Tomando control de su salud (Spanish Chronic Disease Self-Management)

Although very similar, Tomando is not a translation of the Chronic Disease Self-Management Program. It was originally developed separately. Topics are similar, but they are presented in ways that are culturally appropriate.

Workshops are highly participatory. Mutual support and success build participants’ confidence in their ability to manage their health and maintain active and fulfilling lives.  Each participant is guided to tailor the workshop content to their own needs.


  • Small group workshop offered either face-to-face or virtually for 2 1/2 hours once per week for 6 weeks
  • Small group workshop specifically for the workplace, offered either face-to-face or virtually, 1 hour twice a week for six weeks
  • Mailed Tool Kit of materials with or without 12 weekly scripted 45-60-minute small group (3-5 people) phone calls
  • Asynchronous 6-week internet program available in Europe through Vively.


Spanish-speakers with any physical or mental chronic condition or multiple chronic conditions

  • 12-14 participants per face-to-face workshop
  • 8-12 participants per virtual workshop
  • 3-5 participants per Tool Kit with scripted phone calls workshop

Workshop Leaders

  • 2 trained Spanish-speaking Leaders, one or both of whom are non-health professionals with a chronic condition themselves, for both in person and virtual workshops
  • 1 trained Leader for Tool Kit with small group phone calls workshops
  • Leaders must be trained by SMRC-certified Master Trainers

Frequently Asked Questions

Does the Program replace existing programs and treatments?

The program does not conflict with existing programs or treatment. Treatment is not altered. For all medical questions, participants are referred to their physicians or other health professionals on their health care team.

How were the programs developed?

The programs were developed based on focus groups with potential Spanish-speaking participants, reviewing professional organizational standards and national standards for such areas as exercise, and nutrition. We combined these inputs with processes to increase self-efficacy and to allow participants to self-tailor the workshops to their own needs.  In addition, many methods from cognitive behavioral therapy are included.

How can my facility offer the Program?

All agencies must have at a minimum:

a woman smiling in a meeting

Workshop Topics

Techniques to deal with symptoms of chronic conditions, such as fatigue, pain, sleeplessness, shortness of breath, stress, and emotional problems such as depression, anger, fear, and frustration

Physicians, registered dietitians, occupational and physical therapists, and other health professionals have reviewed all workshop materials. Workshop was last updated in 2021.

Topics include:

  • Healthy eating
  • Appropriate exercise for maintaining and improving strength, flexibility, and endurance
  • Managing depression
  • Appropriate use of medications
  • Communicating effectively with family, friends, and health professionals
  • Relaxation techniques
  • Appropriate use of the health care system
  • How to evaluate new treatments
  • Better breathing
  • Action-planning, problem-solving, decision-making

Participant Materials

See the bibliography for articles about the Chronic Disease Self-Management and Tomando control de su salud programs

The CDSMP is considered an evidence-based program by the Administration for Community Living and the Centers for Disease Control Arthritis Branch.

Contact us for more information


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