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Chronic Disease Interventions

Chronic Disease Interventions. Taffy Fulton, MPH. Aging in Style. Living Well. Stanford Chronic Disease Self-Management Program. Taffy Fulton, MPH Program Coordinator. CDSMP in the Brazos Valley. Area Agency on Aging (AAA) Partner with SRPH

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Chronic Disease Interventions

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  1. Chronic Disease Interventions Taffy Fulton, MPH

  2. Aging in Style

  3. Living Well Stanford Chronic Disease Self-Management Program Taffy Fulton, MPH Program Coordinator

  4. CDSMP in the Brazos Valley • Area Agency on Aging (AAA) • Partner with SRPH • Want to reach everyone, including people in rural areas

  5. Brazos Valley Populations • 265,000 people in 2000. • 37,500 people are 60+ years of age or 15 % of total population. • Nearly 30% of Brazos Valley’s older adults live with incomes at or below 200% of the poverty level; approximately 17% have incomes below the poverty level.

  6. Brazos Valley Seniors with On-going Health Concerns • 59% of older adults have high blood pressure • 55 % have high cholesterol • 56 % have arthritis • 16 % have diabetes • 66.5 % are overweight • 29.5 % are obese

  7. Ongoing Health Concerns in the Brazos Valley

  8. Chronic Disease Self-Management Program • More chronic diseases now than in past • Physicians claimed they did not have enough time to work with their patients • Fits well with the chronic care model

  9. CDSMP Assumptions • People with chronic conditions have similar concerns and problems • People with chronic conditions must deal not only with their disease(s), but also with the impact these have on their lives and emotions • Lay people with chronic conditions, when given a detailed leaders manual, can teach the CDSMP as effectively, if not more effectively, than health professionals • The process or way the CDSMP is taught is as important, if not more important, than the subject matter that is taught

  10. Who developed Living Well? • Dr. Kate Lorig • Professor at Stanford School of Medicine • Arthritis nurse • Wanted some type of treatment plan for her patients • Developed Arthritis Self-Help Program • Adapted program to any chronic illness

  11. Living Well is Evidence-Based What does evidence-based mean? It means IT WORKS!!

  12. Workshop Overview • 1 session weekly for 6 weeks • 2 ½ hour each session • Taught by lay leaders (everyday people) or health care professionals

  13. Workshop Overview • Dealing with: • Fatigue, • Frustration, and • Pain

  14. Workshop Overview Managing medicines

  15. Workshop Overview How to talk to your doctor, family, and friends

  16. Workshop Overview How to evaluate new treatments

  17. Workshop Overview Daily living activities

  18. Set a Goal • Set one goal at a time • Be realistic • Start off slowly with any change

  19. For what audience is this appropriate?

  20. Audience • People with diabetes • People living with HIV/AIDS (PLWHA) • People with cancer • People with connective tissue disorders, including lupus • People with neurological disorders

  21. Audience • People with High Blood Pressure • People with heart disease including high cholesterol • People with arthritis • People with hepatitis • Care givers for people with chronic diseases

  22. Recruitment

  23. Recruitment • Community settings • Senior centers • Retirement centers • Churches • Libraries • Hospitals & Clinics • Resource centers • Pharmacies • Allied healthcare facilities • Service Organizations

  24. Program Goals • Have classes in each county • Recruit volunteers to teach • Sustainability • Host sites • Class leaders

  25. Evaluation and Follow-Up • Responsibilities of AAA • Group to develop evaluation • In progress http://patienteducation.stanford.edu/programs/cdsmp.html

  26. Living Well: Navasota, Texas

  27. Living Well in Navasota, Texas

  28. Living Well: Navasota, Texas

  29. The Chronic Care Model

  30. Computer Kiosk • Touch screen computer • Self-guided • Diabetes information • Diabetes control goal setting Grant from Dell computer

  31. Diabetes and You A Computer Self-management Project Center for Community Health Development Texas A&M Health Science Center With support from the Center for Disease Control and Prevention, the Prevention Resource Center and the Dell Foundation

  32. Goals

  33. Goals • Information dissemination • Behavior change • Determine whether or not people will use a kiosk like this

  34. Audience

  35. Audience • Low literate/education • Low socioeconomic status • Rural areas • People wanting information • Curiosity • Resource centers • Healthcare facilities

  36. Development • Basic outline • Power Point • Narrative script and revision and revision and revision…. • Computer programming • Filming • Evaluation

  37. Evaluation • Basic demographics • Diabetes information • Surveys • Focus groups • Page hits and amount of time spent on each page

  38. Evaluation

  39. A Message from your doctor What is diabetes? Diabetes Care Diabetes Prevention Videos Things to Do Everyday

  40. Risk Factor for Diabetes Hispanic/Latino, African American, American Indian, or Asian American.

  41. Activity

  42. Find someone to talk to. This could even be your pet

  43. Working Keep a snack handy Adjust your activity, eating, testing and medicine times if you need to

  44. Traveling • Take extra medicine • “I have diabetes” ID • Carry snacks • Don’t forget to be active.

  45. 1st Steps to a Healthier Life Change one thing at a time Set reasonable goals

  46. How much activity should I get?

  47. Healthy Eating

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