2020|2021 LIVING WELL • Self-Management Programs
2020 Program Schedule
Thursday | Jul 2 – Aug 6 Chronic Conditions
Thursday | Aug 13 – Sep 17 Chronic Pain
Thursday | Oct 1-Nov 5 Chronic Conditions
2021 Program Schedule
Thursday | Jan 7 – Feb 11 Chronic Pain
Thursday | Feb 18 – Mar 25 Chronic Conditions
Thursday | April 15 – May 20 Chronic Conditions
For more information, registration, or questions about programs contact:
Download program Flyer here: #LivingWellCCC
All workshops are held from 10:00 am – 12:30 pm – at the Community Cancer Center – Conference Rooms B & C
Our FREE Living Well Self-Management Programs are 6-weeks in duration. Participants meet once a week for a 2.5 hour session for six consecutive weeks.
How can you live a healthier, happier life when you are hurting? To answer this, participants will explore what happens with most chronic health problems. Whether it’s heart disease, diabetes, depression, or any one of a host of others, the conditions that cause chronic pain also cause fatigue, loss of physical strength and endurance, emotional distress, and a sense of helplessness, or even hopelessness. A healthy way to live with chronic pain is to work at managing the physical, mental, and emotional problems caused by the condition. This is what the Living Well workshops are designed to do.
What To Expect in Living Well Workshops
Each Living Well workshop is 6-weeks in duration. Participants meet once a week for a 2.5 hour session. Then throughout the week participants’ work on their action plans, decision making steps and suggested reading. Participants will learn the skills to become a positive self-manager by developing a proactive approach to their pain and working with their health care professionals. Adopting a positive management style, participants will live a healthier life. Sessions are progressive so participants will want to attend all sessions to gain the most benefit from the workshop.
Participants begin by learning the importance of being their own self-manager and the self-management skills that will help them successfully live with their chronic pain conditions every day. These skills are useful not just for chronic pain management but for the management of any chronic disease condition.
After introducing the basics of self-management, participants then go on to define pain and discuss the difference between acute and chronic pain. We also explore the most common problems experienced by people with chronic pain and provide a list of resources to learn more about pain and the management of it.
Participants who have completed a Living Well workshop learn:
Pain and fatigue management • How to make an action plan to achieve goals • Problem solving • How to deal with difficult emotions • Appropriate physical activity for maintaining and improving strength, flexibility, and endurance • Effective decision making • Healthy eating • Communication skills • Pacing activity and rest • Working with your healthcare professionals.
Each participant will receive hundreds of tips and ideas on to make their life easier. The advice presented during each session is from physicians, psychologists, physical therapists, registered nurses, and other health professionals who specialize in working with people in chronic pain. It is also from people like you who have learned to positively manage their own chronic pain. Please note that we said “positively manage.” There is no way to avoid managing a chronic condition.
What is the Chronic Disease Self-Management Program?
(known in Oregon as Living Well with Chronic Conditions)
The Chronic Disease Self-Management Program is a workshop given two and a half hours, once a week, for six weeks, in community settings such as senior centers, churches, libraries and hospitals. People with different chronic health problems attend together. Workshops are facilitated by two trained leaders, one or both of whom are non-health professionals with a chronic diseases themselves.
Subjects covered include: 1) techniques to deal with problems such as frustration, fatigue, pain and isolation, 2) appropriate exercise for maintaining and improving strength, flexibility, and endurance, 3) appropriate use of medications, 4) communicating effectively with family, friends, and health professionals, 5) nutrition, and, 6) how to evaluate new treatments. Each participant in the workshop receives a copy of the companion book, Living a Healthy Life With Chronic Conditions, 3 rd Edition.
It is the process in which the program is taught that makes it effective. Classes are highly participative, where mutual support and success build the participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.
Does the Program replace existing programs and treatments?
The Self-Management Program will not conflict with existing programs or treatment. It is designed to enhance regular treatment and disease-specific education such as Better Breathers, cardiac rehabilitation, or diabetes instruction. In addition, many people have more than one chronic condition. The program is especially helpful for these people, as it gives them the skills to coordinate all the things needed to manage their health, as well as to help them keep active in their lives.
How was the Program developed?
The Division of Family and Community Medicine in the School of Medicine at Stanford University received a five-year research grant from the federal Agency for Health Care Research and Policy and the State of California Tobacco-Related Diseases office. The purpose of the research was to develop and evaluate, through a randomized controlled trial, a community-based self-management program that assists people with chronic illness. The study was completed in 1996.
The research project had several investigators: Halsted Holman, M.D., Stanford Professor of Medicine; Kate Lorig, Dr.P.H., Stanford Professor of Medicine; David Sobel, M.D., Regional Director of Patient Education for the Northern California Kaiser Permanente Medical Care Program; Albert Bandura, Ph.D., Stanford Professor of Psychology; and Byron Brown, Jr., Ph.D., Stanford Professor of Health Research and Policy. The Program was written by Dr. Lorig, Virginia González, M.P.H., and Diana Laurent, M.P.H., all of the Stanford Patient Education Research Center. Ms. González and Ms. Laurent also served as integral members of the research team.
The process of the program was based on the experience of the investigators and others with self-efficacy, the confidence one has that he or she can master a new skill or affect one’s own health. The content of the workshop was the result of focus groups with people with chronic disease, in which the participants discussed which content areas were the most important for them.
How was the Program evaluated?
Over 1,000 people with heart disease, lung disease, stroke or arthritis participated in an randomized, controlled test of the Program, and were followed for up to three years. We looked for changes in many areas: health status (disability, social/role limitations, pain and physical discomfort, energy/fatigue, shortness of breath, psychological wellbeing/distress, depression, health distress, self-rated general health), health care utilization (visits to physicians, visits to emergency department, hospital stays, and nights in hospital), self-efficacy (confidence to perform self-management behaviors, confidence to manage disease in general, confidence to achieve outcomes), and selfmanagement behaviors (exercise, cognitive symptom management, mental stress management/relaxation, use of community resources, communication with physician, and advance directives).
What were the results?
Subjects who took the Program, when compared to those who did not, demonstrated significant improvements in exercise, cognitive symptom management, communication with physicians, self-reported general health, health distress, fatigue, disability, and social/role activities limitations. They also spent fewer days in the hospital, and there was also a trend toward fewer outpatient visits and hospitalizations. These data yield a cost to savings ratio of approximately 1:10. Many of these results persist for as long as three years.
For more information on the Living Well with Chronic Conditions program in other areas of Oregon, please contact our sponsoring partner; the Oregon Wellness Network at (971) 673-0984 or email email@example.com