Your Life, Your Health! Chronic Disease Self-management Education in Louisiana

By Ronald A. Harris, Karen Kopera-Frye, Matthew Estrade and W. Joseph Hicks.

Published by The International Journal of Health, Wellness and Society

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Article: Print $US10.00
Article: Electronic $US5.00

The Louisiana Governor’s Office of Elderly Affairs (GOEA) implemented the Stanford Chronic Disease Self-Management Program (CDSMP) called Your Life, Your Health! (YLYH) which provides patient education for self-management of chronic disease. YLYH was provided to more than 500 adults over age 60 through Louisiana’s aging network. More than 75% of the participants completed the program. The program reached 25 of Louisiana’s 64 parishes. Program fidelity was maintained. The infrastructure and many partnerships were created during implementation. The participant outcomes were encouraging, given that results reveal the benefits of chronic disease self-management. The system, program, and participant outcomes for YLYH were mostly achieved. Expected participant outcomes for improved self-rated health, increased energy levels, reduced health distress, increased endurance exercises, and fewer hospitalizations were all obtained. The expected increase in anaerobic (stretching or strengthening) exercises was not obtained. Health care utilization among participants decreased. This includes a reduction in emergency room visits and hospitalizations. This program should reduce costs for the delivery of health care services.

Keywords: Chronic Disease, Self-management, Patient Education

The International Journal of Health, Wellness and Society, Volume 3, Issue 2, pp.1-12. Article: Print (Spiral Bound). Article: Electronic (PDF File; 481.805KB).

Dr. Ronald A. Harris

Associate Professor, Department of Public and Nonprofit Administration, School of Management, University of San Francisco, San Francisco, California, USA

Ronald A. Harris, Ph.D. is an associate professor in the Department of Public and Nonprofit Administration, School of Management at the University of San Francisco in San Francisco, California, United States of America. His research includes health policy, sustainable development, and evaluation research. He is currently conducting research on chronic disease self-management education.

Dr. Karen Kopera-Frye

Biedenharn Endowed Chair in Gerontology, Professor, Department of Gerontology, Institute of Gerontology, University of Louisiana, Monroe, LA, USA

Dr. Karen Kopera-Frye received her Ph.D. in psychology (clinical and developmental) from Wayne State University (WSU). She earned her M.A., specialization in aging, and B.A. in Psychology, also from WSU in Detroit, MI. She completed a Postdoctoral Fellowship at the University of Washington, Seattle, WA. She has taught at four prior higher education institutions, recently moving from the University of Nevada—Reno, Social Work, to the University of Louisiana at Monroe in the fall of 2009. She holds the Joseph A. Biedenharn Endowed Chairship in Gerontology and is a professor in Gerontology. Her areas of specialization include: working with ethnically diverse elders, primarily Native Americans and African Americans, health promotion among older adults, needs assessment and evaluation, substance abuse among older adults, older adult inmates, and rural health issues. Additionally, she is working on projects involving intergenerational intervention programming for children at risk for learning disabilities in elementary schools and truant teens.

Matthew Estrade

Grants Management Specialist, Ochsner Health Systems, USA

Dr. W. Joseph Hicks

Manager, Medicaid Managed Care, Louisiana Department of Health and Hospitals, USA