The Common-Sense Model of Self-Regulation (CSM): a dynamic framework for understanding illness self-management

Leventhal, Howard; Phillips, L. Alison; Burns, Edith

doi:10.1007/s10865-016-9782-2

Cited by 775 publications

(840 citation statements)

References 45 publications

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“…The adoption of self-management strategies to control an illness requires that individuals not only perceive themselves as responsible for their health, but that they also see themselves as self-efficient to achieve the necessary change of lifestyle (Leventhal, Phillips, & Burns, 2016b;Tanenbaum et al, 2015). Self-efficacy has been linked to the perceived behavior control, as both concepts refer to the individual's perceived ability to perform a behavior.…”

Section: Discussionmentioning

confidence: 99%

Brief intervention for stress management and change in illness perception among hypertensive and normotensive workers: pilot study and protocol

Pires

Peuker

Castro

2017

Psicol. Refl. Crít.

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The objective of this study was to describe and evaluate the effects of a pilot intervention on perceived stress, knowledge about hypertension, and illness perception among hypertensive and normotensive workers. The intervention consisted of two group sessions performed in the workplace aiming to reduce stress, increase knowledge about hypertension, and explore the effect on illness perception. The sessions included clinical aspects of systemic arterial hypertension, illness perception and health behavior, and strategies for stress management. Workers from a petrochemical industry (19 hypertensive and 14 normotensive) participated in the study by answering a biosociodemographic questionnaire, the Brief Illness Perception Questionnaire, the Perceived Stress Scale, and a quiz with questions about hypertension. The measurements were collected at an initial meeting to gather the participants and 90 days after the intervention. There was a significant reduction in the perceived stress levels of both groups, in addition to an increase in the perception of personal control and illness coherence. Normotensive workers also increased their knowledge about hypertension, while hypertensive patients increased the perception that treatment could control the illness. In conclusion, the pilot intervention generated positive effects and can be considered a strategy of illness prevention for normotensive workers and control for hypertensive patients.

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Section: Discussionmentioning

confidence: 99%

Brief intervention for stress management and change in illness perception among hypertensive and normotensive workers: pilot study and protocol

Pires

Peuker

Castro

2017

Psicol. Refl. Crít.

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“…Leventhal et al (2016) reviewed the development of the common sense model of self-regulation (CSM) framework over several decades, its application to acute and chronic health threats, and provide comments and recommendations for future research to maximize CSM's contribution to research aimed at improving the self-management of illness. Conn et al (2016) conducted a systematic review and meta-analysis on blood pressure outcomes of medication adherence interventions across 156 studies and over sixty thousand participants.…”

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confidence: 99%

“…Within this issue, Leventhal et al (2016) highlight the need for a more nuanced understanding of our theoretical models, noting that concepts which have been traditionally understudied or ignored also must be given proper attention if we are to best explain the dynamic nature of adherence behavior and its underlying processes. Moreover, the rapid expansion of mHealth interventions underscores the need to test, refine, and apply theoretical models in all stages of intervention development and execution (Howren et al, 2013).…”

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confidence: 99%

Treatment adherence and illness self-management: introduction to the special issue

Howren

Gonzalez

2016

J Behav Med

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The current issue is devoted broadly to research on treatment adherence and chronic illness self-management behavior. As the prevalence of chronic illness increases, the pervasive problem of treatment nonadherence is increasingly viewed as having a major impact on treatment outcomes, public health and healthcare costs, making this issue particularly timely. Sixteen articles spanning an array of topics are presented; articles include empirical studies, statistical simulations, systematic reviews, and theoretical commentaries. Studies conducted with diverse patient populations (e.g., chronic headache, diabetes, end-stage renal disease, HIV, hypertension, severe obesity), samples (e.g., adolescents, ethnic/racial minorities, low-income adults, parents, spousal dyads), and designs (e.g., cross-sectional, longitudinal assessment, randomized controlled trial), are represented. This issue highlights psychosocial factors associated with nonadherence, promising interventions to promote adherence, and state-of-the art methods for the study of illness self-management. We hope these articles engender even more high quality, methodologically rigorous research in this important subfield of behavioral medicine.The current issue of the Journal of Behavioral Medicine is devoted broadly to research and practice in treatment adherence and illness self-management. Nonadherence to treatment prescriptions and self-management regimens is rightfully recognized as an important contributor to global public health burden (Bosworth, 2010); consequently, research into factors associated with treatment (non)adherence, as well as interventions to improve adherence, has grown almost exponentially over the past three-plus decades. Despite enormous attention, however, poor adherence remains pervasive and is associated with a host of outcomes, including cost, patient and provider frustration, illness complications and relapse, increased hospitalization, poor health-related quality of life, and mortality (Christensen, 2004). Moreover, this constellation of behaviors also inhibits our ability to establish empiricallybased treatment guidelines. The impetus for this issue is rooted in the fact that behavioral medicine is particularly well suited to improve upon these outcomes and, as such, makes this issue particularly timely.In response to an open call for papers on this topic, over 80 abstracts were submitted for consideration, of which approximately 45 were approved for full submission and peer-review. Multiple manuscript types (e.g

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Despite Leventhal et al (2016) providing a 50-year overview of their Common-Sense Model of Self-Regulation (CSM), they fail to cite the null findings in relation to the CSM and adherence, as found by at least two reviews (Brandes & Mullan, 2014;Law et al, 2014).Brandes and Mullan (2014) Moderate to high heterogeneity was also evident for all dimensions apart from timeline, coherence and emotional representations, with funnel plots indicative of bias. These results are not supportive of the CSM for predicting adherence, in contrast to the conclusions of Leventhal et al, which cites other meta-analyses, but not this evidence or indeed that of Law et al

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mentioning

confidence: 99%

“…Despite Leventhal et al (2016) providing a 50-year overview of their Common-Sense Model of Self-Regulation (CSM), they fail to cite the null findings in relation to the CSM and adherence, as found by at least two reviews (Brandes & Mullan, 2014;Law et al, 2014).…”

mentioning

confidence: 99%

Does the CSM really provide a consistent framework for understanding self-management?

Doyle

Mullan

2016

J Behav Med

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Despite Leventhal et al. (2016) providing a 50-year overview of their Common-Sense Model of Self-Regulation (CSM), they fail to cite the null findings in relation to the CSM and adherence, as found by at least two reviews (Brandes & Mullan, 2014;Law et al., 2014).Brandes and Mullan (2014) Moderate to high heterogeneity was also evident for all dimensions apart from timeline, coherence and emotional representations, with funnel plots indicative of bias. These results are not supportive of the CSM for predicting adherence, in contrast to the conclusions of Leventhal et al., which cites other meta-analyses, but not this evidence or indeed that of Law et al.

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The Common-Sense Model of Self-Regulation (CSM): a dynamic framework for understanding illness self-management

Cited by 775 publications

References 45 publications

Brief intervention for stress management and change in illness perception among hypertensive and normotensive workers: pilot study and protocol

Brief intervention for stress management and change in illness perception among hypertensive and normotensive workers: pilot study and protocol

Treatment adherence and illness self-management: introduction to the special issue

Does the CSM really provide a consistent framework for understanding self-management?

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