MO Arthritis

Regional Arthritis Centers

The seven Regional Arthritis Centers (RACs) are part of a statewide network run by the Missouri Department of Health and Senior Service’s Arthritis and Osteoporosis Program (MAOP). For Missouri Arthritis Program information, click here. Click on the map to go directly to each RAC's web page.

Sustainability Toolkit - Growth Action Plan Worksheet Updated

The Growth Action Plan worksheet within Missouri's Sustainability Toolkit has been updated based on feedback from users over the past year.  The Toolkit, published on March 31, 2012, remains the same in content.  The formatting of the Growth Action Plan Worksheet appendix was modified to be more user friendly.  All documents on the Missouri Arthritis and Osteoporosis Program's Sustainability page have been updated with the new document.  In addition to the electronic version of Missouri's Sustainability Toolkit, there is now a print version of the Growth Action Plan worksheet, as well as an electronic version of the Growth Action Plan Worksheet.

Success Story: "Attend more than one program"

“This is your opportunity to learn how to do this.  You get to be in charge now.”  Marcia Rippe of St. Joseph, Missouri, Buchanan County, shares her experiences as a leader of self-management programs.  Rippe works for the Heartland Health (St. Joseph) Arthritis Community Services office.  Rippe has served as a nurse educator for at least the past 25 years, and she provides patient education through her job.  She also volunteers with the Red Cross, with Disaster Preparedness, and in teaching CPR.  The Arthritis Community Services office provides many self-management programs.  Rippe is a leader and trainer for the Chronic Disease Self-Management Program (CDSMP) and for the Walk With Ease (WWE) program. 

With her experience with the program, and her organization covering 12 counties in northwest Missouri, Rippe has had the opportunity to get to know many Missourians in the northwest area of the state.  At the end of the CDSMP programs, Rippe and her co-leaders ask participants to talk about what they’ve gotten out of the program and to talk with the group about how the program has made a difference for them.  One memorable response came from a participant in her 80s.  This participant told the group, “I think I have finally learned how to make decisions” through brainstorming activities.  This success, and others, “really touch my heart,” says Rippe.  “This [program] is their opportunity to learn how to do this – they get to be in charge now.”  Rippe travels from county to county and gets to interact with many rural Missourians.  Rippe states that individuals who live in rural communities are special to her because she knows oftentimes they will travel in town from a farm or to another city to attend these programs.

The CDSMP is a group format course that is offered by trained leaders in six-week increments, meeting once per week for 2.5 hours.  Participants are either persons with a long-term health condition (like asthma, arthritis, diabetes, and heart disease) or a caregiver for an individual with chronic health problems. This program which was researched and designed by Stanford University and is now an evidence-based intervention, discusses techniques to deal with health problems associated with chronic conditions; appropriate exercise; appropriate use of medications; communicating effectively with family, friends and health professionals; nutrition and setting goals.

The Walk With Ease Program is a group or individual format course.  The group format is offered by a trained leader in six-week increments, meeting three times per week.  This class, which was researched and designed by the Arthritis Foundation to be joint-friendly, includes warm-up, stretching, and cool-down exercises.  It teaches participants to learn how to safely pace themselves and how to monitor their progress while building up to walking at least 30 minutes at a time.  The individual format course is done independently, but follows the same structure as a group course.

Rippe also experiences personal benefits from leading the CDSMP and WWE programs.  The WWE program has started her on a regular walking program and she feels she can provide better support to friends taking care of themselves through her experiences with CDSMP.  To find out more information about CDSMP, WWE, and other self-management classes being held in Northwest Missouri, contact Northwest Regional Arthritis Center coordinator Debbie Braby at 816-271-7057 or 1-800-443-8858.  If you are interested in participating in self-management programs elsewhere in the state, you can find a class near you by visiting www.moarthritis.org/classes.html or calling toll-free at 1-888-702-8818.  Rippe says these programs are “a good healthy jump start to getting organized and to doing something you’ve always wanted to do.”

Success Story: "The leaders empower you."

"I don’t know if I can do this.”  Sheila Murphy, 54, of Poplar Bluff, Missouri, wanted to regain her independence and also to take care of herself after the loss of her sister whom she had cared for over 12 years.

