Using Self-Management Skills to Improve Quality of Lifesdaho.org/wp-content/uploads/2018/09/Erickson-BCBH-Presentation_SDAHO.pdfLearn more at iGrow.org. Megan Erickson, MS, RDN, LN

SDSU Extension is an equal opportunity provider and employer in accordance with the nondiscrimination policies of South Dakota State University, the South Dakota Board of Regents and the United States Department of Agriculture.Learn more at iGrow.org.

Megan Erickson, MS, RDN, LNNutrition Field Specialist

BCBH Master Trainer

Using Self-Management Skills to Improve

Quality of Life

Shelly Clauson, RN, B-C, CRRNLead Learning & Development Specialist

BCBH Master Trainer

Learn more at iGrow.org | © 2018, South Dakota Board of Regents

Video

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https://youtu.be/FgcrSuQTdxU

https://youtu.be/FgcrSuQTdxU


Why important?

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• Chronic conditions are one of the most important issues in our communities

• 95-99% of self management is outside of healthcare walls

• 133 million U.S. residents have 1 chronic condition

• 25% have 2 or more chronic conditions • 7/10 death annually - 70% of deaths • $1.5 trillion dollars annually


Stanford University Model ofChronic Disease Self Management

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Program Goal: increase confidence and skills related to general self-management increase self-efficacyEvidenced based: Stanford University Patient Education

Research Center – 50 states, 35 different languages FidelityCommunity level interventionNot disease specificCovers the core self management skills effective

for any chronic health condition


Workshops

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10-15 participants meet weekly for 2 ½ hour sessions for 6 weeks at community siteLay led by 2 trained workshop

facilitators with chronichealth problemsFree of Charge Interactive Participants receive a book

and relaxation CD


Self-Management Tool Box

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• Physical Activity• Medications • Decision- Making• Action planning• Breathing Techniques• Understanding

Emotions

• Problem Solving• Using Your Mind• Sleep• Communication • Healthy Eating• Weight Management• Working with Health Care

Professionals

Learn more at iGrow.org | © 2018, South Dakota Board of Regents 7


Activity #1

Tools: Using Your Mind

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Triple Aim Goals

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A recent (2012) national randomized study shows that participants in CDSMP workshops experienced improvements in the following triple aim goals: improving the health of populations; improving the individual experience of care; and reducing the per capita costs of care for populations.Better Health Better Care Lower Health Care Cost Active lives: 41% improvement in time spent

engaged in moderate physical activity. Less depression: 21% improvement in

depression. Fewer sick days: 15% improvement in

unhealthy physical days and 12% improvement in unhealthy mental days.

Better quality of life: 6% improvement on health-related quality of life.

Feel healthier: 5% improvement in self-reported health.

Improved symptom management in 5 indicators:

• sleep problems (16%)• shortness of breath (14%)• pain (11%)• fatigue (10%)• stress (5%)

Medication compliance: 12% improvement in medication compliance.

Communication: 9% improvement in communication with doctors.

Health literacy: 4% improvement in confidence filling out medical forms.

32% reduction in emergency room visits.

$740 per person saving in emergency room visits and hospital utilization.

Potential saving of $4.2 billion by reaching 10% of Americans with one or more chronic conditions.

References• U.S. Administration for Community Living. Evidence-Based Disease and Disability Prevention Programs. Retrieved

October, 2013 from http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Evidence_Based/index.aspx• U.S. Administration for Community Living. 2012 Prevention and Public Health Funds: Empowering Older Adults

and Adults with Disabilities through Chronic Disease Self-Management Education Programs. Retrieved October 2013 from http://www.aoa.gov/AoARoot/AoA_Programs/HPW/ARRA/PPHF.aspx

• Institute for Healthcare Improvement. IHI Triple Aim Initiative. Retrieved July, 2013 from http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx .

• Whitelaw, N., Lorig, K., Smith, M. L., & Ory, M. G. (March 19, 2013). National Study of Chronic Disease Self-Management Programs (CDSMP). Retrieved July, 2013 from http://www.ncoa.org/improve-health/center-for-healthy-aging/content-library/CDSMP_Grantee_Webinar_03_19_2013_ALL_FINAL.pdf

http://www.aoa.gov/AoARoot/AoA_Programs/HPW/Evidence_Based/index.aspx

http://www.aoa.gov/AoARoot/AoA_Programs/HPW/ARRA/PPHF.aspx

http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx

http://www.ncoa.org/improve-health/center-for-healthy-aging/content-library/CDSMP_Grantee_Webinar_03_19_2013_ALL_FINAL.pdf


Who should attend?Adults with Type 2 diabetesAdults with prediabetesAdults living with someone

who has diabetesFree to participants

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Diabetes Management Topics

• Techniques to manage symptoms of diabetes including hyper/hypoglycemia, fatigue, pain and emotional stress

• Exercise for maintaining and improving strength and endurance

• Deal with sick days and emergencies • Healthy eating• Foot Care• Working more effectively with health care providers

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Original research shows that six months after the workshop, participants had significant improvements (P<.01) in the following areas:• Depression• Symptoms of hypoglycemia• Communication with physicians• Healthy eating• Reading food labels• Patient activation• Self-efficacy

Data regarding the program’s efficacy have been published and full details can be found at http://patienteducation.stanford.edu/programs/.

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Outcomes


Who should attend?Adults living with chronic painParticipants will learn:

• Differences between acute & chronic pain• How to pace activity• How to prioritize rest• How to balance life

Free to participants

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What You’ll LearnOffered at worksitesBalancing work & home lifeTime & stress managementWays to deal with frustration,

fatigue, pain & poor sleepGoal setting & problem solvingAnd much more!

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Key Program Details• Treatment is never altered and participants are directed

to follow physicians’ orders and discuss concerns with their health care provider.

• Designed to complement clinical treatment and disease-specific education.

• Assists in developing action plans and provides group support to accomplish them.

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What Participants Are Sayingin SD…

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Why participate in BCBH?

EMPOWER yourself to make

BETTER CHOICES to

BETTER your HEALTH!

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How to Refer Patients

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www.goodandhealthysd.org/communities/betterchoicesbetterhealth/make-a-referral/

http://www.goodandhealthysd.org/communities/betterchoicesbetterhealth/make-a-referral/


Questions

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Documents

Using Self-Management Skills to Improve Quality of Lifesdaho.org/wp-content/uploads/2018/09/Erickson-BCBH-Presentation_SDAHO.pdfLearn more at iGrow.org. Megan Erickson, MS, RDN, LN