In the English Chronic Disease Self-Management Program, participants' mean age was 65 and 65% of participants were female. Subjects had an average of 2.3 chronic diseases and 7% had diabetes. Treatment subjects, when compared with control subjects, demonstrated improvements at 6 months in weekly minutes of exercise, frequency of cognitive symptom management, communication with the physician, self-reported health, health distress, fatigue, disability, and social/role activities limitation. They also had fewer hospitalizations, and fewer days in the hospital (p<.05)74 (publication included in Appendix 1).