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Publication type: Article in scientific journal
Type of review: Open peer review
Title: Delineating the concept of self-management in chronic conditions : a concept analysis
Authors : Van de Velde, Dominique
De Zutter, Freya
Satink, Ton
Costa, Ursula
Janquart, Sara
Senn, Daniela
De Vriendt, Patricia
et. al : No
DOI : 10.1136/bmjopen-2018-027775
Published in : BMJ Open
Volume(Issue) : 9
Pages : e027775
Issue Date: 2019
Publisher / Ed. Institution : BMJ Publishing Group
ISSN: 2044-6055
Language : English
Subjects : Chronic conditions; Concept analysis; Health; Self-management
Subject (DDC) : 616: Internal medicine and diseases
Abstract: Objectives: Self-management is a concept frequently used within healthcare but lacks consensus. It is the aim of this study to clarify the concept. Design: Concept analysis according to Walker and Avant, comprises eight steps: select concept, determine purpose, identify uses, determine defining attributes, identify model case, identify additional cases, identify antecedents and consequences and define empirical referents. Sources used: PubMed, Scopus and Web of Science. Results: Ten attributes delineating the concept have been identified and organised into three groups. Group (a): person-oriented attributes: the person must (1) actively take part in the care process, (2) take responsibility for the care process and (3) have a positive way of coping with adversity. Group (b): person-environment-oriented attributes: (4) the person must be informed about the condition, disease and treatment and self-management, (5) should be individualised, which entails expressing needs, values and priorities, (6) requires openness to ensure a reciprocal partnership with healthcare providers and (7) demands openness to social support. Finally, Group (c): summarising attributes: self-management (8) is a lifetime task, (9) assumes personal skills and (10) encompasses the medical, role and emotional management. Conclusions: The findings of this study recognise the complexity of the concept, but also show the need for further investigation to make the concept more measurable. Clarity about the concept will enhance understanding and facilitate implementation in self-management programmes for chronic conditions.
Fulltext version : Published version
License (according to publishing contract) : CC BY-NC 4.0: Attribution - Non commercial 4.0 International
Departement: Health Professions
Organisational Unit: Institute of Occupational Therapy (IER)
Appears in Collections:Publikationen Gesundheit

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