Abstract
The overall purpose of this chapter is to provide an overview about self-management. It will enable the nurse to understand what self-management is and learn some of the tools and techniques which may help nurses to guide and support individuals with arthritis and other rheumatological conditions to self-manage effectively.
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References
Agency for Healthcare Research and Quality. Self management support—content last reviewed October 2018. 2019. http://www.ahrq.gov/professionals/prevention-chronic-care/improve/self-mgmt/index.html. Accessed 19 Jan 2019.
Bandura A. Self-efficacy: toward a unifying theory of behavioural change. Psychol Rev. 1977;84(2):191–215. https://doi.org/10.1037/0033-295X.84.2.191.
Bandura A. Perceived self-efficacy in the exercise of control over AIDS infection. Eval Prog Policy. 1990;13:9–17.
Barlow J, Wright C, Sheasby J, Turner A, Hainsworth J. Self-management approaches for people with chronic conditions: a review. Patient Educ Couns. 2002;48:177–87.
Battersby M, Harvey P, Mills PD, Kalucy E, Pols RG, Firth PA, et al. SA HealthPlus: a controlled trial of a statewide application of a generic model of chronic illness care. Millbank Q. 2007;85:37–67. https://doi.org/10.1111/j.1468-0009.2007.00476.x.
Bodenheimer T, Lorig K, Holman H, Grumbach. Patient self-management of chronic disease in primary care. JAMA. 2002;288(19):2469–75.
Boger E, Ellis J, Latter S, Foster C, Kennedy A, Jones F, et al. Self-management and self-management support outcomes: a systematic review and mixed research synthesis of stakeholder views. PLoS One. 2015;10(7):1–25. https://doi.org/10.1371/journal.pone.0130990.
Bovend’Eerdt TJH, Botell RC, Wade DT. Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide. Clin Rehabil. 2009;23:352–61. https://doi.org/10.1177/0269215508101741.
Brady TJ, Murphy L, O’Colmain BJ, Beauchesne D, Daniels B, Greenberg M, et al. A meta-analysis of health status, health behaviors, and health care utilisation outcomes of the chronic disease self-management program. Prev Chronic Dis. 2013;10:1–14. https://doi.org/10.5888/pcd10.120112.
Buszewicz M, Rait G, Griffin M, Nazareth I, Patel A, Atkinson A, et al. Self management of arthritis in primary care: randomized controlled trial. BMJ. 2006;333:879. https://doi.org/10.1136/bmj.38965.375718.80.
CentreForum Mental Health Commission. The pursuit of happiness: a new ambition for our mental health. London: CentreForum; 2014.
Clark NM, Becker MH, Janz NK, Lorig K, Rakowski W, Anderson L. Self-management of chronic disease in older adults: a review and questions for research. J Ageing Health. 1991;3(1):3–27. https://doi.org/10.1177/089826439100300101.
Cook C, Pietrobon R, Hegedus E. Osteoarthritis and the impact of quality of life health indicators. Rheumatol Int. 2007;27:315–21. https://doi.org/10.1007/s00296-006-0269-2.
Coster S, Norman I. Cochrane reviews of educational and self-management interventions to guide nursing practice: a review. Int J Nurs Stud. 2009;46(4):508–28. https://doi.org/10.1016/j.ijnurstu.2008.09.009.
De Silva D. Evidence: helping people help themselves. A review of the evidence considering whether it is worthwhile to support self-management. London: The Health Foundation; 2011.
Department of Health. Supporting people with long-term conditions: an NHS and social care model to support local innovation and integration. London: Department of Health; 2005a.
Department of Health. MORI survey: public attitudes to self care baseline survey. London: Department of Health; 2005b.
Department of Health. Your health your way – a guide to long term conditions and self care. London: Department of Health; 2009.
Dixon-Woods M, Baker R, Charles K, Dawson J, Jerzembek G, Martin G, et al. Culture and behavior in the English National Health Service: overview of lessons from a large multimethod study. BMJ Qual Saf. 2014;23(2):106–15. https://doi.org/10.1136/bmjqs-2013-001947.
Doran GT. There’s a S.M.A.R.T way to write management’s goal and objectives. Manag Rev. 1981;70(11):35–6.
Du S, Yuan C, Xiao X, Chu J, Qiu Y, Qian H. Self-management programs for chronic musculoskeletal pain conditions: a systematic review and meta-analysis. Patient Educ Couns. 2011;85(3):e299–310. https://doi.org/10.1016/j.pec.2011.02.021.
