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Chronic Disease Self-Management Program (CDSMP) |
EnhanceWellness |
HomeMeds |
Disease Specific Self-Management |
Online Disease Self-Management |
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Target Population
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Adults with chronic physical or mental health conditions
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Older adults who need help managing physical or mental health challenges (multiple medical conditions, chronic illness, grief, depression) and adults aging with disability.
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Older adults living at home using multiple medications
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Adults with ongoing health conditions
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Adults with ongoing health conditions
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Spanish-speaking people with different chronic health problems.
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Outcomes
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Participants demonstrated significant improvements in exercise, cognitive symptom management, communication with physicians, self-reported general health, health distress, fatigue, disability, and social/role activities limitations. They also spent fewer days in the hospital, and there was also a trend toward fewer outpatients visits and hospitalizations. These data yield a cost to savings ratio of approximately 1:4. Many of these results persist for as long as three years.
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Decrease in length of hospital stays and use of psychoactive drugs. Reduced symptoms of mood disorders, greater sense of self-efficacy, improved physical activity
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Discontinuation of potentially harmful medicines, decreased confusion and dizziness, better pain control, decreased risk of falls, and improved blood pressure control. The program identified potential medication problems in 40-60 percent of older adults screened. Pharmacists recommended changes in medications for 60 percent of the participants who screened in with potential problems. Of those recommendations, 60 percent led to changes that improved medication use.
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Improved health status and health behavior, and self-efficacy
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Improved health status and health behavior, and self-efficacy
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At four months, the participants, as compared with usual-care control subjects, demonstrated improved health status, health behavior, and self-efficacy, as well as fewer emergency room visits. At one year, the improvements were maintained and remained significantly different from baseline condition.
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Settings
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Community settings such as senior centers, churches, libraries and hospitals
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Home and community settings
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Home-based
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Community settings
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Online module
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Community settings such as senior centers, churches, libraries and hospitals.
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Materials
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Participant book: Living a Healthy Life with Chronic Conditions
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Bundled with license
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Computerized risk-assessment screening
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N/A
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Books and CDs for participants, manuals for leaders
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Tomando Control de Su Salud, 4th Edition
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Interventionists
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Workshops are facilitated by two trained leaders, one or both of whom are non-health professionals with chronic diseases themselves.
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Nurse(RN) and/or Social Worker and/or Community Health Worker (CHW) with motivational interviewing experience.
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Care managers, social workers, consultant pharmacist
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N/A
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Trained peers, volunteers, and staff after training
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Workshops are facilitated by two trained certified and active leaders, one or both of whom are non-health professionals with a chronic disease themselves. All workshops are given in Spanish without translators
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Group or Individual
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Small Group
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Individual
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Individual
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Small Group
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Small Group
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Small Group
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Mode
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In-person
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In-person, Phone Follow-up
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In-person
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In-person
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Online
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In-person
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Duration
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6 2.5-hr sessions, 1 x week over six weeks
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Six months
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Ongoing
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Varies
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Six weeks, participants log in 2-3 times each week
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Six weeks of classes, held once a week for 2 1/2 hours.
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Requirements
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Annual report on number of worksops and number of people served.
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Each counselor needs to have the $200 Wellware software licensing for charting and reporting. This is the same platform that PEARLS is on, so if a counselor has it for PEARLS, there is no additional cost.
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None beyond assessment
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N/A
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Annual report on number of workshops and people served.
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Annual report on number of workshops and number of people served.
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Languages
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30+ including: Spanish, Chinese, Italian, Hmong, Hindi, Russing, Portuguese, French, Vietnamese, Arabic, Creale Haitian, Finnish, Danish, Samoan, Tongan.
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English, others by interpretation
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English
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N/A
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English
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See CDSMP for more information
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Costs
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$1000-$1700 to train one Master Trainer, less to train as leader in the community (as priced by the community organization offering the training); License fee of $500-$1500
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License fee is $3,000 license with a $50 renewal fee.
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No licensing fee, materials are free to download.
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Varies
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For fees, please see the SMRC website. Other costs include training of leaders, manuals for leaders, and participant materials.
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Costs Include
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Licensing, program materials, leader stipends
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Fee covers license, counselor training, manuals, data entry software and technical assistance
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Managing ongoing health conditions can be a complex and difficult task. Although health professionals play a key role, often times the majority of day-to-day management of medications, treatments,and symptoms falls upon the individual. People are often overwhelmed, especially when they are initially diagnosed with and learning to manage an ongoing condition. The programs featured here provide training and tools that help people with chronic conditions take control of their health!