Skip to main content
Log in

Patient-Perceived Self-Management Tasks and Support Needs of People with Chronic Illness: Generic or Disease Specific?

  • Original Article
  • Published:
Annals of Behavioral Medicine

Abstract

Background

Self-management is widely accepted as an essential component of chronic care. Nevertheless, little is known about patients’ perceptions of self-management.

Purpose

This study aims to explore which self-management tasks and support needs people with chronic illness perceive for themselves, and to establish whether these tasks and support needs are disease specific.

Methods

A nationwide representative sample of 2,064 people with chronic disease filled in the Patient Assessment of Self-management Tasks questionnaire.

Results

Many respondents perceive self-management tasks in the daily management of their condition, although few indicate a need for support. Respondents who feel a need for support in one aspect of self-management are likely to feel a need for support in other aspects as well. Type of disease has a small effect on self-management tasks and even smaller on support needs.

Conclusion

Although the self-management tasks patients perceive may be partly disease specific, self-management support does not necessarily need to be disease specific.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Yach D, Hawkes C, Gould C, Hofman K. The global burden of chronic disease: overcoming impediments to prevention and control. JAMA. 2004; 291: 2616-2622.

    Article  CAS  PubMed  Google Scholar 

  2. WHO. Global Status Report on Global Non-communicable Disease 2010. Geneva: WHO Document Production Services; 2011.

    Google Scholar 

  3. 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: 177-187.

    Article  PubMed  Google Scholar 

  4. Clark N, Becker M, Janz N, Lorig K, Rakowski W, Anderson L. Self-management of chronic disease by older adults. J Aging Health. 1991; 3: 3-27.

    Article  Google Scholar 

  5. Glasgow R, David C, Funnell M, Beck A. Implementing practical interventions to support chronic illness self-management. Joint Comm J Qual Safety. 2003; 29: 563-574.

    Google Scholar 

  6. Lorig K, Holman H. Self-management education: history, definition, outcomes and mechanisms. Ann Behav Med. 2003; 26: 1-7.

    Article  PubMed  Google Scholar 

  7. Redman B. The ethics of self-management preparation for chronic illness. Nursing Ethics. 2005; 12: 360-369.

    Article  PubMed  Google Scholar 

  8. Newman S, Steed L, Mulligan K. Self-management interventions for chronic illness. Lancet. 2004; 364: 1523-1537.

    Article  PubMed  Google Scholar 

  9. Jerant AF, Von Friederichs-Fitzwater MM, Moore M. Patients’ perceived barriers to active self-management of chronic conditions. Patient Educ Couns. 2005; 57: 300-307.

    Article  PubMed  Google Scholar 

  10. Jordan J, Osborn R. Chronic disease self-management education programs: challenges ahead. Med J Aust. 2007; 186: 84-87.

    PubMed  Google Scholar 

  11. Rijken M, Jones M, Heijmans M, Dixon A. Supporting self-management. In: Nolte E, McKee M, eds. Caring for People with Chronic Conditions. A Health System Perspective. Berkshire, UK: Open University Press; 2008: 116-142.

    Google Scholar 

  12. Warsi A, Wang P, LaValley M, Avorn J, Solomon D. Self-management education programs in chronic disease: a systematic review and methodological critique of the literature. Arch Intern Med. 2004; 164: 1641-1649.

    Article  PubMed  Google Scholar 

  13. Foster G, Taylor SJ, Eldridge SE, Ramsay J, Griffiths CJ. Self-management education programmes by lay leaders for people with chronic conditions. Cochrane Database Syst Rev. 2007;CD005108.

  14. Deakin TA, McShane CE, Cade JE, Williams R. Group based training for self-management strategies in people with type 2 diabetes mellitus. Cochrane Database Syst Rev. 2005;(2):CD003417.

  15. Gibson PG, Powell H, Wilson A, et al. Self-management education and regular practitioner review for adults with asthma. Cochrane Database Syst Rev. 2002;(2):CD001117.

