Self-Care Caregiver Resources



CHAMPS II (Community Healthy Activities Model Program for Seniors)

Creators:

UCSF and Stanford University

Purpose:

Promote increased lifetime physical activity levels of seniors.

Audience:

Seniors

Contents:

Motivational telephone support consisted of a non-pressured approach that emphasized personal choice, consideration of individual needs and preferences, and going at one&39;s own pace.

Evidence based results:

CHAMPS III is the first application into real-world settings of the research-based program. As a model program, CHAMPS has undergone extensive evaluation to assess its effectiveness in all phases. For more information, see [http://sbs.ucsf.edu/iha/champs/research/]

Cost:

Manual available for free download

Availability:

Manuals available at [http://sbs.ucsf.edu/iha/champs/resources/manuals/]

Chronic Disease Self-Management Program

Creators:

Stanford University

Purpose:

Build participants' confidence in their ability to manage their health and maintain active and fulfilling lives

Audience:

Individuals with chronic disease(s)

Contents:

In-person workshops in community settings; Participants receive companion book, "Living a Healthy Life with Chronic Conditions, 3rd Edition," and an audio relaxation tape, "Time for Healing." Weekly 2.5 hour classes for six weeks facilitated by two trainers

Evidence based results:

Workshop participants demonstrated significant improvements in exercise, cognitive symptom management, communication with doctors, self-reported general health, health distress, fatigue, disability, and social/role activities limitations. Provides participants with the skills to coordinate all the things needed to manage their health and keep active in their lives.

Cost:

Two individuals must be trained to conduct workshop; fees range between $2300 to $15,000 with licensing fees additional ($500 - $1000, depending)

Availability:

Information on taking the course at [http://patienteducation.stanford.edu/training/]
Information on licensing fees available at [http://patienteducation.stanford.edu/licensing/fees.html]

Consultant Training Program: Module One: Facilitating the Paradigm Shift for Consultants/Support Brokers and Module Two: The Dynamics of Choice and Decision-Making for Participants

Creators:

The Center for the Study of Home and Community Life, Boston College Graduate School of Social Work

Purpose:

To address two identified training needs for consultants/support brokers working with participants in self-directed care: The need to successfully negotiate the 'paradigm shift' from the 'fix it' approach to the empowerment approach, and to understand the

Audience:

Consultants and support brokers who work with participants in self-directed care

Contents:

Two, half-day training sessions (Module One and Module Two) supplement special technical training as required by state and federal mandates under the Cash & Counseling programs

Cost:

Curriculum free online

Availability:

[http://www.cashandcounseling.org/resources/20060602-113610/index_html]

EnhanceFitness

Creators:

Senior Services, Seattle, WA

Purpose:

Group fitness for older adults

Audience:

Older Adults

Contents:

Aerobics, strength training, and stretching with warm ups and cool downs in a one hour class

Evidence based results:

Tested at over 100 sites throughout the country. Increased strength, boosted activity levels, and elevated mood

Cost:

Varies.

Availability:

Nationwide (currently in 27 states)
For more information, see [http://www.projectenhance.org/]

EnhanceWellness (formerly the Health Enhancement Program)

Creators:

Senior Services, Seattle, WA

Purpose:

Uses a holistic approach to address health issues

Audience:

Older adults

Contents:

Nurse and social worker helps older adults identify strengths and risks to work on. Problem-solving, education and support groups may also be included.

Evidence based results:

Lowers need for drugs that affect thinking and emotion; lessons symptoms of depression; develop greater sense of self-reliance

Availability:

Nationwide (currently in 27 states)
For more information, see [http://www.projectenhance.org/]

Healthy IDEAS (Identifying Depression, Empowering Activities for Seniors)

Creators:

Baylor College of Medicine's Huffington Center on Aging

Purpose:

A community depression program designed to detect and reduce the severity of depressive symptoms in older adults with chronic health conditions and functional limitations.

Audience:

Older adults with chronic conditions and functional limitations

Contents:

The program incorporates four evidence-based components into the ongoing service delivery of care management or social service programs serving older individuals in the home environment over several weeks. Typically, the program involves at least three face-to-face visits and at least three telephone contacts.

Evidence based results:

Yes, mainly from projects PEARLS and IMPACT.

Cost:

Toolkit is free on a CD-ROM, which can be requested from NCOA. Costs for care manager training by a local psychologist or mental health professional will vary depending on location and relationship with the mental health professional. Healthy IDEAS partic

Availability:

[http://www.careforelders.org/healthyideas]

Healthy Lifestyles

Creators:

Oregon Health and Science University

Purpose:

Help individuals with disabilities develop confidence and skill to lead healthy, happy lives

Audience:

Adults with disabilities

Contents:

Curriculums are available to hold three day Healthy Lifestyles workshops. Curriculums include:
1. A training guide written for people with disabilities, including a script, activities, and lists and suggestions to help prepare for the activities.
2. Handouts for participants' notebooks.
3. Useful appendices, including tips on planning a successful workshop and support groups, an unscripted training guide with citations and nutrition FAQ's.
4. A CD with sample promotional materials, Braille handouts, optional PowerPoint presentations, participant handouts, and other necessary materials.

