Classes

Chronic Disease Prevention and Self-Management Classes

National Diabetes prevention program (NDPP)

The Diabetes Prevention program is a structured program developed specifically to prevent type 2 diabetes.  It is designed for people who have prediabetes or are at risk for type 2 diabetes, but who do not already have diabetes.  A trained lifestyle coach leads the program to help you change certain aspects of your lifestyle, like eating healthier, reducing stress, and getting more physical active. The program also includes group support from others who share similar goals and struggles. This program is focused on long-term changes and lasting results. The program runs for 1 year.  During the first 6 months of the program, you will meet once a week for one hour. During the second 6 months, you will meet once or twice a month.  A year might sound like a long commitment, but learning new habits, gaining new skills, and building confidence takes time.

To be eligible for the program, patients must meet the following requirements:

  1. Be at least 18 years old and
  2. Be overweight (body mass index ≥25; ≥23 if Asian) and
  3. Have no previous diagnosis of type 1 or type 2 diabetes and
  4. Have a blood test result in the prediabetes range within the past year, such as:
  5. Hemoglobin A1C: 5.7%–6.4% or
  6. Fasting plasma glucose: 100–125 mg/dL or
  7. Two-hour plasma glucose (after a 75 gm glucose load): 140–199 mg/dL
  8. Or, be previously diagnosed with gestational diabetes

Chronic Disease Self-Management (CDSM)

The program gives people the skills to coordinate all the things needed to manage their health, as well as to help them keep active in their lives. People who complete the Program report improvements in exercise, cognitive symptom management, communication with physicians, self-reported general health, health distress, fatigue, disability, and social/role activities limitations. They also spend fewer days in the hospital, and have fewer outpatient visits and hospitalizations. CDSM is a 6-week program for 2 ½ hours per week. Participants make weekly action plans, share experiences, and help each other solve problems they encounter in creating and carrying out their self-management program. People with different chronic health problems attend together. CDSM is a small group workshop focused on:

  1. Appropriate exercise for maintaining and improving strength, flexibility, and endurance
  2. Appropriate use of medications
  3. Communicating effectively with family, friends, and health professionals
  4. Nutrition
  5. Decision making
  6. How to evaluate new treatments

Diabetes Self-Management (DSM)

Mutual support and success builds participants’ confidence in their ability to manage their health and maintain active and fulfilling lives. DSM is a 6-week program meeting 2 ½ hours per week. Individuals diagnosed with Type II diabetes are eligible for the program. Participants develop weekly action plans, share experiences, and help each other solve problems they encounter in creating and carrying out their self-management program. Participants will learn:

  1. Techniques to deal with the symptoms of diabetes, fatigue, pain, hyper/hypoglycemia, stress, and emotional problems such as depression, anger, fear and frustration
  2. Appropriate exercise for maintaining and improving strength and endurance
  3. Healthy eating
  4. Appropriate use of medication
  5. Working more effectively with health care providers

Chronic Pain Self-Management (CPSM)

The CPSM program is designed for people with a primary or secondary diagnosis of chronic pain. Pain is defined as being chronic or long-term when it lasts for longer than 3 to 6 months, or beyond the normal healing time of an injury. Examples of chronic pain conditions are: chronic musculoskeletal pain (such as neck, shoulder, back pain, etc.), fibromyalgia, whiplash injuries, post-surgical pain that lasts beyond 6 months, neuropathic pain and post- stroke or central pain. The CPSMP may also benefit those who have conditions such as persistent headache, Crohn’s disease, irritable bowel syndrome, diabetic neuropathy, or those who experience severe muscular pain due to conditions such as multiple sclerosis. CPSM meets for 6-weeks and session are 2 ½ hours. Participants will learn:

  1. Techniques to deal with problems such as frustration, fatigue, isolation, and poor sleep
  2. Appropriate exercise for maintaining and improving strength, flexibility, and endurance
  3. Appropriate use of medications
  4. Communicating effectively with family, friends, and health professionals
  5. Nutrition
  6. Pacing activity and rest
  7. How to evaluate new treatment

Freshstart (Smoking Cessation Program)

Freshstart is a group-based tobacco cessation support program developed by the American Cancer Society. Freshstart is designed to help smokers plan a successful quit attempt by providing essential information, skills for coping with cravings, and group support. Program participants choose a combination of techniques and cessation treatments they will use in their quit attempt. The Freshstart evidence-based approach helps participants increase their motivation to quit, learn effective approaches for quitting and guide them in making a successful quit attempt through information, activities, and discussion. The evidence-based components of Freshstart include:

  1. Motivational intervention activities
  2. Practical counseling (problem solving skills)
  3. Social support
  4. Education about medication and approaches to quitting

Freshstart is a 3-week program meeting 1 1/2 hours per week.

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