Collaborating to Support
Self-Management
Dawn Estey, Manager,
Chronic Disease Management/Primary Care
Alberta Health Services, Edmonton Zone
November 1, 2010
Montreal, Quebec
Self-Management
“When it comes to chronic disease,
self-management is not „a‟ thing,
it‟s „THE‟ thing.”
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Stanford Chronic Disease Self-Management
Program
• Developed over two decades ago by Dr. Kate Lorig
and her team at Stanford University
• Key emphasis is to build self-efficacy
– Mastery, Modeling, Re-framing
– Social Persuasion, Managing Emotions
• 6-week workshop series led by lay leaders
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Stanford Chronic Disease Self-Management
Program
• Randomized trial of over 1000 participants
 Self-efficacy, health outcomes, health behaviors
 Less ED visits, reduced hospital length of stay
• Comparable outcomes for disease-specific versions
 Arthritis
 Diabetes
 HIV
 Chronic Pain
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Stanford Programs in Alberta
• Provincial grant through Alberta Health and
Wellness in 2005
 Training infrastructure and funding to implement
generic Stanford workshops across the nine existing
Alberta Health Regions
 Partnership with University of Victoria Centre on
Aging to train Alberta T-trainers in the Diabetes
version of Stanford in 2008
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The Francophone Connection
• Local Francophone health professionals attended a
generic Stanford leader training in Edmonton
 Approximately 2% of Albertans list French as their mother
tongue
 Clusters of Franco-Albertans exist in the Bonnie Doon area
of Edmonton and the northeastern part of the province
 Stanford materials had been translated into 16 languages.
French had not been included in this group.
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Reseau sante albertain
• Vision of Reseau sante albertain
Every French-speaking individual is healthy through individual
and collective empowerment
• RSA received grant funding to translate generic Stanford into
French
• Connected with AHS Self-Management Program to train
francophone leaders using the translated materials
 October 2009 provincial leader training
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Diabetes Focus
• Public Health Agency of Canada funding to RSA for
a pilot project to address diabetes in Alberta’s
northeastern francophone population
 Translate Stanford Diabetes materials
 Combine French version of Stanford with French
dietitian sessions
 Cross-train francophone Stanford leaders in
Diabetes version
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Pooling Resources
• Reseau sante albertain
 Francophone leaders
 Pilot funding
 Translated materials
• Alberta Health Services
 T-trainers
 Manuals
 Workshop infrastructure
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Results
• Diabetes Master Training was held in Edmonton in
March 2010
 6 Francophone leaders cross-trained in Diabetes
 12 leaders from across the Edmonton Zone are
cross-trained in Diabetes
 RSA pilot implemented in spring of 2010
 Diabetes Stanford available across the Edmonton
Zone with sufficient internal capacity to train lay
leaders
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The Next Phase
• RSA pilot spreads to other areas in the province
• Diabetes Stanford capacity is enhanced across the
province for all populations
• Francophone and Aboriginal communities will
receive Diabetes specific self-management support
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Results
• The Alberta Health Services Provincial Stanford
Working Group has invited the Francophone group to
be a part of designing the business case for Stanford
Self-Management across the province
• There is an enduring connection and partnership
between AHS Edmonton Zone Self-Management
Support team and the team from Reseau sante
albertain.
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Conclusion
“Believe there is a great power
silently working all things for good,
behave yourself
and…never mind the rest”
Beatrix Potter
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