Dziedzic KS, Healey EL, Porcheret M, Afolabi EK, Lewis M, Morden A, et al. Implementing core NICE guidelines for osteoarthritis in primary care with a model consultations (MOSAICS): a cluster randomised controlled trial. Osteoarthr Cartil. 2018;26:43–53. https://doi.org/10.1016/j.joca.2017.09.010.
Fisher EB, Boothroyd RI, Elstad EA, Hays L, Henes A, Maslow GP, et al. Peer support of complex health behaviors in prevention and disease management with special reference to diabetes: systematic reviews. Clin Diabetes Endocrinol. 2017;3(4) https://doi.org/10.1186/s40842-017-0042-3.
Fox R. Informed choice in screening programmes: do leaflets help? A critical literature review. J Public Health (Oxf). 2006;28(4):309–17.
Gauntlett-Gilbert J, Brook P. Living well with chronic pain: the role of pain-management programmes. BJA Educ. 2018;18(1):3–7. https://doi.org/10.1016/j.bjae.2017.09.001.
Georgopoulou S, Pothero L, Lempp H, Galloway J, Sturt J. Motivational interviewing: relevance in the treatment of rheumatoid arthritis? Rheumatology (Oxford). 2016;55:1348–56. https://doi.org/10.1093/rheumatology/kev379.
Heisler M, Vijan S, Anderson RM, Ubel PA, Bernstein SJ, Hofer TP. When do patients and their physicians agree on diabetes treatment goals and strategies, and what difference does it make? J Gen Intern Med. 2003;18(11):893–902.
Hibbard J, Gilburt H. Supporting people to manage their health: an introduction to patient activation. The King’s Fund. 2014. www.kingsfund.org.uk/sites/default/files/field/field_publication_file/supporting-people-manage-health-patient-activation-may14.pdf. Accessed 16 Jan 2019.
Hurley MV, Walsh NE, Mitchell HL, Pimm TJ, Patel A, Williamson E, et al. Clinical effectiveness of a rehabilitation program integrating exercise, self-management, and active coping strategies for chronic knee pain: a cluster randomized trial. Arthritis Rheum. 2007;57(7):1211–9. https://doi.org/10.1002/art.22995.
Hurley MV, Walshe NE, Mitchell H, Nicholas J, Patel A. Long-term outcomes and costs of an integrated rehabilitation program for chronic knee pain: a pragmatic, cluster randomized, controlled trial. Arthritis Care Res. 2012;64(2):238–47. https://doi.org/10.1002/acr.20642.
IOM (Institute of Medicine). In: Adams K, Corrigan JM, editors. Priority areas for national action: transforming health care quality. Washington, DC: National Academy Press; 2003.
Jerant AF, von Friederichs-Fitzwater MM, Moore M. Patients’ perceived barriers to active self-management of chronic conditions. Patient Educ Couns. 2005;57:300–7. https://doi.org/10.1016/j.pec.2004.08.004.
Keefe FJ, Lefebvre JC, Kerns RD, Rosenberg R, Beaupre P, Prochaska J, et al. Understanding the adoption of arthritis self-management: stages of change profiles among arthritis patients. Pain. 2000;87:303–13.
Kennedy A, Reeves D, Bower P, Lee V, Middleton E, Richardson G, et al. The effectiveness and cost effectiveness of a national lay-led self care support programme for patients with long-term conditions: a pragmatic randomised controlled trial. J Epidemiol Community Health. 2007;61(3):254–61. https://doi.org/10.1136/jech.2006.053538.
Kennedy A, Bower P, Reeves D, Blakeman T, Bowen R, Chew-Graham C, et al. Implementation of self-management support for long term conditions in routine primary care settings: cluster randomised controlled trial. Br Med J. 2013;346:f2882. https://doi.org/10.1136/bmj.f2882.
Kennedy A, Rogers A, Bowen R, Lee V, Blakeman T, Gardner C, et al. Implementing, embedding and integrating self-management support tools for people with long-term conditions in primary care nursing: a qualitative study. Int J Nurs Stud. 2014;51:1103–13. https://doi.org/10.1016/j.ijnurstu.2013.11.008.
Lawn S, Schoo A. Supporting self-management of chronic health conditions: common approaches. Patient Educ Couns. 2010;80:205–11. https://doi.org/10.1016/j.ppec.2009.10.006.
