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Self-management: A comprehensive approach to management of chronic conditions

Author

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  • Grady, P.A.
  • Gough, L.L.

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.

Suggested Citation

  • Grady, P.A. & Gough, L.L., 2014. "Self-management: A comprehensive approach to management of chronic conditions," American Journal of Public Health, American Public Health Association, vol. 104(8), pages 25-31.
    • Handle: RePEc:aph:ajpbhl:10.2105/ajph.2014.302041_1
    DOI: 10.2105/AJPH.2014.302041
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    Cited by:

    1. Paulo Seabra & Inês Nunes & Rui Sequeira & Ana Sequeira & Ana Simões & Fernando Filipe & Paula Amaral & Marissa Abram & Carlos Sequeira, 2023. "Designing a Nurse-Led Program for Self-Management of Substance Addiction Consequences: A Modified e-Delphi Study," IJERPH, MDPI, vol. 20(3), pages 1-12, January.
    2. Ngai, Steven Sek-yum & Cheung, Chau-kiu & Ng, Yuen-hang & Tang, Hon-yin & Ngai, Hui-lam & Wong, Kenix Hok-ching, 2020. "Development and validation of the chronic illness self-management (CISM) scale: Data from a young patient sample in Hong Kong," Children and Youth Services Review, Elsevier, vol. 114(C).
    3. Zikang Hao & Mengmeng Zhang & Kerui Liu & Xiaodan Zhang & Haoran Jia & Ping Chen, 2022. "Where Is the Way Forward for New Media Empowering Public Health? Development Strategy Options Based on SWOT-AHP Model," IJERPH, MDPI, vol. 19(19), pages 1-19, October.
    4. Juliet Aweko & Jeroen De Man & Pilvikki Absetz & Claes-Göran Östenson & Stefan Swartling Peterson & Helle Mölsted Alvesson & Meena Daivadanam, 2018. "Patient and Provider Dilemmas of Type 2 Diabetes Self-Management: A Qualitative Study in Socioeconomically Disadvantaged Communities in Stockholm," IJERPH, MDPI, vol. 15(9), pages 1-18, August.
    5. Hao Wang & Amy F. Ho & R. Constance Wiener & Usha Sambamoorthi, 2021. "The Association of Mobile Health Applications with Self-Management Behaviors among Adults with Chronic Conditions in the United States," IJERPH, MDPI, vol. 18(19), pages 1-11, September.
    6. Peckham, Allie & Miller, Fiona A. & Marchildon, Gregory P., 2021. "Comparison of outpatient coverage in Canada: Assistive and medical devices," Health Policy, Elsevier, vol. 125(12), pages 1536-1542.
    7. Zhang, Yao & Li, Xiaoming, 2017. "Uses of information and communication technologies in HIV self-management: A systematic review of global literature," International Journal of Information Management, Elsevier, vol. 37(2), pages 75-83.
    8. Hayfa Almutary & Nahla Tayyib, 2021. "Translation, Adaptation, and Validation of Chronic Kidney Disease Self-Management and Knowledge Instruments for People at Pre-Dialysis Stage in the Arab World," Clinical Nursing Research, , vol. 30(8), pages 1231-1240, November.
    9. Elke Loots & Josée Leys & Shara Proost & Manuel Morrens & Inge Glazemakers & Tinne Dilles & Bart Van Rompaey, 2022. "Medication Self-Management in Hospitalised Patients with Schizophrenia or Bipolar Disorder: The Perceptions of Patients and Healthcare Providers," IJERPH, MDPI, vol. 19(8), pages 1-11, April.
    10. Rachel Anne Rowntree & Hassan Hosseinzadeh, 2022. "Lung Cancer and Self-Management Interventions: A Systematic Review of Randomised Controlled Trials," IJERPH, MDPI, vol. 19(1), pages 1-26, January.
    11. Lawless, Michael T. & Tieu, Matthew & Feo, Rebecca & Kitson, Alison L., 2021. "Theories of self-care and self-management of long-term conditions by community-dwelling older adults: A systematic review and meta-ethnography," Social Science & Medicine, Elsevier, vol. 287(C).
    12. Rita Ribeiro & Henrique Oliveira & Margarida Goes & Cátia Gonçalves & Ana Dias & César Fonseca, 2023. "The Effectiveness of Nursing Rehabilitation Interventions on Self-Care for Older Adults with Respiratory Disorders: A Systematic Review with Meta-Analysis," IJERPH, MDPI, vol. 20(14), pages 1-20, July.
    13. Ngai, Steven Sek-yum & Jiang, Shan & Cheung, Chau-kiu & Wang, Lin & Tang, Hon-yin, 2021. "Trust in mutual aid group members, self-management of chronic illness, and well-being among young patients with chronic illness in Hong Kong," Children and Youth Services Review, Elsevier, vol. 130(C).
    14. Beatriz Rodríguez-Roca & Fernando Urcola-Pardo & Ana Anguas-Gracia & Ana Belén Subirón-Valera & Ángel Gasch-Gallén & Isabel Antón-Solanas & Ana M. Gascón-Catalán, 2021. "Impact of Reducing Sitting Time in Women with Fibromyalgia and Obesity: A Randomized Controlled Trial," IJERPH, MDPI, vol. 18(12), pages 1-11, June.
    15. Majed M. Alruwaili & Mostafa Shaban & Osama Mohamed Elsayed Ramadan, 2023. "Digital Health Interventions for Promoting Healthy Aging: A Systematic Review of Adoption Patterns, Efficacy, and User Experience," Sustainability, MDPI, vol. 15(23), pages 1-17, December.
    16. Connor Drake & Melissa H. Abadi & Heather R. Batchelder & Bonnie O. Richard & Laura E. Balis & David Rychener, 2022. "National Implementation of a Group-Based Program Promoting Patient Engagement and Peer Support in the Veterans Health Administration: A Multi-Methods Evaluation," IJERPH, MDPI, vol. 19(14), pages 1-20, July.
    17. Carlos Laranjeira & Daniel Carvalho & Olga Valentim & Lídia Moutinho & Tânia Morgado & Catarina Tomás & João Gomes & Ana Querido, 2023. "Therapeutic Adherence of People with Mental Disorders: An Evolutionary Concept Analysis," IJERPH, MDPI, vol. 20(5), pages 1-16, February.
    18. Johanna Sophie Lubasch & Mona Voigt-Barbarowicz & Nicole Ernstmann & Christoph Kowalski & Anna Levke Brütt & Lena Ansmann, 2021. "Organizational Health Literacy in a Hospital—Insights on the Patients’ Perspective," IJERPH, MDPI, vol. 18(23), pages 1-14, November.
    19. Caitlin Torrence & Sarah F. Griffin & Laura Rolke & Kelli Kenison & AltaMae Marvin, 2018. "Faithful Families Cooking and Eating Smart and Moving for Health: Evaluation of a Community Driven Intervention," IJERPH, MDPI, vol. 15(9), pages 1-14, September.
    20. Émilie Hudon & Catherine Hudon & Mireille Lambert & Mathieu Bisson & Maud-Christine Chouinard, 2021. "Generic Self-Reported Questionnaires Measuring Self-Management: A Scoping Review," Clinical Nursing Research, , vol. 30(6), pages 855-865, July.

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