In 2014, the West Virginia School of Osteopathic Medicine’s Center for Rural and Community Health (CRCH) became licensed to offer Stanford University Self-Management Programs under a multiple program license. The CRCH offers trainings of the Chronic Disease Self-Management Program (CDSMP) and the Diabetes Self-Management Program (DSMP). The CRCH is developing partnerships with organizations committed to healthy aging outreach to promote and deliver high quality evidence-based programs.
The CRCH is building on previous initiatives to promote self-management programming in West Virginia by focusing on establishing a collaborative structured network to sustain community workshops. The CRCH is working to develop infrastructure support for evidence-based community programming by working through the Greenbrier County Health Alliance. The initiative of CRCH is to create a county-wide model for spreading and tracking workshops while simultaneously promoting statewide collaboration and offering training and support.
Under the Stanford University license, the CRCH offers self-management outreach partners training, technical assistance, and support to expand organizational capacity and implement CDSMP and DSMP workshops in communities across West Virginia.
People with ongoing health problems can live a healthy life. However, the daily decisions made and how people care for themselves can make a real difference in how chronic conditions affects or limits their lives. The Stanford University self-management programs offer proven techniques and skills where participants can learn to help people actively manage chronic disease conditions and make life easier as well as healthier. These programs have strategies that can help people reduce pain and stress, be more physically active, eat healthier, use medications wisely, proactively work with health care team and make better decisions about their health.
The Diabetes Self-Management Program is a six-week workshop that takes place once a week for 2 hours and is facilitated by two trained peer leaders and/or master trainers. This program is designed to help people gain self-confidence in their ability to control their symptoms and understand how diabetes affects their lives.
This workshop teaches the skills needed in the day-to-day management of diabetes in order to maintain and/or increase an active and fulfilling lifestyle. The curriculum teaches self-managed lifestyle change and coping strategies to allow participants to manage their diabetes and medications and to increase physical activity levels. People with type 2 diabetes and/or caregivers may attend this highly participative and supportive workshop.
The original Diabetes Self-Management Program was developed in Spanish. Results from the Spanish program showed that the program 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 four months. At one year, the improvements were maintained and remained significantly different from baseline condition.
The Chronic Disease Self-Management Program, like the diabetes program, is a highly interactive 6-session, 2 hour peer-led health education workshop that utilizes the evidence-based Chronic Disease Self-Management Program (CDSMP) curriculum developed and tested at Stanford University.
This workshop teaches the skills needed in the day-to-day management of any type of ongoing chronic health condition in order to maintain and/or increase an active and fulfilling lifestyle. The curriculum teaches self-managed lifestyle change and coping strategies to enable participants to manage their health condition(s) and medications, and to increase physical activity levels. People with different chronic health conditions and/or caregivers may attend this highly participative and supportive workshop.
Over 1,000 people with heart disease, lung disease, stroke or arthritis participated in a randomized, controlled test of the program and were followed for up to three years. People who participated in the program, when compared to those who did not, demonstrated significant improvements in the following areas: 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 outpatient visits and hospitalizations. These data yield a cost to savings ratio of approximately 1:4. Many of these positive results continue for as long as three years.
Additional self-management outreach programs considered for future training:
Walk with Ease is a self-directed walking program where individuals guide themselves through 6-weeks of evidence-based physical activity with a focus on improved health and well-being. It is desigend for adults living with arthritis or other ongoing health conditions.
Stepping On is a program proven to reduce falls and build confidence in older adults.
A Matter of Balance is a program designed to help older adults improve their balance, flexibility, strength, and reduce the fear of falling.
For more information about the self-management programs offered by the CRCH, please contact Sally Hurst by email at firstname.lastname@example.org or by phone: 304.793.6554.