Chronic Disease Self-Management Education Programs

Background and Goals

Chronic Disease Self-Management Education (CDSME) programs provide older adults and adults with disabilities with education and tools to help them better manage chronic conditions such as diabetes, heart disease, arthritis, chronic pain, and depression. Since 2003, the Administration on Aging (AoA) has supported the dissemination of CDSME programs through competitive grants in the form of cooperative agreements. Grantee organizations include state agencies, area agencies on aging, nonprofits, universities, and tribes. Funds are used to develop a sustainable infrastructure to deliver proven programs in communities.

In September 2012, AoA began its Empowering Older Adults and Adults with Disabilities through Chronic Disease Self-Management Education Programs initiative, financed through the Affordable Care Act's Prevention and Public Health Fund (PPHF). Additional cohorts were awarded annually beginning in 2015.

The PPHF CDSME cooperative agreements are designed to achieve two major goals:

Goal 1: Significantly increase the number of older adults and adults with disabilities in underserved areas and populations who participate in evidence-based self-management education and support programs to empower them to better manage their chronic conditions.

Goal 2: Implement innovative funding arrangements, including contracts and collaborations with one or more sustainability partners, to support evidence-based self-management education and support

programs during and beyond the grant period. Additionally, embed programs into an integrated, sustainable evidence-based prevention program network via centralized, coordinated processes.

In 2016 and 2017, AoA awarded 20 forward-funded cooperative agreements (with project periods of either two or three years) totaling $12.9 million.

FY 2017 Grants

FY 2017 Grants

Grantee Award Amount
AgeOptions, Inc. (IL) $850,000
Big Sandy Health Care, Inc. (KY) $677,120
Elder Services of the Merrimack Valley (MA) $804,136
Health Foundation of South Florida $757,590
Partners in Care Foundation, Inc. (CA) $850,000
Rhode Island Department of Health $850,000
Utah Department of Health $764,750
Wisconsin Institute for Healthy Aging $845,851
FY 2016 Grants

FY 2016 Grants

Grantee Award Amount
Central Maine Area Agency on Aging $636,620.00
Great Plains Tribal Chairmen's Health Board (SD) $140,900.00
Lac Courte Oreilles Band of Lake Superior Chippewa Indians (WI) $87,448.00
Lake County Tribal Health Consortium, Inc. (CA) $135,599.00
New Mexico Department of Health $868,176.00
New York State Office for the Aging $900,000.00
Sokaogon Chippewa Community (WI) $135,598.00
Texas A&M Health Science Center $895,189.00
Utah Department of Health $729,161.00
Virginia Department of Aging and Rehab Services $900,000.00
Washington State Department of Social and Health Services $900,000.00
Yellowhawk Tribal Health Center (OR) $142,958.00
FY 2015 Grants

FY 2015 Grants

Grantee Award Amount
AgeOptions, Inc. (IL) $711,510
Community Council of Greater Dallas  (TX) $875,693
Health Foundation of South Florida $900,000
Health Promotion Council of Southeastern Pennsylvania $897,921
MAC, Inc. (MD) $733,698
Mississippi State Department of Health $712,120
South Dakota State University $765,140
University of North Carolina at Asheville $880,782

Grantee Progress

PPHF Grantee Progress as of July 2017:

·         Nearly 17,619 CDSME workshops

·         More than 196,681 participants and 140,083 completers (participants who attended four out of the six sessions)


AoA funding has supported nearly 317,000 CDSME participants since 2010.

Nearly 55% of participants reported having more than one chronic condition. The most common conditions are:

·         hypertension (38%),

·         arthritis (34%), and

·         diabetes (29%).


The average age of a CDSME participant is 65 years old, and 47% of participants report having a disability.

With regard to race and ethnicity:

·         31% are non-White:

o    23% Black

o    4% Asian

o    2% Native American

o    2% multi-racial

o    <1% Pacific Islander

·         16% are Hispanic

National CDSME Resource Center

AoA also funds the National CDSME Resource Center at the National Council on Aging’s Center for Healthy Aging. The Resource Center works collaboratively with many national, state, and local partners to achieve two overarching goals: 1) Assist the national network of CDSME partners with increasing the number of older adults and adults with disabilities who complete evidence-based CDSME programs; and 2) Strengthen and expand integrated, sustainable evidence-based prevention program networks within states/regions/tribal entities to provide CDSME programs.

The Resource Center provides leadership, guidance, and technical assistance to support its broad network of partners; manages a national database for CDSME programs; and serves as a national clearinghouse to highlight and share information and resources for CDSME programs. To access toolkits, webinar recordings, tip sheets, learning modules, and other online resources, go to

Last modified on 01/11/2018

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