Public Health Division Health Promotion amp Chronic Disease Prevention Section Oregon SelfManagement Programs New Coordinator Orientation Webinar January 7 2015 Tamara Burkovskaia Andrew Epstein ID: 764822
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Public Health DivisionHealth Promotion & Chronic Disease Prevention Section Oregon Self-Management Programs New Coordinator Orientation Webinar January 7, 2015 Tamara Burkovskaia, Andrew Epstein, Scott Montegna
What is Self-Management?
What is Self-Management? It’s the power of the mind!
Oregon self-management programs The Oregon Tobacco Quit LineStanford chronic disease self-management programs (SMPs ): : Living Well, Tomando Control de su Salud , Diabetes SMP, Chronic Pain SMP, and Positive SMP Arthritis self-management programs: Walk With Ease, Arthritis Foundation Exercise Program, Fit & Strong!, and EnhanceFitness Diabetes self-management programs: the National Diabetes Prevention Program, Clinical Diabetes Self-Management Education, the Stanford Diabetes Self-Management Program Senior falls prevention programs: Tai Chi: Moving For Better Balance, Otago and Stepping On.
A Note: All county residents have access to the Oregon Quit Line. Walk with ease Arthritis Foundation Exercise National Diabetes Prevention Diabetes Self-Management Otago Exercise Stepping On Tai Chi Stanford Programs D N N N N N N N N N D D D D D D D D D D D D D D D D D D D D D D D A A A A A A A A A A A A A A A Self-management programs available in Oregon counties A
Stanford Self-Management Programs: Put life back in your life! Living Well with Chronic Conditions Tomando Control de su Salud ( Tomando Control) Diabetes Self-Management Program Positive Self-Management Program (PSMP ) Chronic Pain Self-Management Program
Workshops offered by program type and year, 2006 through 2013
Participants by program type and year
Living Well/Tomando Control - Takes place over six weeks, 2 ½ hours per week - Facilitated by two trained leaders - Open to individuals with any chronic condit ions
Living Well program helps people Get needed support Find practical ways to deal with pain and fatigue Eat better and exercise safely Understand new treatment choices Learn better ways to talk to the doctor and family about health
Arthritis Self-Management Programs Walk With Ease Arthritis Foundation Exercise Program Fit & Strong! EnhanceFitness
Why is it important to work toward improving arthritis outcomes? High prevalence of arthritis in adults: U.S. 22.7% OR 27% Leading cause of disability Toll of arthritis (medical care and lost productivity): U.S. $86 billion OR $1.6 billion Changing demographics, higher arthritis prevalence
Arthritis in Oregon, 2008-2011 PUBLIC HEALTH DIVISIONHealth Promotion & Chronic Disease Prevention Data Source: Oregon BRFSS 2008-2011 Oregon arthritis percent age-adjusted State average = 25.4%
Walking is man's best medicine. Hippocrates
Why Walk With Ease? Community-based physical activity and self-management education program Low-cost, no equipment, easy-to-implement Reduces pain, improves flexibility, strength and stamina Flexible formats Anyone who can be on their feet for 10 minutes can participate Almost 200 WWE leaders have been trained
Other physical activity programs Arthritis Foundation Exercise Program EnhanceFitness Fit & Strong!
Senior Falls Prevention programs Tai Chi: Moving for Better BalanceOtago Exercise Program Stepping On
National Diabetes Prevention Program
National DPP Components
Statewide efforts Build sustainable delivery infrastructure for the National Diabetes Prevention Program (DPP) Establish as a paid insurance benefitPEBB, OEBB Medicaid Identify sustainable funding to support Lifestyle Coach training OEBB Eastern Oregon pilot project Centralized online resource www.healthoregon.org/takecontrol
Statewide Efforts Technical assistance (T.A.) to delivery organizationsPartnership with OHSU Harold Schnitzer Diabetes Health Center (Don Kain , DPP Master Trainer) Help get programs up and running T.A. on marketing, recruitment, facilitation, assurance of fidelity, data collection and reporting
What can TPEP/HC Grantees Do? Outreach and development of referral systems Raise awareness of prediabetes and the DPP Identify local delivery organizations and promote partnerships Help establish sustainable referral systems Engage employers - NDPP as worksite wellness or community offering Raise awareness of DSME/DSMP programs for people with diagnosed diabetes .