Lindner H, Menzies D, Kelly J, Taylor S, Shearer M. Coaching for behavior change in chronic disease: a review of the literature and the implications for coaching as a self-management intervention. Aust J Prim Health. 2003;9:177–85.
Lorig KR, Holman HR. Self-management education: history, definition, outcomes and mechanisms. Ann Behav Med. 2003;26(1):1–7. https://doi.org/10.1207/S15324796ABM2601_01.
Lorig K, Lubeck D, Kraines RG, Seleznick M, Holman HR. Outcomes of self-help education for patients with arthritis. Arthritis Rheum. 1985;28:680–5.
Lorig KR, Sobel DS, Stewart AL, Brown BW Jr, Bandura A, Ritter P, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care. 1999;37:5–14.
Lorig KR, Ritter P, Steward AL, Sobel DS, Brown BW Jr, Bandura A, et al. Chronic disease self-management program: 2-year health status and healthcare utilization outcomes. Med Care. 2001;39:1217–23.
Lorig KR, Ritter PL, Laurent DD, Plant K. The internet-based arthritis self-management programme: a one-year randomized trial for patients with arthritis or fibromyalgia. Arthritis Care Res. 2008;59(7):1009–17. https://doi.org/10.1002/art.23817.
McHugh GA, Campbell M, Luker KA. Quality of care in individuals with osteoarthritis: a longitudinal study. J Eval Clin Pract. 2012;18(3):534–41. https://doi.org/10.1111/j.1365-2753.2010.01616.x.
McHugh GA, Conaghan PG, McConville M, Cullen A, Hadi MA, Kingsbury SR. Promoting self-management in older people with arthritis: preliminary findings of the Northern Ireland Staying Connected Programme. Musculoskeletal Care. 2018;16:489–93. https://doi.org/10.1002/msc.1353.
Miller WR, Rollnick S. Motivational interviewing: preparing people to change addictive behavior. New York: Guilford Press; 1991.
Morley S, Williams A, Eccleston C. Examining the evidence about psychological treatments for chronic pain: time for a paradigm shift? Pain. 2013;154:1929–31.
National Voices. Supporting self-management. 2014. https://www.nationalvoices.org.uk/sites/default/files/public/publications/supporting_self-management.pdf. Accessed 11 Jan 2019.
National Voices. Person-centred care in 2017. London: National Voices; 2017.
Newbould J, Taylor D, Bury M. Lay-led self-management in chronic illness: a review of the evidence. Chronic Illn. 2006;2:249–61. https://doi.org/10.1177/17423953060020040401.
Newman S, Steed L, Mulligan. Self-management interventions for chronic illness. Lancet. 2004;364:1523–37. https://doi.org/10.1016/S0140-6736(04)17277-2.
NHS England. Patient activation. 2019a. https://www.england.nhs.uk/ourwork/patient-participation/self-care/patient-activation/. Accessed 16 Jan 2019.
NHS England. NHS long term plan. 2019b. Available from: https://www.longtermplan.nhs.uk. Accessed 5 Feb 2019.
NHS Innovation Accelerator. Award-winning ESCAPE-pain programme now online. 2018. https://nhsaccelerator.com/award-winning-escape-pain-programme-now-online/. Accessed 5 Feb 2019.
NICE. Osteoarthritis: care and management. 2014. https://www.nice.org.uk/guidance/cg177. Accessed 19 Jan 2019.
Niedermann K, Fransen J, Knols R, Uebelhart D. Gap between short-and long-term effects of patient education in rheumatoid arthritis patients: a systematic review. Arthritis Rheum. 2004;51(3):388–98. https://doi.org/10.1002/art.20399.
Paskins Z, Sanders T, Hassell AB. Comparison of patient experiences of the osteoarthritis consultation with GP attitudes and beliefs to OA: a narrative review. BMC Fam Pract. 2014;15:46. https://doi.org/10.1186/1471-2296-15-46.
Paskins Z, Sanders T, Croft PR, Hassell AB. The identity crisis of osteoarthritis in general practice: a qualitative study using video-stimulated. Ann Fam Med. 2015;13(6):537–44. https://doi.org/10.1370/afm.1866.
Pitt VJ, O’Connor D, Green S. Referral of people with osteoarthritis to self-management programmes: barriers and enablers identified by general practitioners. Disabil Rehabil. 2008;30(25):1938–46. https://doi.org/10.1080/09638280701774233.
