Healthy Living with Chronic Pain: A self-management program YOUR LOGO HERE! Healthy Living with Chronic Pain: A self-management program

The Wisconsin Institute for Healthy Aging (WIHA) was formed to advance the spread of evidence-based prevention programs throughout the state and encourage and support healthy living among older people through partnerships with public and private organizations. Helping older people live healthier lives through evidence-based prevention programs.

Healthy Living with Chronic Pain A program for individuals with chronic pain Goal: Increase an individuals confidence in managing chronic pain. Reduce pain and pain symptoms. Developed by Stanford Patient Education Research Center in conjunction with McGill University (Montreal, Canada) A program for individuals with chronic pain Goal: Increase an individuals confidence in managing chronic pain. Reduce pain and pain symptoms. So, this is a high level evidence-based program that meets the US Administration on Aging’s highest standard for evidence-based programs It was Developed Developed by Stanford Patient Education Research Center in conjunction with McGill University (Montreal, Canada) and is now Disseminated through the Self-management Resource Center (SMRC) worldwide. Over the years it’s had a variety of Pilot testing, curriculum refinement and research. You can find more research outcomes on the SMRC website’s bibliography page or through WIHA for local data or further resources. https://www.selfmanagementresource.com/resources/bibliography/

Healthy Living with Chronic Pain 6 Weeks 1x/week 10-18 Participants 2 peer Leaders The Healthy Living with Chronic Pain program is a Small group, Community-based workshop that meets for 2.5 hour long sessions, once a week, for 6 consecutive weeks Led by 2 trained PEER Leaders – (one or both of whom are non-health professionals with chronic pain themselves). It has a pre-set curriculum for Leaders and is very interactive and participatory for the attendees. Through the workshop, participants will share, listen, and help each other over the sessions. Everyone helps each other along the way. This workshop is For individuals with chronic pain or someone who lives with someone who has chronic pain (like a spouse, sister, caregiver). Chronic Pain may include many types of conditions from a variety of causes. The goal of this program is to give tools to help individuals manage their pain. A note on PEER leaders / *Peer centered learning – People do best when learning from people like themselves. Leaders of the program are “lay” people. Even if they are a health professional, we take off our hat at the door and come in as a person with personal experience dealing with chronic health problems.. What studies find is when profs lead a group participants will learn more, but if a peer leads, participants DO more. And the latter helps maintain long-term behavior change. Leaders help participants learn tools to increase their self-confidence in being able to manage their symptoms while learning how their pain affect their lives. There’s a social credibility to a peer guiding participants through information – where leaders & participants, learn and share throughout the program – this increases a persons belief that they can do it too. This also has a powerful impact where a person doesn’t feel so alone in their struggles or frustrations.

Overview Strategies to interrupt pain “messages” being received by the brain Multiple tools to decrease pain and better manage symptoms Moving Easy Program: Sequence of 26 gentle moves of flexibility and motion

Overview Emphasis on: Emotional health Evaluating treatments Balancing activity & rest Communication skills Relaxation techniques Create a pain profile Partnering with care team Fatigue management

Target Population Adults (age 18+) who have chronic pain Caregiver or lives with someone with chronic pain Not suitable for people in the throes of addiction or in crisis

Why is HLCP needed? Pain affects more people than diabetes + heart disease + cancer combine Difficult to manage and isolating Affects mood, activities, sleep, ability to work, & enjoyment of life 2/3 felt pain reduced overall enjoyment of life >75% feel depressed 86% have difficulty sleeping Let’s talk about Why Healthy Living with Chronic Pain is a needed program First, let’s define Chronic Pain: it’s a discomfort that persists for 3-months or more and can be caused by many different factors – most notably chronic conditions. Pain affects more Americans than diabetes, heart disease and cancer combined (about 100 million Americans) and is one of the most common reasons adults seek medical care. Pain is a major component of many long-term health issues, and is emerging as a health concern on its own – impacting a person, their families, and society as a whole. Many struggle to find ways to manage their chronic pain. Since the most common treatment for CP is pain reliever medication, older adults have been increasingly prescribed medications, including opioids, to manage this condition. This can led to misuse and abuse – often unintendedly. While medications should be part of a treatment plan – a persons plan should also include a self-management program like HLwCP. Affects mood, activities, sleep, ability to work, & enjoyment of life 2/3 felt pain reduced overall enjoyment of life >75% feel depressed 86% have difficulty sleeping

