Train Providers and Other Key Staff on How to Help Patients with Self-Management Goals
Improving Chronic Care: Self-Management Support
- Select a self-management curriculum that has been tested and found effective.
- Ensure that it contains information on assessment of readiness for change, self-management terminology, and the Care Model.
- Train everyone on the health care team (including volunteers and promotoras) using a skilled trainer, if possible.
- Define tasks and roles (e.g., who will set the action plan, who will do follow-up, who will fill out the assessment form and assign them).
- Test the self-management tool with one provider and team working with several patients.
- Provide follow-up education for providers. Review the self-management tool and gradually add layers of competence and complexity.
- The best self-management approaches are those that are patient-oriented and assist patients with the condition as they live with it.
- Make training as interactive as possible. Include role playing and case studies.
- Have "homework" and in-class assignments.
- Let self-management coaches self-select. Those who are comfortable with the self-management approach are the most effective coaches.
- Start on a small scale.
- Let patient concerns lead discussions.
- Educate providers about the importance of not "lecturing" their patients.
- Think incrementally about behavior change. Encourage patients to take small steps and build confidence through success.