Prochaska JO, DiClemente CC. Stages and processes of self-change of smoking: toward an integrative model of change. J Consult Clin Psychol. 1983;51:390–5.
Protheroe J, Rogers A, Kennedy AP, Macdonald W, Lee V. Promoting patient engagement with self-management support information: a qualitative meta-synthesis of processes influencing uptake. Implement Sci. 2008;3:44. https://doi.org/10.1186/1748-5908-3-44.
Public Health England. A guide to community-centred approaches for health & wellbeing. London: Public Health England & NHS England; 2015.
Rogers A. Expert patients’ programme: evidence expert review – NICE. 2019. https://www.nice.org.uk/guidance/ph19/evidence/expert-paper-1-pdf-371292301. Accessed 6 Feb 2019.
Rollnick S, Allison J. Motivational interviewing. In: Heather N, Stockwell T, editors. The essential handbook of treatment and prevention of alcohol problems. Hoboken, NJ: Wiley; 2004. p. 105–16.
Rollnick S, Miller WR. What is motivational interviewing? Behav Cognit Psychother. 1995;23:325–34.
Smith TO, Davies L, McConnell L, Cross J, Hing CB. Self-management programmes for people with osteoarthritis: a systematic review and meta-analysis. Curr Rheumatol Rev. 2013;9:165–75.
Smith TO, Purdy R, Lister S, Salter C, Fleetcroft R, Conaghan P. Living with osteoarthritis: a systematic review and meta-ethnography. Scan J Rheumatol. 2014;43(6):441–52. https://doi.org/10.3109/03009742.2014.894569.
The Evidence Centre and Health Education East of England. Does health coaching work? Summary of key themes from a rapid review of empirical evidence. The Evidence Centre and Health Education East of England. 2014. https://eoeleadership.hee.nhs.uk/sites/default/files/Does%20health%20coaching%20work%20-%20a%20review%20of%20empirical%20evidence_0.pdf. Accessed 13 Jan 2019.
The Health Foundation. A practical guide to self-management support. Key components for successful implementation. London: The Health Foundation; 2015.
Thomson LJ, Camic PM, Chatterjee HJ. Social prescribing: a review of community referral schemes. London: UCL; 2015.
Thorne SE, Ternulf Nyhlin K, Paterson BL. Attitudes toward patient expertise in chronic illness. Int J Nurs Stud. 2000;37:303–11.
Van Hooft SM, Dwarswaard J, Bal R, Strating MM, van Staff AL. What factors influence nurses’ behavior in supporting patient self-management? An explorative questionnaire study. Int J Nurs Med. 2016;63:65–72. https://doi.org/10.1016/j-ijnurstu.2016.08.017.
Wagner EH, Bennett SM, Austin BT, Greene SM, Schaefer JK, Vonkorff M. Finding common ground: patient-centeredness and evidence-based chronic illness care. J Altern Complement Med. 2005;11(Suppl 1):s7–s15. https://doi.org/10.1089/acm.2005.11.s-7.
Warsi A, LaValley MP, Wang PS, Avorn J, Solomon DH. Arthritis self-management education programs: a meta-analysis of the effect on pain and disability. Arthritis Rheum. 2003;48(8):2207–13. https://doi.org/10.1002/art.11210.
World Health Organization. Regional Office for South-East Asia. Self care for health. WHO Regional Office for South-East Asia. 2014. http://www.who.int/iris/handle/10665/205887. Accessed 15 Jan 2019.
Further Reading
Carrier J. Managing long-term conditions and chronic illness in primary care. A guide to good practice. Oxford: Routledge; 2015. ISBN: 978-0415-65717-4.
Lorig K, Holman H, Sobel D, Laurent D, González V, Minor M. Self-management of long-term health conditions. A handbook for people with chronic disease. Boulder, CO: Bull Publishing Company; 2014. ISBN: 978-1936693627.
National Voices. Supporting self-management. 2014. https://www.nationalvoices.org.uk/sites/default/files/public/publications/supporting_self-management.pdf. Accessed 19 Aug 2019.
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McHugh, G.A. (2020). Self-Management. In: Ryan, S. (eds) Nursing Older People with Arthritis and other Rheumatological Conditions . Perspectives in Nursing Management and Care for Older Adults. Springer, Cham. https://doi.org/10.1007/978-3-030-18012-6_12
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