The Chronic Disease Self-Management Education – Vital Interventions for Thriving Aging Lives through Self-Management, Training, Education, Prevention, and Support (CDSME-VITAL STEPS) project promotes whole-person wellness among older adults and adults with disabilities in Texas, with a particular focus on individuals managing chronic and behavioral health conditions such as hypertension, depression, and anxiety.

Through partnerships with six Senior Nutrition Programs (SNPs) across Texas, the project expands access to three evidence-based CDSME programs: ¡Sí, Yo Puedo! Controlar Mi Diabetes!, Health Coaches for Hypertension Control, and Walk With Ease.

In addition to improving individual health outcomes, VITAL STEPS emphasizes capacity building within Senior Nutrition Programs by training facilitators, strengthening cross-sector partnerships, and documenting effective practices. The project supports the integration of SNPs within broader aging, disability, and behavioral health service networks while creating sustainable infrastructure to ensure long-term access to CDSME programming statewide.

VITAL STEPS uses a structured pre–post intervention approach implemented within Senior Nutrition Program sites to assess and improve behavioral and physical health outcomes among older adults and adults with disabilities. Participants complete a pre-intervention survey capturing demographic and health information and then engage in one of three evidence-based CDSME programs delivered over 4 to 8 weeks. Post-intervention surveys are administered to evaluate changes in symptom severity and health status. Program implementation is supported through ongoing technical assistance and statewide learning collaborative meetings to ensure fidelity, promote peer learning, and maintain culturally responsive practices. The project aims to reach 1,200 participants across the three evidence-based programs.