Charge of Your Health
Diabetes Self-Management Program;
Take Charge of Your Diabetes
Culturally adapted versions
Tomando Control de su Salud and Diabetes
CDSMP Current Program History
National
• 2006 – 16 states involved currently 46 states
including D.C. and Puerto Rico
• 2010 – 52,436 participants in CDSMP
Illinois
• 2006 – Three Area Agencies on Aging
• March 2010 –over 2,100 participants
• 2011 – Ten Area Agencies on Aging
AgeOptions Program History
• Trained over 80 class leaders in the last four
years
• Facilitated 85 workshops with an additional
15 currently scheduled
• Over 1200 older adults participants have
gone through the program
AgeOptions Program History
• Partners in a 2-year statewide evaluation of
CDSMP implementation headed by UIC
School for Public Health
• Hispanic Elders Learning Network
• Elders Learning Network for Illinois focusing
on CDSMP and healthcare partnership
AgeOptions Program History
We have over 40 diverse community based
host site partners. Program is in the following
communities:
– Spanish
– Korean
– Urdu
– Hindi
– Persons with disabilities
What is Take Charge of Your Health
and Tomando Control de su Salud?
Take Charge of Your Health
The Program
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Each workshop consists of 6 sessions
Session are 2 ½ hours per week
Sessions are free to participants
Class materials are available for purchase
Classes are taught by 2 certified class
leaders trained as instructed by Stanford
University
The Workshop, Six Session Series
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Each session consists of 4-8 different activities
Each activity has a specified time limit
Each activity has scripted content
Core techniques taught to participants
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Goal setting through action plans and feedback
Modeling
Reinterpreting symptoms
Persuasion
Tomando Control de su Salud
• Workshops consist of 6 weekly sessions
– Sessions are 2 ½ hours per day
– Sessions are free to participants
• Class materials are available for purchase
• Classes are taught by 2 bilingual certified
class leaders trained as instructed by
Stanford University
Tomando Control de su Salud
• The workshop is delivered entirely in
Spanish.
• Tomando Control de su Salud is a
culturally adapted version.Topics are
presented in ways that are culturally
appropriate.
Tomando Control de su Salud
• All Spanish materials
– Companion Book Tomando Control de
su Salud
– Casete de Relajación
– ¡Hagamos Ejercicio!
Tomando Control de su Salud
• Healthy eating Activities
– Meal planning
– Nutrition Label
• Physical Activity Sessions
– Exercise with music
Research Supporting
Take Charge of Your Health
and Tomando Control de su Salud
What Do Participants Learn
• Learn about exercises that help maintain and
improve strength and flexibility.
• How to manage problems through
brainstorming and other techniques.
• Learn how to evaluate medication, nutrition
and new treatments.
Why is Take Charge of Your Health
an Evidence Base Program?
In over 20 randomized trials of six months and
longer Participants showed:
1. Decrease symptoms
2. Improve behaviors
3. Improve self-efficacy (empowerment)
4. Sometimes decrease health care utilization
The Research on Effectiveness
Five year research project of 1000 CDSMP
Participants improved healthful behaviors such as:
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Exercise
Healthy Eating
Coping
Symptom management
Take Charge of Your Health Impact
on Health Services
• Fewer visits to the emergency room.
• A cost saving of $390 to $520 per patient
decrease healthcare utilization.
• Disseminated by hospital and healthcare
systems across the nation.
Take Charge of Your Health
and
Communities Putting Prevention
to Work (CPPW)
Model Communities
Brainstorming
Why did you choose Take Charge of Your
Health as part of your Model Community
proposal
Take Charge of Your HealthProgrammatic System Change
• Making a Difference
– Changing the course of ongoing health conditions
– Changing systems
• Working from an Evidence-based Perspective
– Drawing from the evidence
– Contributing to new evidence
• Working Collaboratively
– Shaping an inclusive, far reaching agenda
– Creating conditions for sustained improvement
Systems Change Model
By: Nancy Whitelaw, PhD National Council on Aging
Model Communities
Take Charge of Your Health
Program Goals
• Embed Take Charge of Your Health as
part of collaborative community wellness
system across sectors
• Create complimenting community referral
system linked to a statewide delivery
system
Brainstorming
• What do you see as your most urgent
technical assistance need in
implementing the program?
AgeOptions Technical Assistant Plan
1. Planning
– Implementation for sustainability
– Partnership building
• Recruitment for class leader, host sites
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5.
Program toolkit with templates
Training – Class Leaders
Participant evaluation
Monthly support in implementation
Take Charge of Your Health
Implementation Model
Community
Partnerships
Recruitment
Sustainability
Program
Budget
Model Community
Grantee
Outreach
Referrals
Registration
Workshop
Scheduling
Program
Fidelity
Evaluation
AgeOptions
Technical
Assistance
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Class Leader
Training
Community Referral System
Example
Referrals
Community
Partnerships
Referrals
Referrals
Participant
Registration
Community
Host Sites
Model
Community
Grantee
Participant
Registration
Community
Host Sites
Workshop
Scheduling
Workshop
Scheduling
Participant
Evaluations
AgeOptions
Technical
Assistance
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Technical Assistance Plan
Month
Activities
Weeks of March 7th and 28th , 2011
Individual Grantee and collaborating
partner planning meeting
April and May, 2011
(3) Four Day Class Leader Trainings
Central – South – Southwest Locations
and dates are being confirmed for
May through November, 2011
Workshops and Participant Evaluation
Weeks of November 14th and 21,
2011
Program development feedback and
sustainability planning
December, 2011
Planning for 2012 workshop
programming and class leader training
Thank you ! AgeOptions Team
Model Community TA Contact
Maria D. Oquendo-Scharneck at
maria.oquendo-scharneck@ageoptions.org
Class leader Training Support : Nisha Baliga at
nisha.baliga@ageoptions.org
Program Fidelity Support : Antonia Gamez at
antonia.gamez@ageoptions.org
Call 708-383-0258