An initiative of The N.C. Center for Health & Wellness at UNC Asheville

Chronic Disease Self Management Resources

This page holds resources and tools that may be of help to you as you work to implement the Living Healthy with Chronic Disease Self Management Education (CDSME) Programs. Feel free to contact us via email for further information.


According to the Centers for Disease Control and Prevention (CDC), 22% of adults in the United States have some type of disability, with rates of disability increasing with age. This may include a disability in mobility, cognition, independent living, vision, hearing, and/or self-care. While people with disabilities represent a diverse group, they are more likely to be obese, smoke, have high blood pressure, be inactive, and have not completed high school. This results in adults with disabilities being 3 times more likely to have heart disease, stroke, diabetes, or cancer.

For information about the connection of disabilities with chronic disease: view the CDC infographic.

Learn more about including participants with disabilities in the CDSME workshops by watching this short video by QTAC in New York.

For a Toolkit and PowerPoint on being inclusive of disabilities in your programs, please see Trainer Resources on this website.



Federally qualified health centers (FQHC) provide primary care services to traditionally underserved areas and populations regardless of ability to pay.

For a summary about effectively reaching out to and working with FQHCs, view the Lessons Learned–FQHCs and CDSME. 

To find a FQHC in your area, visit NC Community Health Center Association.


Do you have questions about training or licensing requirements for CDSME? Do you want to learn more about being a CDSMP Master Trainer? Feel free to check out the document:  FAQs CDSME NC Training Academy

The Training Academy provides access to reduced-cost CDSME Master Trainings with the goal of providing sustainability of master trainers and lay leaders throughout the state. In addition to master trainings, the Academy provides support to annual professional development meetings and develops resources to support the implementation of Living Healthy with CDSME programs. Contact Jeanne Dairaghi for more information.


For an overview of best practices in reaching out to employers in rural communities, learn about the efforts of Printpack and Land of Sky Area Agency on Aging:

Living Healthy in the Workplace Lessons Learned

For an overview of best practices in reaching out to the African-American faith community, learn about the efforts of the Asheville Buncombe Institute of Parity Achievement.

For an overview of best practices in reaching out to the Latino Migrant community, learn about the efforts of the Migrant Education Program of Buncombe County Schools.

According to the National Institutes of Health (NIH), health disparities are gaps in the quality of health and health care that mirror differences in socioeconomic status, racial and ethnic background, and education level. These disparities may stem from many factors, including accessibility of health care, increased risk of disease from occupational exposure, and increased risk of disease from underlying genetic, ethnic, or familial factors.

Some examples related to chronic disease include: The prevalence rates of obesity in African American and Latino adults are significantly higher than among White adults. Cigarette smoking is the leading cause of preventable death in the U.S., yet more adults living below the poverty level or with less than high school education are current cigarette smokers compared to those who live at or above the poverty level. Hypertension, a major risk factor of cardiovascular and chronic kidney disease, is more prevalent and/or not as well controlled in African American and Latino adults compared to White adults.