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

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

3. 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.

4. 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.

5. 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.

6. 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.

7. 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.

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

9. Chronic Pain

10. 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

11. Chronic Pain

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

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

14. Decision Making

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

16. Acute vs. Chronic

17. Medication Categories

18. Addiction vs. Dependence

19. 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

21. 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.

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

23. That’s All Folks
Thank You

24. 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