Programming Connection

Positive Self-Management Program  

The Gilbert Centre for Social and Support Services

2018

Why Was the Program Developed?

In the early 1990s the Stanford Patient Education Research Center, rebranded as the Self-Management Resource Center (SMRC) in 2017, developed the Chronic Disease Self-Management Program (CDSMP) to help people with chronic conditions manage their own health. The evidence-based program was developed with a rigorous five-year research project and with focus groups with people with chronic conditions who spoke about the need to deal with the symptoms of these conditions. The CDSMP was developed to be facilitated by peers and is guided by social cognitive theory.

In response to the HIV/AIDS crisis, the CDSMP was adapted for use with HIV in 1997. This adaptation, called the Positive Self-Management Program (PSMP), was revised in 2016 to reflect the new reality of HIV as a chronic, manageable illness.

In response to an identified need to help their clients self-manage their HIV, the Gilbert Centre in Barrie, Ontario, decided to implement the PSMP by training two master trainers, who then trained peers to deliver the program. The Gilbert Centre started to run programs with clients in 2014, and in 2015 the Gilbert Centre set up training with other ASOs to train peer leaders to bring the program to their clients.1

With the five-year grant from PHAC, the Gilbert Centre will provide two self-management programs, one for people with HIV and one for people with hepatitis C (to be released in 2019), to an estimated 260 participants in four regions in Ontario.

  • 1. The CDSMP and the PSMP have been used in other Canadian jurisdictions (e.g., Alberta, Manitoba).