A revised Self- and Family Management Framework

doi:10.1016/j.outlook.2014.10.003

Nursing Outlook

Volume 63, Issue 2, March–April 2015, Pages 162-170

https://doi.org/10.1016/j.outlook.2014.10.003 Get rights and content

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.

Section snippets

The Original Framework

Faculty at the Yale School of Nursing developed the Self- and Family Management Framework (Figure 1) from a synthesis of the foundational work of the faculty and others to organize and guide research to advance self- and family management science (Grey et al., 2006). Factors influencing self- and family management across chronic conditions as well as potential outcomes from enhanced management were articulated. Individual and family self-management were seen as interactive and influencing a

Discussion

In this revision of the Self- and Family Management Framework, we highlight the growth in understanding of self- and family management over the past several years. The revised framework is intended to reflect the complexity of self- and family management by explicating facilitators and barriers, self- and family management processes, and proximal and distal outcomes. We hope that the additions to the framework will allow for the development of new models of self-management interventions that

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ArticleResearchA revised Self- and Family Management Framework

Abstract

Background

Purpose

Methods

Discussion

Conclusions

Section snippets

The Original Framework

Discussion

Nursing Clinics of North America

Journal of Adolescent Health

Journal of Pediatrics

Nursing Outlook

Journal of Pediatric Nursing

Journal of Pediatrics

Psychiatric Clinics of North America

Patient Education and Counselling

International Journal of Nursing Studies

Journal of Pediatric Nursing

Applied Nursing Research

Social Science and Medicine

Report of a summit. The 1st annual crossing the quality chasm summit: A focus on communities

The high concentration of U. S. health care expenditures

Research in Action

Cognitive-behavioral stress management reduces distress and 24-hour urinary free cortisol output among symptomatic HIV-infected gay men

Annals of Behavioral Medicine

The integration of chronic illness self-management

Qualitative Health and Research

Healthcare routines of university students with type 1 diabetes

Journal of Advanced Nursing

Social foundations of thought and action: A social cognitive theory

Daytime sleepiness, diabetes, and psychological well-being

Issues in Mental Health Nursing

Do family interventions improve health?

Journal of Family Nursing

Self-monitoring technologies for type 2 diabetes and the prevention of cardiovascular complications: perspectives from end users

Journal of Diabetes Science & Technology

A nursing model for chronic illness management based upon the trajectory framework

Scholarly Inquiry for Nursing Practice: An International Journal

Cognitive-behavioral stress management reduces serum cortisol by enhancing benefit finding among women being treated for early stage breast cancer

Psychosomatic Medicine

An unhealthy America: The economic burden of chronic disease—Charting a new course to save lives and increase productivity and economic growth

Decreasing sedentary behaviors in treating pediatric obesity

Archives of Pediatric & Adolescent Medicine

Medical adherence and childhood chronic illness: Family daily management skills and emotional climate as emerging contributors

Current Opinion in Pediatrics

Development and maintenance costs of internet programs for youth with T1D

Diabetes

Internet psycho-education programs improve outcomes in youth with type 1 diabetes

Diabetes Care

National standards for diabetes self-management education and support

Diabetes Care

Home asthma management for rural families

Journal for Specialists in Pediatric Nursing

The Health Utilities Index (HUI®): Concepts, measurement properties and applications

Health and Quality of Life Outcomes

Exploring health behavior determinants for people with chronic illness using the constructs of planned behavior theory

Nursing Research

The future of nursing: Leading change, advancing health

Article
Research
A revised Self- and Family Management Framework