Evidence based results:

Results showed an increase in healthy behaviors 3 months after the workshop, compared with individuals who did not attend the workshop. Over time, all individuals who attended the workshop increased healthy behaviors and these were sustained at least 6 months.

Cost:

Free

Availability:

Information available at [http://www.ohsu.edu/oidd/cca/hlep/curriculum.cfm]

Living Well with a Disability

Creators:

University of Montana, Rural Institute on Disabilities

Purpose:

Health promotion and wellness program aimed at reducing the severity and incidence of secondary conditions

Audience:

Adults with physical disabilities

Contents:

8 week, 16 hour workshop covering goal-setting; problem-solving; health reactions; beating the blues; healthy communication; information seeking; physical activity; eating well; systems advocacy; and staying healthy

Evidence based results:

Participants who completed the workshop experienced a 37% decrease in limitation due to secondary conditions and report a significant decrease in depression. Shown a statistically significant reduction in prevalence and/or severity of secondary conditions and depression.

Cost:

Web-based facilitator training: $200/person; On-site: $2500 plus cost of materials and travel

Availability:

[http://www.livingwellweb.com/lwpage1.htm]

Matter of Balance

Creators:

Boston University, Roybal Center

Purpose:

A program specifically designed to reduce the fear of falling, stop of the of falling cycle, and increase activity levels among community-dwelling older adults.

Audience:

Older adults (who may or may not have experienced a fall)

Contents:

The program uses cognitive restructuring techniques and skills training to change perceptions and behaviors in older adults whose activity levels have been limited by their fears about falling.

Evidence based results:

Improvements in falls management, falls control, level of exercise and social limitations with regard to concern about falling.

Cost:

Facilitator's Manual ($59) and videotape ($119.95) sold together for $159.

Availability:

Available at [http://www.bu.edu/hdr/products/balance/order.html]

PALS (Physical Activity for Lifetime Success)

Creators:

University of Washington, Health Promotion Research Center

Purpose:

A personal, telephone support program to encourage regular physical activity in sedentary older adults

Audience:

Older adults (age 65 and over)

Contents:

Telephone-assisted counseling program

Evidence based results:

Yes

Availability:

Seattle area

PEARLS (Program to Encourage Active, Rewarding Lives for Seniors)

Creators:

University of Washington, Health Promotion Research Center

Purpose:

A counseling program that teaches depression management techniques to seniors with depression

Audience:

Seniors

Contents:

PEARLS counselor teaches senior to recognize signs of depression and helps participant increase social and physical activity

Evidence based results:

PEARLS participants are 3x more likely than non-participants to significantly reduce depressive symptoms or eliminate depression. Decreased depression and improved functional and emotional well-being

Availability:

The PEARLS Toolkit can be downloaded and used at no cost. However, in order to receive the program's full benefit, the PEARLS program strongly encourages interested individuals to take the PEARLS training before implementing a program. For more informati

Project IMPACT

Creators:

University of Washington, Dept of Psychiatry and Behavioral Sciences

Purpose:

Depression care for older adults

Audience:

Older adults

Contents:

10 module training program in IMPACT care that is based on a two day training conference. The entire program is about 15 hours of content that includes audio-annotated Powerpoint lectures, case studies, streaming video and more.

Evidence based results:

IMPACT model of depression care more than doubles the effectiveness of depression treatment for older adults in primary care settings. IMPACT was more effective than "usual" care; equally effective with African American, Latino and White patients; more effective than usual care for patients with and without comorbid medical illnesses or anxiety disorders. IMPACT is also effective with a range of depressed patients. When healthcare costs were examined over a four year period, IMPACT patients had lower average costs for all their medical care about $3,300 less than patients receiving usual care, even when the cost of IMPACT care is included.

Cost:

The training program is free; however, a small fee is charged if you want continuing education credit.

Availability:

Online training available at [http://impact-uw.org/training/web.html]. In-person training is also available at various sites throughout the country; see [http://impact-uw.org/training/person.html]

Silver Sneakers

Creators:

Healthways, Inc.

Purpose:

An innovative blend of physical activity, healthy lifestyle and socially oriented programming that allows older adults to take greater control of their health

Audience:

Older adults

Contents:

Various classes designed for a wide range of fitness levels, to include muscular classes, cardio, water classes and yoga. The program also includes access to health education seminars and access to a Senior Advisor at participating fitness centers

Cost:

Available through Medicare health plans at no cost

Availability:

Various locations nationwide.
For more information on the program, go to [http://www.silversneakers.com/]