People Want to Quit ~ 70% of Oregon’s smokers want to quit. Common Motivators to Quit Personal health, wellness and fitness Children Social stigma Financial Quitting Can Be Hard Perceptions of quitting?
But People Can Quit! Counseling, Medication, and a Quit Plan help Treating Tobacco Use and Dependence: 2008 Update Clinical Practice Guideline. U.S. Department of Health and Human Services. Public Health Service. http://www.surgeongeneral.gov/tobacco/ Tobacco users who receive effective treatment are 2 - 3 times more likely to quit and remain quit.
Why a Tobacco Quit Line? It’s easy to access: 1-800-QUIT-NOW (784-8669), www.quitnow.net/oregon/ Español : 1-855-DÉJELO-YA (335356-92), www.quitnow.net/oregonsp/ TTY : 1-877-777-6534 It’s available when people need it: You can sign up and talk with a live counselor 24 hours a day Unlimited access to the web program
What does the Quit Line do? The Oregon Tobacco Quit Line provides free counseling and medication to help people quit. Available to all Oregonians regardless of income or insurance status Staffed by real people, who are friendly and non-judgmental Counseling is available over the phone or online Coaching is available in 170+ languages including Spanish, Russian, Chinese, Korean, Vietnamese, and American Sign Language.
How does the Quit Line Work? Registration Counseling Calls with Quit Coach Motivational Interviewing Problem-solving and coping skills Personalized Quit Plans Nicotine Replacement Therapy (patch or gum) mailed directly to house Quit Guide and other materials
What is Quit Line counseling like?
Who is eligible for the Quit Line? Only Three Criteria Must be at least 13 to enroll in counseling (and at least 18 to receive nicotine replacement therapy products) Must live in Oregon Must be ready to set a quit date in the next 30 days.
What services are available? Uninsured4 counseling calls 2 weeks of combined Nicotine Replacement Therapy (patch/gum) Insured – with Quit Line benefit Whatever their own health plan covers, typically 4-5 counseling calls. Insured – without Quit Line benefit 1 counseling call 2 weeks of Nicotine Replacement Therapy
Promoting the Quit Line Quit Line Materials Provider Referrals #1 way people hear about the Quit Line
Quit Line MaterialsPosters, palm cards, and counter cards are available to download online: http://www.smokefreeoregon.com/quit/quit-resources Materials are available in English, Spanish, Russian, Chinese, Korean and Vietnamese
Referring to the Quit Line Fax ReferralsSimple form (English or Spanish) Download and fill out with patient Fax or (snail) mail to Quit Line The Quit Line calls your patient or client directly and asks if they would like to enroll in services. If they accept, they can begin counseling immediately.
What is the role for TPEP and Healthy Communities Coordinators ?
Changing the Context Creating a Culture of Health
Culture of Health: Self-Management Example Supportive Workplace: Policy, Systems, Environmental Changes Employee Benefits: Barrier-free Systemic Promotion
What we can do at state and local level Advocate for policy change to support self-management programs. Raise awareness of chronic disease and SM programs, including Oregon Tobacco Quit Line. Build community capacity for prevention, early detection, and self-management of chronic disease. Assist in developing and establishing sustainable referral systems. Engage employers to promote self-management programs as worksite wellness or community offering.
You can do it! Yes, you can!
Contact information: Tamara Burkovskaia tamara.v.burkovskaia@state.or.us ph : 971-673-1085 Andrew Epstein andrew.d.epstein@state.or.us ph : 971-673-2379 Scott Montegna scott.p.montegna@state.or.us ph: 971-673-1052
Useful links:OHA Self-Management Programs:https://partners.health.oregon.gov/PreventionWellness/SelfManagement/Pages/index.aspx Living Well workshop near you at: https:// partners.health.oregon.gov/DiseasesConditions/ChronicDisease/LivingWell/Pages/lwworkshops.aspx Walk With Ease Program: http:// extension.oregonstate.edu/fch/walk-with-ease/participants http://www.arthritis.org/we-can-help/community-programs/walk-with-ease / Quit Line posters, palm cards, and counter cards: http://www.smokefreeoregon.com/quit/quit-resources