Panel Discussion Chronic Dis isease Self-Management Program Do - - PowerPoint PPT Presentation

Wyoming Conference on Aging: Engage at Every Age

“Healthy Aging & Resource Programs” Panel Discussion

Chronic Dis isease Self-Management Program

Do Domin inick Du Duhamel, l, WyC yCOA Project Coordin inator

• The Chronic-Disease Self-Management Program (CDSMP) is a renowned workshop

series for people with any kind of chronic health condition

• Created by Stanford University Patient Education Center in 1996; available in every

U.S. state in dozens of countries

• Focuses on giving people with chronic conditions the tools they need to play a

more active and productive role in their own self-management

• Also appropriate for caregivers, family, and those interested in health management
• In Wyoming, the program is called “Healthy U” and coordinated statewide by the

Wyoming Center on Aging (WyCOA)

Chronic Dis isease Self-Management Program

Do Domin inick Du Duhamel, l, WyC yCOA Project Coordin inator

• Participants meet once a week for 6 weeks, 2.5 hours per session
• 8-18 participants per workshop
• Delivered by 2 trained and certified Leaders
• Workshops are highly participatory and participant-driven; mutual support and

success builds participant confidence and ability

• Emphasis and skill-building rather than disease-specific education
• Participant outcomes include improved health, exercise, cognitive symptom

management, communication with physicians; reduced health distress and social/role activities limitations; fewer hospitalizations, days in hospital, and

• utpatient visits

Chronic Dis isease Self-Management Program

Do Domin inick Du Duhamel, l, WyC yCOA Project Coordin inator

• Subjects included in a Healthy U workshop include:
• Techniques to deal with problems like frustration, fatigue, pain, and isolation
• Appropriate exercise for maintaining and improving strength, flexibility, and endurance
• Appropriate use of medications
• Communicating effectively with family, friends, and health professionals
• Nutrition
• Decision-making
• How to evaluate new treatments
• Action-planning

Chronic Dis isease Self-Management Program

Do Domin inick Du Duhamel, l, WyC yCOA Project Coordin inator

• Available in 15 counties
• Offered by public health, senior centers,

medical centers, wellness centers, senior/subsidized housing, rec centers

• All workshops are free for participants and

fully funded by WyCOA

• Healthy U facilitator training coming up in

Casper November 5 - 8

• For more information:

dduhamel@uwyo.edu / (307) 766-2765

National Dia iabetes Prevention Program

Han annah Herold ld

• A lifestyle change program following an evidence-based, CDC-

approved curriculum

• Designed for people who have prediabetes or are at risk for

type 2 diabetes

• Consists of 16 weeks of intervention followed by 6 months of

maintenance and follow-up – full program is 1 year

• Focuses on healthy habits

National Dia iabetes Prevention Program

Han annah Herold ld

Reduction in Risk of Developing Type 2 Diabetes

11 7.8 4.8 2 4 6 8 10 12

Intensive lifestyle intervention (NDPP) (n=1079) T2DM incidence per 100 person-years Placebo (n=1082) Metformin 850 mg BID (n=1073)

58% 31%

NDPP is a result of a major clinical research study designed to test whether lifestyle changes (diet and physical activity) could prevent or delay onset

• f type 2 diabetes.

National Dia iabetes Prevention Program

Han annah Herold ld

• 1 in 5 adults could have type 2 diabetes by 2025
• In 2013, diabetes as a primary or secondary diagnosis cost the

state of Wyoming $232,825,610 in inpatient costs alone

• Participation in an NDPP resulted in Medicare cost savings of

$2,650 per patient compared to control beneficiaries

National Dia iabetes Prevention Program

Han annah Herold ld

Fremont County Public Health Nursing Riverton, WY Northern Arapaho Diabetes Awareness Program Ethete, WY

• St. John’s Medical

Center Jackson, WY Cody Regional Health Cody, WY YMCA Cheyenne, WY UW Family Medicine Clinic Cheyenne, WY Memorial Hospital

• f Converse

County Douglas, WY

Mountain-Pacific Quality Health DEEP (Diabetes Empowerment Education Program)™

Bran andi i Wah ahle len, Di Diabetes Project Man anager

• Mountain-Pacific has provided the DEEP curriculum through

the Centers for Medicare and Medicaid (CMS) Everyone with Diabetes Counts initiative

