Journal
NURSING OUTLOOK
Volume 57, Issue 4, Pages 217-225Publisher
ELSEVIER SCIENCE INC
DOI: 10.1016/j.outlook.2008.10.004
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Funding
- Center for Enhancement of Self-management in Individuals and Families [IP20NR0010674-01]
- Tailored Computerized Intervention for Behavior Change [IR15NR009021-01A2]
- Patient Centered Informational Interventions (Brennen, Ryan Post-Doctoral Fellowship) [T32NR07102]
- Secondary Conditions and Adaptation in Spina Bifida
- Association of University Centers on Disability and CDC Special Collaborative Grants Project
- Adaptation in Spina Bifida: Longitudinal Study of Adolescents and Young Adults
- University of Wisconsin-Milwaukee Research Growth Incentives Award (Sawin)
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Current evidence indicates that individuals and families who engage in self-management (SM) behaviors improve their health outcomes. While the results of these studies are promising, there is little agreement as to the critical components of SM or directions for future study. This article offers an organized perspective of similar and divergent ideas related to SM. Unique contributions of prior work are highlighted and findings from studies are summarized. A new descriptive mid-range theory, Individual and Family Self-management Theory, is presented; assumptions are identified, concepts defined, and proposed relationships are outlined. this theory adds to the literature on SM by focusing on individuals, dyads within the family, or the family unit as a whole; explicating process components of SM; and proposing use of proximal and distal outcomes.
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