living well 101 oregon living well program. what is self-management? the tasks that individuals must...

Living Well 101

Oregon Living Well Program

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

The Symptom Cycle

Oregon Living Well

Disease

Stress/Anxiety

Pain

Tense Muscles

Fatigue

Difficult Emotions

Depression

Shortness of Breath

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

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

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

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

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

Problem Solving

1. Identify the problem2. List ideas3. Select one4. Assess the results5. Substitute another idea6. Use other resources7. Accept that the problem may not be

solvable

Oregon Living Well

Evidence-BaseResearch 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

Living Well Programs by County (2005-2009)

Oregon Living Well

Number of Workshops

1 - 2

3 - 5

6 - 27

28 - 51

No workshops

Lake

HarneyMalheur

Lane

Grant

Klamath

Douglas

Baker

Linn

Crook

Jackson

Coos

Curry

Deschutes

Jefferson

Josephine

Lincoln

Benton

UmatillaWallowa

UnionMorrow

She

rman Gilliam

Marion

Clackamas

Polk

Tillamook

Clatsop

Yamhill

Colum

bia

Washington

Hood RiverMultnomah

Wasco

Wheeler

Living Well Programs by Year

Oregon Living Well

6

37

71

105

1 16

1 413 15

113

10

20

40

60

80

100

120

2005 2006 2007 2008 2009

Nu

mb

er

of

Pro

gra

ms

Living WellTomandoPSMP

Living Well Participation by Year

Oregon Living Well

53

366

816

1,3081,376

0

200

400

600

800

1,000

1,200

1,400

1,600

2005 2006 2007 2008 2009

Nu

mb

er

of

Pa

rtic

ipa

nts

Chronic Conditions

Oregon Living Well

• Living Well participants report an average of 3.1 chronic conditions

Arthritis 44% High blood pressure

37% Chronic pain

35%Depression

31%High cholesterol 29% Diabetes 27% Heart disease 16% Asthma 15%

Living Well in Oregon• 400 Trained Leaders

• 60 + Master Trainers

• 30 Licensed Organizations

Regional Infrastructure

• Regional Coordinators

• Regional Training Centers

Oregon Living Well

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

[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