Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #105598

Marie R. Gravely, MA, RD, LD, CDE, WV Diabetes Prevention & Control Program, WV Bureau for Public Health, 350 Capitol Street, Room 206, Charleston, WV 25301, 304-558-1702, mariegravely@wvdhhr.org, Richard Crespo, PhD, School of Medicine, Marshall University, 1600 Medical Center Drive, Suite 1400, Huntington, WV 25701, and Sally Hurst, BA, Department of Family and Community Health, Mashall University School of Medicine, Rt. 1, Box 615-A, Scarbro, WV 25917.

The Chronic Disease Self-Management Program (CDSMP) developed at Stanford University has been implemented and 16 courses have been taught during an 18 month time period at three rural primary care centers and two community organizations with a total of 150 participants to date. In addition, 38 people have been trained as course leaders. This presentation will describe the factors that facilitated the diffusion process in a medically underserved, rural mountainous area of West Virginia. Marshall University School of Medicine (MUSOM) supported by a Robert Wood Johnson Advancing Diabetes Self-Management Grant, partnered with the West Virginia Diabetes Prevention and Control Program, supported by a Centers for Disease Control and Prevention Cooperative Agreement, to implement a chronic disease self-management initiative. This partnership recognized the need to identify a program for training people in self-management skills and chose the CDSMP. The factors that facilitated diffusion in rural WV have been: utilizing the Chronic Care Model Assessment Tool to assess readiness to implement the program; identifying community organizations as partners; training staff from primary care centers and community organizations to lead the CDSMP; and providing technical assistance to integrate the process into local organizations. Conclusion: Chronic disease self-management training can be diffused in an underserved area that has limited access to care.

Learning Objectives:

• Describe the factors associated with the process of diffusing a chronic disease self-management program in rural primary care center communities.
• Identify organizations ready to implement a chronic disease self-management program.

Keywords: Self-Efficacy, Self-Management

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.

Recorded presentation