Self-Management: A Comprehensive Approach to Management of Chronic Conditions

Abstract

For both clinical and economic reasons, the increasing number of persons living with chronic conditions represents a public health issue of growing importance. Emphasizing patient responsibility, and acting in concert with the provider community, self-management represents a promising strategy for treating chronic conditions-moving beyond education to teaching individuals to actively identify challenges and solve problems associated with their illness. Self-management also shows potential as an effective paradigm across the prevention spectrum (primary, secondary, and tertiary) by establishing a pattern for health early in life and providing strategies for mitigating illness and managing it in later life. We suggest ways to advance research methods and practical applications of self-management as steps in its future development and implementation.

Self-Management Program for People with Chronic Kidney Disease in Vietnam: A Pragmatic Randomised Controlled Trial

“…Corbin and Strauss (1985;1988) explain that self-management is: (1) work to care for the disease (taking medication, medical appointments, exercising or eating a special diet), (2) work to maintain a normal life (e.g., chores, social contacts, hobbies), and (3) emotional work required to deal with feelings (such as frustration, anger, depression). People with chronic disease need to be responsible for their disease management in order to improve clinical symptoms and HRQoL (Grady & Gough, 2014;Lorig & Holman, 2003;Novak et al, 2013). The following sections discuss skills and required components in selfmanagement.…”

“…While early research in chronic disease self-management focused on adherence to medical treatments, the research has moved towards a much broader understanding of skills required to improve an individual's ability to self-manage their chronic disease (Grady & Gough, 2014;Lorig, 2002;Lorig & Holman, 2003;Novak et al, 2013). These skills are confidence and knowledge (Lorig, 2002;Mackey, Doody, Werner, & Fullen, 2016).…”

An Evaluation of the Effectiveness of the Modalities Used to Deliver Electronic Health Interventions for Chronic Pain: Systematic Review With Network Meta-Analysis (Preprint)

“…For instance, an online eHealth intervention may improve accessibility to treatment, reduce the waiting list duration and can be delivered more costeffectively than in-person services (e.g., [22]). For these reasons, eHealth has gained considerable traction for conditions, which are long term and where there is a shift toward self-management [23,24,25,26]. In this context, where ongoing disease management is required, technology assisted interventions offer a viable and important support option.…”

How is �hearing loss� and �hearing aid(s)� represented in the United States newspaper media? (Preprint)

“…For this reason, there is a move towards developing self-management initiatives in which individuals with a health condition take responsibility and ownership in managing their health conditions and symptoms [4]. Selfmanagement can facilitate acceptance, coping, learning to live well with chronic health conditions despite the adverse consequences of such conditions and symptoms, and more importantly can result in improved health outcomes [5].…”