(Image: Sheila Murphy, when she first came to the Independent Living Center of Southeast Missouri in July 2012)

When Murphy first heard about self-management programs being offered through the Independent Living Center of Southeast Missouri, her life slowly began to change.  Murphy started slowly participating in the Arthritis Foundation Aquatics program, just a few times each week.  Murphy has now built up to participating about three times each week.  She also enrolled as a participant of the Chronic Disease Self-Management Program (CDSMP).  One of Murphy’s greatest motivators to continue taking control of her health was her family: “I felt like I owed it to them.”

While Murphy has assuredly had great success in the programs she has participated in, a success that has been observed by staff at the Independent Living Center and the Southeast Missouri Regional Arthritis Center, she feels like the greatest success is the instructors of these classes.  The instructors are “all winners in my book because they keep going.  My goal is to become like them.”  The instructors in Murphy’s CDSMP course taught her to brainstorm and to problem solve.  The ability of these individuals to relate to Murphy and her health helped her realize the importance of the class and her health.  She stated that her health is getting back on track thanks to “those women and men [in her classes]; their stories have been the success”.

The Arthritis Foundation Aquatics Program is a group format course offered by trained leaders.  The program is a warm water exercise program shown to reduce pain and improve overall health.  Murphy stated of the program that “a heavy person can feel like a ballerina in the water; it gives you hope.”  The CDSMP is a group format course that is offered by trained leaders in six-week increments, meeting once per week for 2.5 hours.  Participants are either persons with a long-term health condition (like asthma, arthritis, diabetes, and heart disease) or a caregiver for an individual with chronic health problems. This program which was researched and designed by Stanford University and is now an evidence-based intervention, discusses techniques to deal with health problems associated with chronic conditions; appropriate exercise; appropriate use of medications; communicating effectively with family, friends and health professionals; nutrition and setting goals.

(Image: Sheila Murphy, in May 2013 with her completion certificate for becoming a Certified Leader for the CDSMP classes.)

The impact of Murphy’s leaders on her commitment to take back her life is apparent.  Murphy has recently gone through the process to become a certified leader for CDSMP classes.  And, now that Murphy has begun to feel that she has positively impacted her health, including improving her mobility, lessening her pain, and increasing her confidence, she has a goal for the next year.  Murphy will be working on taking steps to get back to working at least part-time. 

To find out more information or to register for Arthritis Foundation Aquatics programs, please visit www.arthritis.org/resources/community-programs/aquatics.  If you are interested in participating in a Chronic Disease Self-Management Program in southeast Missouri, contact the Southeast Missouri Regional Arthritis Center, Heidi Dunn, toll-free at 1-888-216-3293.  To find a CDSMP class elsewhere in the state, call toll-free at 1-888-702-8818 or visit www.moarthritis.org/classes.html .  Murphy’s advice to individuals considering participating is to “be brave. Be courageous.  Put yourself out there.  It’s scary and those things control you, but they don’t define who you are.  You define who you are.”

Success Story: "We have fun!"

When Russell Otte, 65, of Edina, Missouri (Knox County) registered for his first physical activity course, he was fearful that he would not succeed with the program.  Being the only man in his class didn’t help this fear.  However, the instructor of his Walk With Ease class encouraged everyone to walk at their own pace, to realize it wasn’t a competition, and to encourage one another.  As Otte says, “We cheered one another on.”  When considering taking a self-management or physical activity course, many people have similar fears. 

Otte pushed through his initial fears and continued taking the Walk With Ease course.  He stated that “the class isn’t about keeping up with the crowd – it’s about keeping up with yourself.”  He realized that others in the class had similar problems to his.  Otte has arthritis, diabetes, Meniere’s disease, and suffered a stroke in 2009.  The stroke in particular limited his mobility and range-of-motion on the right side of his body.  In describing his improvements made through taking the Walk With Ease course, Otte said, “The first day I only walked 5 minutes, but by the end of 6 weeks, I was able to walk 45 minutes with more ease than the 5 minutes had been at the start. After the 45 minute walk, I felt energized and ready to meet the day, instead of exhausted and overwhelmed with pain.”  Since Otte felt he had improved so much in this program, he chose to also enroll in the Arthritis Foundation Exercise Program. 

The Walk With Ease Program is a group or individual format course.  The group format is offered by a trained leader in six-week increments, meeting three times per week.  This class, which was researched and designed by the Arthritis Foundation to be joint-friendly, includes warm-up, stretching, and cool-down exercises.  It teaches participants to learn how to safely pace themselves and how to monitor their progress while building up to walking at least 30 minutes at a time.  The individual format course is done independently, but follows the same structure as a group course.

