Chronic Disease Self-Management Program
- Need: To help people with chronic conditions learn how to manage their health.
- Intervention: A small-group 6-week workshop for individuals with chronic conditions to learn skills and strategies to manage their health.
- Results: Participants have better health and quality of life, including reduction in pain, fatigue, and depression.
Evidence-levelEvidence-Based (About evidence-level criteria)
The Chronic Disease Self-Management Program (CDSMP) is a 6-week workshop originally developed at Stanford University that has been studied and consistently found to be effective through 20+ years of research. The workshop is designed for people with one or more chronic conditions such as:
- Chronic pain
- Heart disease
- Lung disease
The Administration for Community Living's Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs initiative is one source of funding for this program. The 18 grantees funded in 2017 and 2018 are charged with developing capacity for, bringing to scale, and sustaining evidence-based self-management education programs that empower older adults and adults with disabilities to better manage their chronic conditions. There are programs in all 50 states, the District of Columbia, and Puerto Rico. Local programs can be located using the Evidence-Based Leadership Council's website.
Examples of programs underway using this approach in rural areas:
- California: CDSMP
- Colorado: Prevention through Care Navigation Outreach Program
- Kentucky: CDSMP
- Mississippi: Motivated to Live a Better Life
- South Dakota: Better Choices, Better Health
CDSMP is a 6-week workshop with one 2.5 hour interactive sessions per week. Each session is led by a pair of trained, peer facilitators, at least one of whom has a chronic condition. It covers the following:
- Skill-building related to problem solving, dealing with difficult emotions, and communicating effectively with family, friends, and health care professionals
- Health strategies related to healthy eating, safe exercise, managing pain and fatigue, using medications appropriately, getting a good night's sleep, and more
CDSMP participants showed significant improvements in the following health measures:
- Communication with their doctors
- Self-reported health
- Fatigue and health distress
- Disability and social role/activity limitations
Additionally, some studies show that participants spend fewer days in the hospital, which can result in healthcare cost savings. A national study found a $364 net savings rate per person as a result of CDSMP services.
For more information about program results:
Smith et al. (2017). Dissemination of Chronic Disease Self-Management Education (CDSME) Programs in the United States: Intervention Delivery by Rurality. International Journal of Environmental Research and Public Health. 14(6), 638
Findings from the National CDSMP Study, National Council on Aging
Chronic Disease Self-Management Program: Summary of National and State, National Council of Aging
Translational Research Findings, National Council on Aging
A Meta-Analysis of Health Status, Health Behaviors, and Health Care Utilization Outcomes of the Chronic Disease Self-Management Program, Centers for Disease Control and Prevention
Potential barriers to this kind of program implementation include:
- Recruitment and retention of workshop participants and facilitators
- Securing the necessary resources to support program licensing, training, and implementation
- Engaging partners with the capacity to embed programs into routine operations or providing direct payment for program delivery
The National Council on Aging's (NCOA) National Chronic Disease Self-Management Education Resource Center offers a variety of tools and resources to help organizations overcome these barriers. In addition to providing targeted technical assistance, the Best Practices Toolkit: Resources from the Field includes successful strategies across multiple domains compiled from more than 250 resources from partners across the country.
The Roadmap to Community-Integrated Health Care provides tools to develop linkages between state and community-based organizations and the healthcare sector.
The Self-Management Resource Center provides information on:
- Training for program leaders, including information on cost for training
- Licensing, including fees
- Small group workshops for people with specific conditions in English, Spanish, and online
NCOA's National Chronic Disease Self-Management Education Resource Center offers tools and resources to help implement a CDSMP program, including:
- Publication: Offering Chronic Disease Self-Management Education in Rural Areas
- Webinar: Offering Evidence-Based Programs in Rural Communities: Lessons Learned from Wisconsin
- Presentation: The Adventures of Successful Rural Collaboration
- Presentation: Better Choices, Better Health® South Dakota: Capitalizing on Statewide Strategic Partnerships
- Profiles and program contact information: 2012, 2015, 2016, 2017, 2018 grantee activities
Three additional versions of the CDSMP have potential to reach people in rural areas who may not have access to a community-based workshop:
- The online version of the program, Better Choices, Better Health®, is available in specific areas where partnerships have been formed to add this venue.
- Another option is the mailed version of the program, Tool Kit for Active Living with Chronic Conditions, which packages the tools discussed in the CDSMP into a one-time mailing.
- The third adaption is the Workplace CDSMP, which contains similar content but is rearranged into one-hour segments, two times per week for the workplace.
Chronic disease management
Chronic respiratory conditions
HIV and AIDS
Stress and stress disorders
Wellness, health promotion, and disease prevention
September 17, 2013
Date updated or reviewed
October 3, 2018
Please contact the models and innovations contact directly for the most complete and current information about this program. Summaries of models and innovations are provided by RHIhub for your convenience. The programs described are not endorsed by RHIhub or by the Federal Office of Rural Health Policy. Each rural community should consider whether a particular project or approach is a good match for their community’s needs and capacity. While it is sometimes possible to adapt program components to match your resources, keep in mind that changes to the program design may impact results.