• DEEP classes are free and interactive; majority of classes are

held at senior centers

• Recommended for those with pre-diabetes, diabetes and

family members

• Peer led facilitators team up with local medical personnel

• Falls are the leading cause of non-fatal injury to Wyoming older adults 65 and older. Those 65 and older accounted for 75% of all fatal falls (2004-2016) and 68%
• f non-fatal fall hospitalizations (2009-2015) though older adults represent less than 15% of the total Wyoming population.
• In 2015, non-fatal fall hospitalizations among Wyoming older adults cost an estimated $9,739,000 in combined lifetime work and medical loss costs.
• In addition to lifetime work and medical loss costs, fall injuries contribute to a decreased quality of life and a loss of independence among older adults.
• Though physical injuries remain a significant concern, many older adults who fall also develop a fear of falling. This fear of falling may cause them to limit daily

activities resulting in reduced independence, mobility, and physical fitness and an increased risk of falling again.

• In July of 2018 The Wyoming Department of Health’s Injury and Violence Prevention Program was awarded a three year grant by The Administration for

Community Living. This grant will run for three years and help us to not only expand on our current efforts in falls prevention but also allow us to bring a second evidence based falls prevention program to Wyoming.

WDOH - Tai Chi/Matter of Balance

Lindsay Martin

• The Tai Chi for Arthritis (TCA) program was designed to target adults with or without arthritis who have a higher risk of falling.
• TCA is currently implemented in seven counties through partnership with the Aging Division and Public Health Nursing.
• Participants attend 16 one hour sessions once or twice per week conducted by a certified instructor.
• Some of the observed outcomes include: improved balance, increased muscular strength, improved mobility, increased flexibility, improved psychological health,

decreased pain, and reduction in fall risk.

• A Matter of Balance targets older adults in an 8-week structured group intervention that emphasizes practical strategies to both reduce the fear of falling and

increase activity levels.

• At the completion of the three year grant period we will have trained trainers in both a Matter of Balance as well as Tai Chi for Arthritis in all 23 counties in

Wyoming. For more information please contact: Lindsay Martin, MPH at 307-777-8034 or lindsay.martin@wyo.gov

WDOH - Tai Chi/Matter of Balance

Lindsay Martin

• Tailored Caregiver Assessment and

Referral (TCARE)

• Finding & engaging resources that help is

difficult

• Connect caregiver with the right strategies to

reduce stress and burden at the right time

TCARE

Robin in Bar arry ry, PhD

TCARE

Robin in Bar arry ry, PhD

Assess

TCARE Consultant conducts 40-60

• min. assessment

with caregiver

Plan

Identifies goals, strategies, initial list of strategies (services & resources)

Feedback & Tailoring

Recommendations tailored to caregiver’s needs, preferences, and availability

Follow

• up

At 3-month intervals, adjust care plan as needed

• Reduces clinical depression
• Reduces relationship & stress burden
• Helps keep family member at home
• Reduces Medicaid service use by 20%
• Prevents care crisis
• Improves overall health of caregiver & care receiver

TCARE

Robin in Bar arry ry, PhD

History

• The ADRC website was created by the WDH, CLS in partnership with the Wyoming

Center on Aging (WyCOA).

• Its intention is to rebuild the website using the database that belonged to the

ADRC, which was dissolved in 2015.

• It is now maintained by the WDH.

Aging and Dis isability Resource Center (A (ADRC)

WY Y De Department of

• f Healt

lth (W (WDH), Ag Agin ing Di Divis ision, Community Liv Living Se Sectio ion (C (CLS LS)

Heather Welch

Function

• The function of the ADRC website is to connect older adults, people with

disabilities, and providers to a variety of helpful information and services that address their specific needs.

• The website reflects a renewed commitment to making a comprehensive and

accurate network of state and local resources easily accessible to the people of Wyoming.

ADRC

CLS LS, Heather Welch

Where We Are Now

• We continue to add new resources to the website.
• We are still in the process of rebuilding the website using the database that

belonged to the ADRC that was dissolved.

• Ability to suggest a new resource, website survey, contact us
• UW study through IRB (Institutional Review Board)
• https://adrcwyoming.org

ADRC

CLS LS, Heather Welch

Questions?

Heather Welch Aging Division, Community Living Section heather.welch1@wyo.gov 307-777-7988

ADRC

CLS LS, Heather Welch

Slides with Healthy Aging & Resources Panel information can be downloaded for future reference at:

Wyoming Center on Aging www.uwyo.edu/wycoa wycoa@uwyo.edu