1st Annual Crossing the Quality Chasm Summit: A Focus on Communities

Self-management and family support in chronic diseases

“…[13] Those aspects are recognized as highly important in a self-management behavior. [7,30] Likewise, through self-management evaluation of adherence, not only to the compliance with medical treatment which is very important and a problem in other Mexican studies, [27,31] but also other aspects evaluated in self-management such as create partnership groups with health care providers, [11] identify alarm signs and symptoms, and negotiate with health care providers who give their point of view.…”

“…[11] For this aim, according to Corbin and Strauss, the person with a chronic disease has three tasks to do: [12] (i) management of the medical aspects of the disease, (ii) the management of the different life roles (including the role changes caused by the disease), (iii) and the management of the psychological consequences of the chronic disease. [13] To perform these tasks, people with chronic diseases have the following basic self-management skills: problem solving, decision making, resource use and partnership's grouping with health care providers. In addition to the tasks and basic skills, self-management is defined as family context welfare [14,15] for being an ongoing dynamic process of self-control and self-evaluation, and for involving a change of perspective from a sick to healthy condition.…”

Self-management: One size does not fit all

“…Patient education refers to traditional, largely didactic, instruction provided to patients which focuses mainly on transfer of knowledge. Selfmanagement support is defined as the systematic provision of supportive interventions by health care staff to increase patients' skills and confidence in managing their health problems, including regular assessment of progress and problems, goal setting, and problem-solving support 7 . Although self-management interventions often also contain didactic strategies, the pivotal objective is to change behavior, which is essential to boot a sequence of effects 8 .…”

Self-management support for moderate-to-severe chronic obstructive pulmonary disease: a pilot randomised controlled trial

“…These tasks include having the confidence to deal with medical management, role management and emotional management of their conditions'. 5 Thus, better selfmanagement has the potential to reduce the impact of chronic conditions on patients. 6 A meta-analysis concluded that educational interventions supporting self-management in COPD may reduce hospital admissions, but data were too sparse and heterogeneous to formulate recommendations about how this should best be delivered.…”