Self-Management Support

Empower and prepare patients to manage their health and health care

• Emphasize the patient’s central role in managing their health
• Use effective self-management support strategies that include assessment, goal-setting, action planning, problem-solving and follow-up
• Organize internal and community resources to provide ongoing self-management support to patients

Pedometers

• Exercise Express (External Site)
  Go to the Shopping section for "Pedometers"
• DIGI WALKER at New Lifestyles (External Site)
• Weather Connection (External Site)
  Perform a search for "Pedometers"

Tools for Adult Preventive Services

• APS Self-Management Support Form (27KB - MS Word)
  Courtesy of Dr. Luce at Learning Session 2, 2/3/03

Tools for Cardiovascular Disease

• From B. Fendley Stewart, MD:
• Atherosclerotic Cardiovascular Disease Handout (22 KB - MS Word)
• Cardiovascular Disease Questionnaire (26 KB - MS Word)

Tools for Diabetes

• Understand How Your Health Plan Benefits Work (28 KB - MS Word)
  Questions for patients to find ask their insurance company to determine their coverage for diabetes care and education services.
• Community Health Centers of King County Diabetes Self Management Goal Form (70 KB - MS Word) and Patient Self-Management Contract (20 KB - MS Excel)
• Sample Template Diabetes Community Resource Directory (45 KB - MS Word)
  Diabetes Community Resource Directory Template from Yakima Valley Memorial Hospital.
• Diabetes Personal Health Goal Planner (52 KB - MS Word)
• Patient Self-Assessment Form (44 KB - MS Word)
  Group Health Cooperative; recommended to have patient fill it out in the waiting room and talk over the results during their visit.
• Patient Goal Setting Sheet (18 KB - MS Word)
• Diabetes Self Management Goals (50 KB - MS Word)
• Diabetes Goal tool for Quarterly Visits (19 KB - MS Word)
  SMART Tool - PDF Version (630 KB - PDF)
  SMART stands for specific, measurable, action-oriented, realistic and time-limited.
• SMART Tool - MS Word Version (94 KB - MS Word)
  SMART stands for specific, measurable, action-oriented, realistic and time-limited.
• SMART Tool - Spanish Version (96 KB - MS Word)
  SMART stands for specific, measurable, action-oriented, realistic and time-limited.
• Rockwood Clinic Personal Diabetes Care Form (41 KB - MS Word)
  Self Management Brochure 2 (361 KB - MS Word)
• Self-Management Contract (20 KB - MS Word)

Additional Links

• "Active at Any Size"  (External Site)
  NIDDK program for physical acitvity/fitness for large persons.
• "Walking in Washington" (External Site) Features pedestrian laws, information on safe routes to school, and a lot more.
• Chronic Disease Self Management Program Trainers
  Contact list for Washington State CDSMP Trainers.

Links to external resources are provided as a public service and do not imply endorsement by the Washington State Department of Health.

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Documents posted in .pdf version on the Department of Health Web site will be made available in an alternative format on request to users who are unable to download or view .pdf files on the Web. To request an alternative format, contact Gary Holt.