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Self-Management Support

KEY ACTIONS FOR SELF-MANAGEMENT SUPPORT

  • Ensure patient participation in the process of care;
  • Promote the use of lay or peer educators;
  • Use group visits;
  • Develop patient self-regulatory skills (i.e., managing health, role and emotions related to chronic conditions);
  • Promote patient communication skills (especially with regard to interactions with health professionals and the broader health system);
  • Negotiate with patient goals for specific and moderately challenging health behavior change;
  • Stimulate patient self-monitoring (keeping track of behaviors);
  • Promote environmental modification (creating a context to maximize success);
  • Ensure self-reward (reinforcing one’s behavior with immediate, personal, and desirable rewards);
  • Arrange social support (gaining the support of others); 
  • Use the 5As approach during routine clinical encounters.

EXAMPLES OF EFFECTIVE INTERVENTIONS

  • Group based self-management support for people with type 2 diabetes (Deakin)
  • Self-monitoring of blood pressure specially adjunct to care (Glynn)
  • Patient educational intervention for the management of cancer pain alongside traditional analgesic approaches (Bennett)
  • Patient educational intervention using the 5 As for reducing smoking, harmful use of alcohol and weight management (Goldstein)
  • Training for better control blood glucose and dietary habits for people with type 2 diabetes (Norris)
  • Lay educator led self-management program for people with chronic conditions, including arthritis, diabetes, asthma and COPD, heart disease and stroke (ASMP, National Primary Care Research, Kennedy)
  • Self-management support that involves a written action plan, self-monitoring and regular medical review for adults with asthma (Gibson)
  • Self-management support for people with heart failure to reduce hospital readmission (Jovicic 2006)
  • Patient oriented interventions such as those focused on education or adherence to treatment (Renders)

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Last Updated on Monday, 15 April 2013 11:03

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