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Chronic Disease Self-Management: A Hybrid Concept Analysis
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Methods: A hybrid concept analysis was employed. The theoretical phase involved a search of the literature to determine how CDSM is currently defined, while the fieldwork phase helped refine the definition of CDSM via qualitative data collected from patients. In the analytic phase, data from the theoretical and fieldwork phases were compared to produce a definition of CDSM that is supported by both literature and patient perspectives.
Results: In the theoretical phase, 226 articles were reviewed. Data from 20 older adults were used in the fieldwork phase. The analytic phase revealed that CDSM is typically defined as a set of behaviors, often related to adherence. Most authors housed investigations of CDSM in self-efficacy theory or other theories relating to individual characteristics. Patients described aspects of their CDSM that were not captured by most definitions of the concept in the literature. Patients describred CDSM as a more complex, systems-based concept involving multiple levels of their environments.
Conclusions: A more complete definition of CDSM may be used to develop CDSM interventions with longer-lasting effects.
Learning Areas:
Chronic disease management and preventionLearning Objectives:
Discuss the current conceptualization of chronic disease self-management as it is depicted in the literature.
Discuss inconsistencies between the current conceptualization of chronic disease self-management as it is depicted in the literature and how it is experienced by patients.
Keyword(s): Self-Management, Chronic Disease Management and Care
Qualified on the content I am responsible for because: co-author
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.