Self-management interventions

doi:10.1017/CBO9780511543579.087

Self-management interventions

from Psychology, health and illness

Published online by Cambridge University Press: 18 December 2014

Kathleen Mulligan and

Edited by

John Weinman and

Kathleen Mulligan: Affiliation:
University College London
Stanton Newman: Affiliation:
University College London
Susan Ayers: Affiliation:
University of Sussex
Andrew Baum: Affiliation:
University of Pittsburgh
Chris McManus: Affiliation:
St Mary's Hospital Medical School
Stanton Newman: Affiliation:
University College and Middlesex School of Medicine
Kenneth Wallston: Affiliation:
Vanderbilt University School of Nursing
John Weinman: Affiliation:
United Medical and Dental Schools of Guy's and St Thomas's
Robert West: Affiliation:
St George's Hospital Medical School, University of London

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Summary

Background

Living with a chronic illness places many demands on the patient. These may include self-monitoring of symptoms or physiological measures, such as blood sugar in diabetes, taking medication and making lifestyle changes. Healthcare professionals provide advice about what action to take, but the responsibility for integrating these actions into their daily lives rests with the patients who also have to cope with changes in life roles and the emotional demands a chronic illness can bring (see ‘Coping with chronic illness’). The patients' role in their care is referred to as ‘self-management’, which has been defined as ‘the individual's ability to manage the symptoms, treatment, physical and psychosocial consequences and life style changes inherent in living with a chronic condition’ (Barlow et al., 2002). It can, however, be difficult for people to self-manage all of these aspects of their illness effectively, resulting in poor health outcomes and impaired quality of life.

Theoretical influences

While ‘self-management’ refers to what individuals do to deal with their illnesses, it is also the term that is increasingly used to describe interventions that have been developed to help patients self-manage more effectively. A traditional approach to addressing self-management is for healthcare professionals to provide patients with more information about their illness and its treatment in the expectation that increased knowledge will lead to enhanced self-management. This approach tends to pay little attention to patients' beliefs about their illness and its treatment or the difficulties they may have in incorporating medical recommendations into their daily lives.

Type: Chapter
Information: Cambridge Handbook of Psychology, Health and Medicine , pp. 393 - 397

DOI: https://doi.org/10.1017/CBO9780511543579.087 [Opens in a new window]

Publisher: Cambridge University Press

Print publication year: 2007

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