A Model of Self-Regulation for Control of Chronic Disease

Abstract

Chronic disease poses increasing threat to individual and community health. The day-to-day manager of disease is the patient who undertakes actions with the guidance of a clinician. The ability of the patient to control the illness through an effective therapeutic plan is significantly influenced by social and behavioral factors. This article presents a model of patient management of chronic disease that accounts for intrapersonal and extemal influences on management and emphasizes the central role of self-regulatory processes in disease control. Asthma serves as a case for exploration of the model. Findings from a 5-year study of 637 children with asthma and their care-taking parents supported that the self-regulation elements of the model were reasonably stable over time and baseline values were predictive of important disease management outcomes.

HIV Illness Representation as a Predictor of Self-care Management and Health Outcomes: A Multi-site, Cross-cultural Study

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“…Effective management of symptoms is thus an important component of HIV health care. Although control of HIV-related symptoms may be improved with medical intervention, it is neither clinicians nor health systems that manage the symptoms on a daily basis, but rather the patients themselves; self-care activities are at the core of symptom management (Clark et al 2001;Holzemer 2002). The individual living with HIV spends most of the time away from medical facilities and largely relies upon personal judgment and ingenuity to interpret and manage the complex vagaries of symptoms accompanying HIV (Strauss 1990).…”

A Descriptive Epidemiology of Sexual Behavior and Interest in Older Adults with Diabetes

“…Overall, we felt reasonably confident in our general understanding of people's health status, but much less confident in our ability to articulate the nuances and complexities of these health states. We thus join other scholars in calling for diverse and prolific research engaging multiple sources of information about different types of chronic conditions and what it means to live well with them [17]. Developing more sources that do not exclusively hinge on diagnosis, and consequently its many limitations [18], is crucial to this effort.…”

Self-management for COPD?: Why does it generate negative connotations?

“…This meant being observant and making judgements based on observation and reacting appropriately to achieve a goal. 10 The intervention was not effective and only 42% of patients who received the intervention were able to respond appropriately to the signs and symptoms of an exacerbation. Delivery of a prescriptive or didactic form of teaching is not enough to build self-efficacy in patients to carry out action plans to manage exacerbations.…”