Planning Process

1
Alberta Stanford Chronic Disease Self-Management
Leader Training Program Elly Webster, RN,
Coordinator Sue Harcus, RN, Co-Chair
2
Initiative

• An Alberta Health Wellness Initiative
  Coordinated by David Thompson Health Region and
  Chinook Health Region to build capacity to
  deliver chronic care self-management workshops
  by
• training new leaders
• training new master trainers
• supporting the development of new regional
  infrastructures

3
Making it work for each region

• Chinook (Lethbridge)
• Palliser (Medicine Hat)
• Calgary
• DTHR (Red Deer)
• East Central
• Capital (Edmonton)
• Aspen
• Peace Country
• Northern Lights (High Level, Ft. McMurray)

4
Why are we talking about Self-Management?

• Up to 60 of Family Practice care is related to
  chronic conditions, and they lead to 70 of
  health expenditures
• Chronic conditions require a different approach
  than acute, episodic care
• Self-Management workshops have been shown to
  complement clinical services for chronic
  conditions

5
Self Management

• Purpose of the self-management program is to
• help patients manage their life with chronic
  disease
• to increase patients skills and self-confidence
• to problem solve and make decisions
• Patient self-management is a critical component
  of Chronic Disease Management

6
Chronic Disease Self-Management Program

• Self-management programs, developed by the
  Stanford University Patient Education Research
  Center
• In existence for over 24 years
• Programs offered worldwide

7
Living a Healthy Life with Chronic Conditions

• Increases the skills necessary for individuals to
  manage chronic conditions and work effectively
  with health care professionals
• Designed to enhance regular treatment and will
  not interfere with existing programs or treatment

8
Workshop details

• Workshops are highly interactive, focusing on
  building skills, sharing experiences and support
• Helps individuals take responsibility for their
  care
• Program is led by volunteer leaders with chronic
  conditions themselves

9
Workshop details

• Workshops are 2 ½ hours weekly for six weeks
• Topics covered include
• Developing a long term exercise program
• Fatigue management
• Healthy eating
• Communicating with family and physicians
• Developing decision making and problem solving
  skills

10
Access at the local level

• Options
• Referral to RHA chronic disease program that
  combines self-management, disease/risk education,
  exercise rehab
• Referral to specific workshop run by RHA or PCN
• Registration through a workshop offered by a
  community agency

11
Results

• Based on 5 year research through randomized,
  controlled trials at Stanford
• - Fewer hospitalizations (0.8 days during first
  6 months)
• Improved communication with physicians
• More confidence in ability to manage their
  condition
• Less fatigue
• Less disability
• Improved function
• Increased minutes of exercise
• Increased use of stress management techniques

12
Training Levels

• Participant Workshops (15 hours) led by paired
  Leaders from community
• Leader Training (4 days) led by paired Master
  Trainers from within Alberta
• Master Training (4 1/2 days) led by paired
  T-Trainers from Stanford

13
Whats happened in Alberta?

• Leader Training
• All regions
• 160 Leaders provincially
• Master Training
• Had 20 to support initiative
• Now offering 2 more classes
• Sending 2 for T-Training

14
Participant Feedback

• These workshops gave me the tools to manage my
  health
• Enjoyed sharing ideas and solutions to problems
• Liked the group atmosphere and interaction
• I am in charge of my own health
• Action plan has encouraged me to make a life
  change

15
Training Program

• Purpose of the Stanford self-management program
  leader training is to
• build resources expertise in all PCNs and
  RHAs
• ensure comprehensive province-wide support of
  chronic disease self-management programs

Objectives
16
Training Program

• Majority of the grant for direct delivery of
  training
• Designed to meet needs of PCN populations.
• Enable the widest possible access to training to
  all health regions
• Gather input to the program by means of an
  advisory committee

Key Principles
17
Training Program

• PCNs and RHAs will utilize the training to
  provide the service to their clients/residents
• Training to be provided at no cost to PCNs,
  RHAs or lay persons in Alberta
• Methods for training can be flexible depending on
  the needs and resources of individual health
  regions

Deliverables
18
Training Program

• Tuition costs for Stanford delivered sessions
• Provincial coordination / management
• Stanford licenses for RHAs
• Remuneration or backfill for Trainers
• Transportation and lodging for trainers to
  provide training
• Workshop delivery expenses (eg manuals,
  advertising, workshop materials, meeting room
  rental, etc.)

Approved Use of Funds
19
Time Lines

• Leader Training
• - July 2005 January 2006
• Local Workshop Sessions
• September 2005 January 2006
• Two Master Training Class and subsequent Phase 2
  Leader Training
• June/September 2006

20
Provincial Support Options

• Provincial Network Members (Leaders,
  Master-trainers)??
• Provincial Advisory Committee??
• Website Options- Health In Action, building
  anew, ??
• Health Link ??
• Made in Alberta version of the book Living a
  Healthy Life with Chronic Conditions
• ????

21
Training Program

• For further information
• Elly Webster,
• Alberta Coordinator
• Phone [phone]
• E-mail ewebster_at_chr.ab.ca
• Sue Harcus,
• Alberta Co-Chair
• Phone [phone]
• E-mail sharcus_at_dthr.ab.ca

Contacts