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Self-Management Skills in Chronic Disease Management

Author

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  • Laura M. Mackey
  • Catherine Doody
  • Erik L. Werner
  • Brona Fullen

Abstract

Background . Self-management–based interventions can lead to improved health outcomes in people with chronic diseases, and multiple patient characteristics are associated with the development of self-management behaviors. Low health literacy (HL) has been implicated in poorer self-management behaviors and increased costs to health services. However, the mechanisms behind this relationship remain unclear. Therefore, the aim of the current review is to assess the association between HL and patient characteristics related to self-management behaviors (i.e., disease-related knowledge, beliefs, and self-efficacy). Methods . The review comprised 3 phases: 1) database searches, 2) eligibility screening, and 3) study quality assessment and strength of evidence. Inclusion criteria specified that a valid HL screening tool was used, that at least one self-management behavior was assessed, and that patients had a chronic condition. Results . An initial search generated a total of 712 articles, of which 31 studies fulfilled the eligibility criteria. A consistent association was found between low HL and poorer disease-related knowledge in respiratory diseases, diabetes, and multiple disease categories. A significant association between low HL and poorer self-efficacy was reported in cardiovascular diseases, diabetes, human immunodeficiency virus, and multiple disease categories. HL was significantly associated with poorer beliefs in respiratory, musculoskeletal, and cardiovascular diseases. Discussion . The findings from the current review suggest that low HL may affect behaviors necessary for the development of self-management skills. Given that self-management strategies are core components for effective treatment of a range of chronic diseases, low HL poses a considerable health concern. Further research is needed to understand the mediating influence of HL on disease-related knowledge, self-efficacy, and beliefs. From this, HL-sensitive, self-management interventions ought to be devised and implemented.

Suggested Citation

  • Laura M. Mackey & Catherine Doody & Erik L. Werner & Brona Fullen, 2016. "Self-Management Skills in Chronic Disease Management," Medical Decision Making, , vol. 36(6), pages 741-759, August.
    • Handle: RePEc:sae:medema:v:36:y:2016:i:6:p:741-759
    DOI: 10.1177/0272989X16638330
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    References listed on IDEAS

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    1. Yoon K Loke & Ina Hinz & Xia Wang & Gill Rowlands & David Scott & Charlotte Salter, 2012. "Impact of Health Literacy in Patients with Chronic Musculoskeletal Disease–Systematic Review," PLOS ONE, Public Library of Science, vol. 7(7), pages 1-8, July.
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    Cited by:

    1. Candan Kendir & Eric Breton, 2020. "Health Literacy: From a Property of Individuals to One of Communities," IJERPH, MDPI, vol. 17(5), pages 1-11, March.
    2. Susanne Schnitzer & Raphael Kohl & Hella Fügemann & Kathrin Gödde & Judith Stumm & Fabian Engelmann & Ulrike Grittner & Nina Rieckmann, 2022. "Patient Navigation—Who Needs What? Awareness of Patient Navigators and Ranking of Their Tasks in the General Population in Germany," IJERPH, MDPI, vol. 19(5), pages 1-13, March.
    3. Wadad Kathy Tannous & Moin Uddin Ahmed & James Rufus John & Graham Reece & Golo Ahlenstiel, 2021. "Estimating the Economic Burden of Low Health Literacy in the Blacktown Community in Sydney, Australia: A Population-Based Study," IJERPH, MDPI, vol. 18(5), pages 1-23, February.
    4. Lisa Riemann & Johanna Sophie Lubasch & Axel Heep & Lena Ansmann, 2021. "The Role of Health Literacy in Health Behavior, Health Service Use, Health Outcomes, and Empowerment in Pediatric Patients with Chronic Disease: A Systematic Review," IJERPH, MDPI, vol. 18(23), pages 1-20, November.
    5. Matheus Gurgel do Amaral & Sijmen A. Reijneveld & Josue Almansa & Gerjan Navis & Andrea F. de Winter, 2021. "Do Uncontrolled Hypertension, Diabetes, Dyslipidemia, and Obesity Mediate the Relationship Between Health Literacy and Chronic Kidney Disease Complications?," IJERPH, MDPI, vol. 18(10), pages 1-10, May.
    6. Andrea Klinovszky & Orsolya Papp-Zipernovszky & Norbert Buzás, 2021. "Building a House of Skills—A Study of Functional Health Literacy and Numeracy among Patients with Type 2 Diabetes in Hungary," IJERPH, MDPI, vol. 18(4), pages 1-14, February.
    7. Tuyen Van Duong & Thao T. P. Nguyen & Khue M. Pham & Kien T. Nguyen & Manh H. Giap & Tung D. X. Tran & Chi X. Nguyen & Shwu-Huey Yang & Chien-Tien Su, 2019. "Validation of the Short-Form Health Literacy Questionnaire (HLS-SF12) and Its Determinants among People Living in Rural Areas in Vietnam," IJERPH, MDPI, vol. 16(18), pages 1-11, September.
    8. Adèle Perrin & Luiza Siqueira do Prado & Amélie Duché & Anne-Marie Schott & Alexandra L. Dima & Julie Haesebaert, 2020. "Using the Brief Health Literacy Screen in Chronic Care in French Hospital Settings: Content Validity of Patient and Healthcare Professional Reports," IJERPH, MDPI, vol. 18(1), pages 1-14, December.
    9. Angela G. Brega & Rachel L. Johnson & Luohua Jiang & Anne R. Wilson & Sarah J. Schmiege & Judith Albino, 2021. "Influence of Parental Health Literacy on Change over Time in the Oral Health of American Indian Children," IJERPH, MDPI, vol. 18(11), pages 1-16, May.
    10. Marialuisa Gandolfi & Valeria Donisi & Simone Battista & Alessandro Picelli & Nicola Valè & Lidia Del Piccolo & Nicola Smania, 2021. "Health-Related Quality of Life and Psychological Features in Post-Stroke Patients with Chronic Pain: A Cross-Sectional Study in the Neuro-Rehabilitation Context of Care," IJERPH, MDPI, vol. 18(6), pages 1-14, March.
    11. 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.

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