142nd APHA Annual Meeting and Exposition

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296346
Chronic Disease Self-Management: A Hybrid Concept Analysis

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Sunday, November 16, 2014

Wendy Miller, PhD, RN, CCRN , Science of Nursing Care, Indiana University School of Nursing, Bloomington, IN
Sue Lasiter, PhD, RN , Indiana University School of Nursing, Indianapolis, IN
Rebecca Ellis, PhD, RN , Indiana University School of Nursing, Indianapolis, IN
Background: Half of Americans suffer from at least one chronic disease. Existing chronic disease self-management (CDSM) interventions are commonly aimed at altering individual characteristics; these have demonstrated effectiveness in the short-term, though effects fade over time. The development of CDSM interventions with the ability to provide longer-lasting effects on outcomes is needed. The purpose of this study was to analyze the concept of CDSM as depicted in the literature, and to compare that definition with patient descriptions of CDSM. 

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 prevention

Learning 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

Presenting author's disclosure statement:

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.

Back to: 2049.0: Chronic Disease Management and Self-Care