Margaret Grey1, Dena Schulman-Green2, Kathleen Knafl3, Nancy R Reynolds2. 1. Yale University School of Nursing, West Haven, CT. Electronic address: Margaret.grey@yale.edu. 2. Yale University School of Nursing, West Haven, CT. 3. University of North Carolina at Chapel Hill, Chapel Hill, NC.
Abstract
BACKGROUND: Research on self- and family management of chronic conditions has advanced over the past 6 years, but the use of simple frameworks has hampered the understanding of the complexities involved. PURPOSE: We sought to update our previously published model with new empirical, synthetic, and theoretical work. METHODS: We used synthesis of previous studies to update the framework. DISCUSSION: We propose a revised framework that clarifies facilitators and barriers, processes, proximal outcomes, and distal outcomes of self- and family management and their relationships. CONCLUSIONS: We offer the revised framework as a model that can be used in studies aimed at advancing self- and family management science. The use of the framework to guide studies would allow for the design of studies that can address more clearly how self-management interventions work and under what conditions.
BACKGROUND: Research on self- and family management of chronic conditions has advanced over the past 6 years, but the use of simple frameworks has hampered the understanding of the complexities involved. PURPOSE: We sought to update our previously published model with new empirical, synthetic, and theoretical work. METHODS: We used synthesis of previous studies to update the framework. DISCUSSION: We propose a revised framework that clarifies facilitators and barriers, processes, proximal outcomes, and distal outcomes of self- and family management and their relationships. CONCLUSIONS: We offer the revised framework as a model that can be used in studies aimed at advancing self- and family management science. The use of the framework to guide studies would allow for the design of studies that can address more clearly how self-management interventions work and under what conditions.
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