Chronic Disease Self-Management

Evidence-based chronic disease self-management education (CDSME) programs, such as the Stanford University Chronic Disease Self-Management Program (CDSMP), educate participants about how to manage their health conditions, build self-confidence, adopt healthy behaviors and enhance their quality of life. CDSMP is appropriate for any type of chronic condition.

Additional evidence-based CDSME programs include: the Spanish CDSMP (Tomando Control de su Salud), the Diabetes Self-Management Program (DSMP), Spanish DSMP, Chronic Pain Self-Management Program, Positive Self-Management Program for HIV, Arthritis Self-Management Program and online versions of the CDSMP and DSMP. There are many other evidence-based programs that focus on physical activity, family caregiving (Powerful Tools for Caregivers), fall prevention, (A Matter of Balance) and mental health (Healthy IDEAS, PEARLS).

The Administration on Aging (AoA) has been supporting CDSME and other evidence-based prevention programs for many years through its discretionary and formula grants and collaborations on various federal initiatives. The goal of these grants is to develop, strengthen and expand integrated, sustainable service delivery systems within states to provide evidence-based health promotion programs that are available widely, are easy to access, and fun and helpful for participants.

Massachusetts received the following federal and national grants since 2007, which provided a framework for disseminating CDSME programs throughout the state:

  1. AoA: Empowering Older Adults to Take More Control of their Health through Evidence Based Programs: Healthy Eating, Matter of Balance and CDSMP
    6/1/2007─5/31/2010 with a one year expansion through 5/31/2011 for Healthy Eating and Matter of Balance only
  2. AoA/American Recovery and Reinvestment Act: Communities Putting Prevention to Work –CDSMP
    3/31/2010 through 3/30/2012
  3. NCOA: Sustainability Systems Grant – CDSMP
    5/1/2008 through 4/30/2011 with a no-cost extension through 12/15/2012
  4. ACL/AoA: Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education
    9/1/2012 through 8/31/2015, financed by the Prevention and Public Health Funds

Massachusetts is currently focusing on strengthening and expanding its state-wide infrastructure for the delivery of CDSME and other evidence-based programs.