About 80% of older adults have at least one chronic disease, and 68% have at least two. Many adults with conditions such as arthritis, asthma, diabetes, lung disease, heart disease, stroke, osteoporosis, and others struggle to find ways to manage their condition. Chronic Disease Self-Management Education(CDSME) can help.

Chronic Disease Self-Management Education

The suite of CDSME programs developed by Stanford University have been proven to help older adults better manage their chronic conditions, improve their quality of life, and lower health care costs. Through a partnership with the U.S. Administration for Community Living’s Administration on Aging, NCOA promotes the implementation of CDSME in communities throughout the U.S.

CDSMP workshops are designed to help people gain self-confidence in their ability to control their symptoms and learn how their health problems affect their lives. Small-group, highly interactive workshops are six weeks long, meeting once a week for 2 ½ hours, and are facilitated by a pair of leaders, one or both of whom are non-health professionals with chronic diseases themselves.

The workshop topics include the following:

  • How to deal with frustration, fatigue, pain, and isolation
  • Ways to maintain and improve strength, flexibility, and endurance
  • Managing medications
  • How to communicate more effectively with family, friends, and health professionals
  • Healthy eating

View the locations of organizations funded by the Administration for Community Living to implement CDSMP.

Better Choices, Better Health® (Online CDSMP)

Better Choices, Better Health® (BCBH) is the online version of the internationally recognized self-management programs, developed and tested at the Stanford University Patient Education Center.

Based on the success of two national pilots, agencies across the country are offering BCBH workshops as an ongoing service to their respective populations by joining a national shared workshop implementation. Various health plans, providers, and employers have also joined and are seeing the value of the shared implementation.

Under this fee-based shared workshop implementation plan, each participating state or organization will have its own unique branded landing page, but will be able to more quickly service participants by sharing workshop seats with other organizations.

Take a look inside Better Choices, Better Health®

For more information on how you can offer a Better Choices, Better Health® program, including implementation costs, please contact info@canaryhealth.com.

Additional Resources

For more information about the research and evidence behind each of the programs, visit the Self-Management Resource Center.


EnhanceWellness (formerly the Health Enhancement Program) is an individualized, motivational self-care intervention that encourages older adults to take on health challenges and maintain control of their lives. A team of two professionals, typically a nurse and social worker, work with the individual to develop a plan and help them achieve their goals. Visit the EnhanceWellness website for more information.