The Arthritis Foundation Exercise Program (AFEP) is a group format course offered by trained leaders in six-week increments, meeting two to three times per week.  Some sites choose to offer the program year round to participants with long-term health conditions (like asthma, arthritis, diabetes, and heart disease) or individuals just looking for a regular exercise routine.  This class, which was researched and designed to be joint-friendly, includes activities to improve range-of-motion, flexibility, balance, strength and to build endurance.  All of the exercises can be modified to meet participants’ needs.

Through his participation in the Arthritis Foundation Exercise Program, Otte was inspired to become trained as a leader, a move his doctor supports.  “My doctor was really pleased.  He sees that my life has improved, and tells me to keep on doing the activities.” Otte especially wants to encourage more men to participate in similar programs.  He will be starting a new Arthritis Foundation Exercise Program course this fall in September at the Community Center in Edina.   

To find out more information, please call the Northeast Regional Arthritis Center at 1-866-626-2878 x2049.  You can also find out more information about other self-management and physical activity programs being offered in the Northeast Missouri region.  If you are interested in participating in a Walk With Ease or an Arthritis Foundation Exercise Program course elsewhere in the state, you can find a class near you by calling toll-free at 1-888-702-8818 or by visiting www.moarthritis.org/classes.html. 

Otte especially encourages you to “find a program and experience it”!

Success Story: "We're all in it together!"

“You really don’t understand something until it is in your own backyard.”  When the grandmother of Paula Moore, St. Louis City County, had a stroke, she thought she understood what her grandmother was going through.  However, it wasn’t until three years later, when Moore had an ischemic stroke, that she felt she could actually understand where her grandmother was, what she was going through, and how she dealt with her stroke.  Following Moore’s stroke, at the recommendation of her health care team, she began rehabilitation at SSM Health Care in St. Louis.  While at SSM, the director of social services recommended to Moore that she should contact the Eastern Regional Arthritis Center (RAC) to enroll in the Chronic Disease Self-Management Program (CDSMP).

Moore enrolled in CDSMP in the fall of 2012. As she participated in the program, she realized she was in an environment where others were experiencing the same or similar things that she had been experiencing following her stroke.  One of the things Moore learned through the CDSMP was that the leaders of the program were not trying to make anyone feel guilty – “we’re all in it together”. The physical, emotional, and cognitive aspects that were covered within the CDSMP helped Moore with her development and recovery overall.  She ended the class feeling like she was more aware of resources she could reach out to when needed.  Prior to taking the program, Moore didn’t like to think of herself; she would instead think of others.  Now, as a completer of CDSMP, Moore feels a greater desire to be more aware of her own needs.  As she says now, “I choose to think about me”.

Taking this self-management course has helped Moore to look at illnesses differently.  Many of us can relate to Moore’s feelings that she didn’t want to become a burden or a hindrance to her family following her diagnosis.  Having been put in the position of experiencing pain, emotional stress, and physical stress associated with health problems firsthand, Moore can now look at individuals who have health problems differently and understand what they’re going through without treating them as if they are a burden.  Looking back to her relationship with her grandmother following her grandmother’s stroke, Moore felt that once a similar problem to her grandmother’s was “in her own backyard,” she could understand how her grandmother felt.  “Unless you’re sitting in it, you don’t know the depth of it,” says Moore.

The CDSMP is a group format course that is offered by trained leaders in six-week increments, meeting once per week for 2.5 hours.  Participants are either persons with a long-term health condition (like asthma, arthritis, diabetes, heart disease, and stroke) or a caregiver for an individual with chronic health problems. This program which was researched and designed by Stanford University and is now an evidence-based intervention, discusses techniques to deal with health problems associated with chronic conditions; appropriate exercise; appropriate use of medications; communicating effectively with family, friends and health professionals; nutrition and setting goals.

If you are interested in participating in a Chronic Disease Self-Management Program in eastern Missouri, or would like more information on the program, contact the Eastern Missouri Regional Arthritis Center coordinator, Duana Russell-Thomas, at 314-286-1625.  To find a CDSMP class elsewhere in the state, call toll-free at 1-888-702-8818 or visit www.moarthritis.org/classes.html .  Moore’s advice to individuals considering participating in a self-management program is to “try to get into a program if you can.  You can give yourself something and feel a sense of community by participating.”