Adoption of Self-Management Interventions for Prevention and Care.

Global Center for Children and Families, Semel Institute for Neuroscience and Human Behavior, 10920 Wilshire Boulevard, Suite 350, University of California at Los Angeles, Los Angeles, CA 90024-6521, USA. Electronic address: .
Primary care (Impact Factor: 0.83). 12/2012; 39(4):649-660. DOI: 10.1016/j.pop.2012.08.006
Source: PubMed

ABSTRACT Seventy-five percent of health care costs can be attributed to chronic diseases, making prevention and management imperative. Collaborative patient self-management in primary care is efficacious in reducing symptoms and increasing quality of life. In this article, the authors argue that self-management interventions span the continuum of prevention and disease management. Self-management interventions rest on a foundation of 5 core actions: (1) activate motivation to change, (2) apply domain-specific information from education and self-monitoring, (3) develop skills, (4) acquire environmental resources, and (5) build social support. Several delivery vehicles are described and evaluated in terms of diffusion and cost-containment goals.

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May 29, 2014