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: 0.74). 12/2012; 39(4):649-660. DOI: 10.1016/j.pop.2012.08.006
Source: PubMed


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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Available from: Adabel Lee, Feb 27, 2014
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    • "To allow increased patient responsibilities and involvement in decision-making process, some basic buildings blocks are required: (a) a good information flow, (b) a trust relationship, (c) a power shift between health staff and patients, and (d) problem-solving and decision-making skills [23,27,32]. These skills together with a sense of ownership are crucial for the patients to recognise and deal with their conditions, and not to perceive decisions and solutions as imposed obligations. "
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    • "Regardless of training level or setting, effective healthcare providers demonstrate the following functions with patients: (1) provide information to be applied in daily life; (2) build skills; (3) monitor health status; (4) shape positive health behaviors; (5) create social networks that support change; and (6) address environmental barriers (e.g., transport to hospitals) [7]. These tasks can be facilitated by using mobile phones for a specific activity, or by a system of applications that are able to inform, train, monitor, shape, support, or link providers or patients in need of services for a specific health outcome. "
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