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We established the feasibility of implementing a central coordination model of self-management support programming through these initial activities and then proceeded to broadly implement the CDSMP group program concurrently with provider training.
A total of 232 Stanford CDSMP sessions have been held since the creation of LHC, reaching over 4,000 individuals living with a chronic condition; 63 of the workshops were held during the pilot study period (2009-2011).
LHC has also expanded its Stanford CDSMP program to include various disease-specific workshops and languages in order to improve its ability to reach specific subpopulations (Figure 2).
We have endeavored to measure LHC's effectiveness at the patient level using a number of different methods, including a scoping review, (20) a systematic review, (9) a focus group with workshop participants, (22) a pre-post study examining the CDSMP's impact on health care utilization, (23) surveys completed at baseline and six months post-workshop, and program costs.
Programs such as the Stanford CDSMP can help patients deal with symptoms and provide tools to facilitate better communication between patients and providers.
Attending the CDSMP reduced participants' sense of isolation and enhanced their coping skills.
Our team used health care administrative data from 186 individuals who participated in the Stanford CDSMP between September 2009 and January 2011 in order to determine whether the program was associated with changes in health care utilization.
Over 300 peer volunteers have been trained to lead the Stanford CDSMP. Of this group, 98 remain active leaders, meaning they lead at least one workshop per year.
In addition to the Stanford CDSMP, LHC now provides training for health and social care providers in other models of self-management, namely Motivational Interviewing, Choices and Changes, and Health Coaching.
(29-32) For instance, the Alberta Healthy Living Program is a community-based chronic disease management program encompassing multiple strategies, including the Stanford CDSMP, to improve chronic disease care.
Some studies have looked at the impact of the diabetes self-management program on glycated hemoglobin levels, (40,41) but the CDSMP is open to participants with any chronic condition and it would thus be challenging to track clinical outcomes relevant to each participant.
The CDSMP is a workshop given once a week, for two and a half hours, over 6 weeks, in community settings.
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