Courses were offered by two different organizations between the summers of 1998 and 1999. Program participants completed human subject's requirements and filled out baseline questionnaires through the mail or by telephone before the first session of the SDSM pilot program. The questionnaires were then sent to Stanford, where the Patient Education Research Center staff collected missing data by telephone. Three-month post-intervention data were again collected either through the mail or by telephone. One hundred and nine of the people participating in the SCSM pilot program completed data collection.