Self-Management Programs Chronic Disease Self-Management Program CDSMP Chronic Pain Self-Management Program CPSMP

Chronic Disease Self-Management Program The CDSMP was first developed in 1991 by Stanford University and Northern California Kaiser Permanente Medical Care Program.

Chronic Pain Self-Management Program The CPSMP was developed in the late 1990’s by Dr. Sandra LeFort of McGill University in Montreal in conjunction with Dr. Kate Lorig of Stanford University.

Underlying Assumptions People with mental and physical chronic conditions and/or chronic pain have similar concerns and problems. These people must deal with not only their specific conditions/diseases or pain, but also with the impact the condition or pain has on their lives and emotions.

Lay people with chronic conditions, when given a detailed leader’s manual, are able to teach self-management education as effectively as health professionals. The process in which the CDSMP and the CPSMP are taught is as important, if not more important, than the subject matter that is taught.

Workshop Basics Each workshop consists of six sessions. Each session is 2 ½ hours. Each session has 5 to 8 activities. Each activity has specified time limits. The methods for presenting each activity are specific. The programs are standardized and MUST be presented as written.

Participant Involvement Designed to involve the participants. Emphasizes ways to increase confidence. Structure and support usually leads to good health decisions. Best learned in little bits, try things out, get feedback, and build on what learned.

Similarities Multiple charts Basic guidelines Self-management tasks Lecturettes, modeling, demonstration Goal setting and action plans Feedback and problem solving Symptom cycle

Chronic Pain

Living a Healthy Life and Chronic Pain Self-Management Program workbook with Moving Easy Program CD Guided imagery and visualization Adequate and quality sleep Activity and exercise Better breathing and relaxation Self-management tool box

Chronic Pain

Healthy eating Communication Medication usage and responsibility Informed treatment decisions Positive thinking Depression and difficult emotions

Differences CDSMP Healthy food choices Weight management Fall prevention and better balance Decision making

Decision Making

CPSMP Myths about chronic pain Acute pain vs. chronic pain Medications for chronic pain Communication about pain Moving Easy Program

Acute vs. Chronic

Medication Categories

Addiction vs. Dependence

Communication “I” messages Be direct and clear Take PART Chronic pain – “I” messages, direct and clear, and taking part is not enough Everyone is different

Moving Easy Program Designed to improve flexibility Combines flexibility and gentle strength training Sequence of 25 movements Warm up or cool down or by itself Take about 12 minutes Done during sessions 3, 4, 5, and 6.

There are tips for doing the Moving Easy Program Precautions for people with pain

That’s All Folks Thank You

References Sandra LeFort and Lisa Sulyok; Chronic Pain Self-Management Program workbook Kate Lorig, Halsted Holman, et al; Living a Healthy Life with Chronic Conditions Fourth Edition Chronic Pain Self-Management Program 2009 Leader’s Manual and Master Trainer’ Manual Chronic Disease Self-Management Program 2012 Master Trainer’s Manual and Leader’s Manual