1. Living Well 101 Oregon Living Well Program

2. What is Self-Management? The tasks that individuals must undertake to live with one or more chronic conditions.” “What people do 99.9% of the time.” Oregon Living Well

3. The Symptom Cycle Oregon Living Well Disease Stress/Anxiety Pain Tense Muscles Fatigue Difficult Emotions Depression Shortness of Breath

4. Programs Offered in Oregon Living Well with Chronic Conditions - English language Stanford Chronic Disease Self-Management Program Tomando Control de su Salud – Spanish language and cultural adaptation of Living Well Positive Self-Management Program – adapted for people living with HIV/AIDS and their caregivers Oregon Living Well

5. Living Well Programs Peer led small groups (10-15 people) Standardized training for leaders Highly structured teaching protocol Standardized participant materials Licensed organizations Oregon Living Well

6. Program Overview 2 ½ hours per week; 6 weeks Multiple chronic diseases and symptoms in the same group Focus on self-efficacy, action planning, problem solving, and communication. Oregon Living Well

7. The Self-Management Toolbox Oregon Living Well Physical activity Medications Managing fatigue Action Planning Better breathing Understanding emotions Problem-solving Using your mind Managing pain Communication Healthy eating Working with health professionals

8. Action Planning Something you want to do Achievable Action-specific Answers the questions: What? When? How much? and How often? Confidence level of 7+ (out of 10) Oregon Living Well

9. Problem Solving 1. Identify the problem 2. List ideas 3. Select one 4. Assess the results 5. Substitute another idea 6. Use other resources 7. Accept that the problem may not be solvable Oregon Living Well

10. Evidence-Base Research indicates participants spend Fewer days in the hospital Fewer outpatient and ER visits Participants report Improvement in self-reported health and health distress Improvement in social life/activities Improved energy/less fatigue Demonstrated cost-savings Oregon Living Well

11. Living Well Programs by County (2005-2009) Oregon Living Well

12. Living Well Programs by Year Oregon Living Well

13. Living Well Participation by Year Oregon Living Well

14. Chronic Conditions Oregon Living Well Living Well participants report an average of 3.1 chronic conditions Arthritis44% High blood pressure37% Chronic pain35% Depression 31% High cholesterol 29% Diabetes 27% Heart disease 16% Asthma15%

15. Living Well in Oregon 400 Trained Leaders 60 + Master Trainers 30 Licensed Organizations Regional Infrastructure Regional Coordinators Regional Training Centers Oregon Living Well

16. What Participants are Saying Oregon Living Well “This program has given me the confidence that I can have a future worth living. I have learned there are people like me, not living life to the fullest because of a chronic condition and that we can move forward. Great people teaching us to live again.” -- Laura Furrey

18. [Add your own quotes or use these & remove this line] “I was tired. My pain was my boss. It was telling me what I could and couldn’t do. {insert your program name} workshops put me back in charge.” “Now I have the energy to do the things that matter. I am calmer and more confident about my health. I got relief from my pain.” “I put life back in my life.” Questions? Contact us Oregon Living Well Program 800 NE Oregon St., Suite 730 Portland, OR 97232 1-888-576-74214 living.well@state.or.us Oregon Living Well