Self-Management: A Comprehensive Approach to Management of Chronic Conditions

We suggest ways to advance research methods and practical applications of self-management as steps in its future development and implementation

Patricia A. Grady; Lisa Lucio Gough

2014

Scholarcy highlights

  • Improvements in health care have resulted in greater numbers of people living with multiple chronic conditions for longer periods of time
  • The 2012 Institute of Medicine report “Living Well With Chronic Illness: A Call for Public Health Action” included self-management as one of several models of living well interventions, noting that self-management programs instill individual responsibility and offer tools for patients to use in caring for their chronic illness
  • We present examples of nursing science that demonstrate effectiveness, promise sustainability and scalability, and set the foundation for implementing wide-reaching public health actions for managing chronic illness
  • These findings demonstrated the feasibility of selfmanagement intervention programs that cut across a variety of chronic illnesses, leading to positive health outcomes, many of which persist for years, with an added benefit of reduced health care costs
  • As chronic conditions emerge as a major public health concern, self-management will continue to grow as a crucial approach to managing these conditions, preventing illness, and promoting wellness
  • Because chronic conditions are generally slow in their progression and long in their duration, self-management research translated into practice can offer those living with chronic conditions a means to maintain or even improve their capacity to live well over the course of their lives
  • This should bring greater translation and adaptation of proven interventions, increase the ability to scale up to reach more people in need, and result in more thorough evaluations of intervention program effectiveness

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