Consequences of Chronic Pain In the US, the total annual incremental cost of health care due to pain ranges from $560 billion to $635 billion Chronic pain is the most common cause of long-term disability The annual value of lost productivity ranged between $297.4 - 335.5 billion Emotional and physical toll on individuals and families A few consequences of Chronic pain to mention are: In the US, the total annual incremental cost of health care due to pain ranges from $560 billion to $635 billion (in 2010) which combines the medical costs of pain care and the economic costs related to disability days and lost wages and productivity. Chronic pain is the most common cause of long-term disability The prevalence of pain has a tremendous impact on business, the annual value of lost productivity in 2010 dollars ranged between $297.4 billion to 335.5 billion dollars. The value of lost productivity is based on three estimates: days of work missed, hours of work lost, and lower wages  As well as having an Emotional and physical toll on individuals and families. In a 2006 study of over 300 chronic pain sufferers – 2/3 reported pain impacted their overall enjoyment of life, more than ¾ of patients reported feeling depressed, and 86 % reported an inability to sleep well. All of these factors compound on poor health. Healthy Living with Chronic Pain is here to help!

Why Needed? Another great resource to help a person manage chronic pain and the related symptoms (fatigue, depression, etc.) with their health care team! Another tool in their toolbox Emphasize and strengthen the partnership with their health team Overall, great life tools that may not seem like it’s pain management related (decision making, problem solving, communication skills) but the techniques learned help a person’s overall wellbeing and become a better SELF-manager.

Weekly Contents 1. What is Pain?, Mind-Body Connection, Quality Sleep, Action Plans (happens every session) 2. Dealing with Difficult Emotions, Intro to Physical Activity, Better Breathing, Fatigue Management 3. Pacing, Evaluating Treatments, Decision Making 4. Healthy Eating, Communication Skills, Problem-Solving 5. Medication Usage, Depression, Positive Thinking, Stress and Relaxation Techniques 6. Working with the Health Care System, Communicating about pain, Weight Management, Planning for the Future What do we do and talk about in the workshop? Well, Each session has about 3-5 learning activities on various different topics. These are listed on the slide (As you can see listed on the slide). Some Key elements that are a part of every session are practicing problem-solving and decision making techniques, creating and completing an individual weekly action plans (aka Short-term Goal setting), Also important, Mid-way through the workshop – the group learns a gentle flexibility program designed to safety loosen muscles and joints and increase circulation for almost all people with chronic pain. This Moving Easy Program Lastly, the group contributions from the people attending really drive the programs outcomes.

Proven Outcomes ↓ Reduced pain ↑ Increased Vitality/energy Independence Mental health Involvement in everyday activities Life satisfaction and Self-efficacy ↑ Improved coping skills, education, and overall quality of life

Testimony It helped me to realize that circumstances cannot always be chosen, but reactions to them can be…. I got as much out of this 6-week workshop as I got out of the 18 months I was in a pain-management group…. I focus on what I CAN do and not as much on what I CAN’T…. I feel more in-control of my health and do not feel alone in my management journey….

Space/Materials Needs Private room with table, chairs, and wall space. Space for each person to stand beside stable chair (no wheels) and stretch arms out. Materials: Textbook & Moving Easy CD: CD Player or Speakers 2 Leaders included

Status in Wisconsin Change this slide to Status in YOUR AREA Started in Wisconsin in 2019 Trained 60 new Leaders from 27 counties, 1 tribe, and 1 intertribal liaison. Upcoming: Cross-Training October 3-4 in Waukesha Interested in 4-day training? Let us know! Fill out the online Leader Application form and select the General Interest option Change this slide to Status in YOUR AREA Started 2019 Completed: Two 4-day trainings and Three 2-day cross-trainings = 60 new HLCP Leaders within 27 counties, 1 tribe, and 1 intertribal liaison. Upcoming: Cross-Training October 3-4 in Waukesha Interested in 4-day training? Fill out the online Leader Application form for General Interest option If enough interest, WIHA may add an additional fall 4-day training.

Fill in your ASK of the audience Use this slide as an engagement tool Challenge audience to make referrals, to sign up, to tell a friend, to write their name on the sheet being passed around – something tangible as a take away to YOU so you can follow up or measure after this presentation Slide could state: How to be apart of our movement?! Or something about together let’s make a healthier community! Or Let’s partner!

For more information: Your name and contact information https://wihealthyaging.org/healthy-living-with-chronic-pain Add face pic