Patient Self-Management: A Key to Effectiveness and Efficiency in Care of Chronic Disease

Holman, Halsted R.; Lorig, Kate

doi:10.1016/j.phr.2004.04.002

Cited by 485 publications

(400 citation statements)

References 14 publications

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“…The findings from this review make a modest contribution to clarifying the concept of self-management generally and in understanding the role of self- perspective where they support and facilitate patients to take action to achieve health and provide opportunities for them to learn self-management skills and how to incorporate those skills into their everyday life (Holman & Lorig 2004). …”

Section: Conceptual Clarity Of Self-managementmentioning

confidence: 99%

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

Guo

Harris

2016

International Journal of Nursing Studies

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Please cite this article as: GUO, P., HARRIS, R.,The effectiveness and experience of self-management following acute coronary syndrome: a review of the literature, International Journal of Nursing Studies (2016), http://dx.doi.org/10. 1016/j.ijnurstu.2016.05.008 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. Conflicts of interestNone. Funding statementNo external funding.Page 3  Evidence has suggested the effects of self-management interventions on rehabilitation and recovery across a variety of chronic conditions. However, to date less is known about the extent of the literature on self-management for individuals following an acute cardiac event. Despite widespread use of the term 'self-management' and growing interest in the concept, defining how self-management is manifested in terms of observable behaviours remains challenging in the field of health and social care. What this paper adds? Evidence showed varying effects of the self-management interventions among people following acute coronary syndrome when compared with usual care.Most studies in this review were conducted in western countries and quantitative studies were UK centric. Therefore, more research is needed to explore self-management among people following acute coronary syndrome within different health care contexts.

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Section: Conceptual Clarity Of Self-managementmentioning

confidence: 99%

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

Guo

Harris

2016

International Journal of Nursing Studies

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“…9 Improved life expectancy and an ageing population will see more people developing long-term conditions, 10 but the healthcare system is traditionally better aligned to treating acute disease. 11 Although supported self-management is integral to meeting the challenge of long-term conditions, 12 many people find optimal self-management difficult to achieve. 13 People with chronic pain may need help from primary care services in supporting their self-management, 14 and this help can come from a number of different professions.…”

Section: Introductionmentioning

confidence: 99%

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Gordon

Rice²,

Allcock

et al. 2016

Br J Gen Pract

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“…Unfortunately, diabetes-specific disease management support occurs inconsistently during outpatient visits, and information that patients receive is often poorly understood or does not take into account their values and life circumstances (4,5). Because effective diabetes selfmanagement support requires a complex series of assessments and instructions, patients often require additional support and communication outside of the traditional clinician visit (6).…”

Section: Introductionmentioning

confidence: 99%

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

Sarkar

Piette

Gonzales

et al. 2008

Patient Education and Counseling

131

118

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Objectives-We sought to identify interest in different modes of self-management support among diabetes patients cared for in public hospitals, and to assess whether demographic or disease-specific factors were associated with patient preferences. We explored the possible role of a perceived communication need in influencing interest in self-management support.Methods-Telephone survey of a random sample of 796 English and Spanish-speaking diabetes patients (esponse rate 47%) recruited from 4 urban US public hospital systems. In multivariate models, we measured the association of race/ ethnicity, primary language, self-reported health literacy, self-efficacy, and diabetes-related factors on patients' interest in three self-management support strategies (telephone support, group medical visits, and internet -based support). We explored the extent to which patients believed that better communication with providers would improve their diabetes control, and whether this perception altered the relationship between patient factors and selfmanagement support acceptance. Publisher's Disclaimer: This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain. CI 0.33-0.93). African-Americans were more interested than Whites in all 3 self-management support strategies. Patients with limited self-reported health literacy were more likely to be interested in telephone support than those not reporting literacy deficits. Forty percent reported that their diabetes would be better controlled if they communicated better with their health care provider. This perceived communication benefit was independently associated with interest in self-management support (p<0.001), but its inclusion in models did not alter the strengths of the main associations between patient characteristics and self-management support preferences. NIH Public AccessConclusion-Many diabetes patients in safety-net settings report an interest in receiving selfmanagement support, but preferences for modes of delivery of self-management support vary by race/ethnicity, language proficiency, and self-reported health literacy.Practice Implications-Public health systems should consider offering a range of selfmanagement support services to meet the needs of their diverse patient populations. More broad dissemination and implementation of self-management support may help address the unmet need for better provider communication among diabetes patients in these settings.

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Patient Self-Management: A Key to Effectiveness and Efficiency in Care of Chronic Disease

Cited by 485 publications

References 14 publications

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

The effectiveness and experience of self-management following acute coronary syndrome: A review of the literature

Barriers to self-management of chronic pain in primary care: a qualitative focus group study

Preferences for self-management support: Findings from a survey of diabetes patients in safety-net health systems

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