TheCENTREd Model: Self-Management Support Steps, Skills and Tools Helen Cameron-Tucker Royal Hobart Hospital and Menzies Research Institute Tasmania Snapshot of evaluating a chronic disease self-management tool

Participants: Adults with COPD referred to out-patient cardiopulmonary rehabilitation. Intervention: Stanford Chronic Disease Self- Management Programme (CDSMP)with supervised exercise. A Mixed Methods Study. Comparison: Intervention group versus CDSMP. Outcome: Qualitative analysis presented here – lived experience of the CDSMP with or without supervised exercise. The Study

COPD described in terms of its impact on lives Participants bring self-developed strategies and a personal meaning of self-management to healthcare interactions. Respecting preferences, acknowledging individual motivation sources, goal-setting and action-planning pointed to a participant-centred engagement, leading to development of…… ….The CENTREd Model (Commit, Engage, Negotiate, Take action, Repeat back, Establish follow-up), with SNAPPS Health-Management Model. Findings

Clinical practice – Underpinned by CENTREd approach. – SNAPPS (Smoking, Nutrition, Alcohol, Physical activity, Psychosocial wellbeing, Symptom management) Health- Behaviours Summary and Profile with agreed actions included in clinical management. Current research and CENTREd training – Developed and trialing SNAPPS Snapshot tool to obtain a health behaviours score. – Evaluating CENTREd Model in management of COPD, in Primary healthcare, in telephone-delivered health-mentoring NOTE: Pilot Study of CENTREd care in COPD will be presented in ADM Conference paper. Current Practice

Dr. Helen Cameron-Tucker, BPhty (Hons), PhD, Honorary Associate Menzies Research Institute Tasmania, University of Tasmania, Private Bag 23, Hobart, Tasmania and Senior Physiotherapist, Cardiorespiratory Rehabilitation, Department of Physiotherapy, Royal Hobart Hospital, GPO Box 1061, Hobart, Tasmania Australia Phone: (Menzies) (RHH) Fax: (RHH) Contact Details