  16. Gardetto N. Self-management in hearth failure: where have we been and where should we go? J Multidiscip Healthc. 2011; 4: 39-51.

    Article  PubMed Central  PubMed  Google Scholar 

  17. Ursum J, Rijken M, Heijmans M, Cardol M, Schellevis F. Zorg voor chronisch zieken: Organisatie van zorg, zelfmanagement, zelfredzaamheid en participatie. Utrecht: NIVEL; 2011.

    Google Scholar 

  18. Trappenburg J, Jonkman N, Jaarsma T, et al. Self-management: one size does not fit all. Patient Educ Couns. 2013; 92: 134-137.

    Article  PubMed  Google Scholar 

  19. DiMatteo M, Haskard K, Williams S. Health beliefs, disease severity, and patient adherence. A meta-analysis. Med Care. 2007; 45: 521-528.

    Article  PubMed  Google Scholar 

  20. Jansen D, Grootendorst D, Rijken M, et al. Predialysis patients’ perceives autonomy, self-esteem and labour participation: associations with illness perceptions and treatment perceptions. A cross-sectional study. BMC Nephrol. 2010;11.

  21. Kaptein A, Hughes B, Scharloo M, et al. Illness perceptions about asthma are determinants of outcome. J Asthma. 2008; 45: 459-464.

    Article  PubMed  Google Scholar 

  22. Leventhal H, Diefenbach M. Illness cognition: using common sense to understand treatment adherence and affect cognition interactions. Cogn Ther Res. 1992; 16: 143-163.

    Article  Google Scholar 

  23. Scharloo M, Kaptein A, Weinman J, et al. Illness perceptions, coping and functioning in patients with rheumatoid arthritis, chronic obstructive pulmonary disease and psoriasis. J Psychosom Res. 1998; 44: 573-585.

    Article  CAS  PubMed  Google Scholar 

  24. Lazarus R, Folkman S. Stress, Appraisal, and Coping. New York: Pergamon; 1984.

    Google Scholar 

  25. Heijmans M, Rijken M, Foets M, De Ridder D, Schreurs K, Bensing J. The stress of being chronically ill: from disease-specific to task-specific aspects. J Behav Med. 2004; 27: 255-271.

    Article  PubMed  Google Scholar 

  26. Lorig KR, Ritter P, Stewart AL, et al. Chronic disease self-management program: 2-year health status and health care utilization outcomes. Med Care. 2001; 39: 1217-1223.

    Article  CAS  PubMed  Google Scholar 

  27. Rijken M, Bekkema N, Boeckxstaen P, Schellevis FG, Maeseneer JM de, Groenewegen PP. Chronic Disease Management Programmes: an adequate response to patients’ needs? Health Expectations. 2012.

  28. Rijken M, Bensing J. Het nationaal Patiëntenpanel Chronisch Zieken. Een onderzoeksinfrastructuur voor patiëntengericht onderzoek. Utrecht: NIVEL; 2000.

    Google Scholar 

  29. Rijken M, Groenewegen P. Money does not bring well-being, but it does help! The relationship between financial resources and life satisfaction of chronically ill mediated by social deprivation and loneliness. J Commun Appl Soc Psychol. 2008; 18: 39-53.

    Article  Google Scholar 

  30. Bayliss E, Steiner J, Fernald D, Crane L, Main D. Descriptions of barriers to self-care by persons with comorbid chronic diseases. Ann Fam Med. 2003; 1: 15-21.

    Article  PubMed Central  PubMed  Google Scholar 

  31. Lamberts H, Wood M. ICPD. International Classification of Primary Care. Oxford: Oxford University Press; 1987.

    Google Scholar 

  32. Hooper D, Coughlan J, Mullen M. Structural equation modelling: guidelines for determining model fit. Electron J Bus Res Methods. 2008; 6: 53-60.

    Google Scholar 

  33. Jörskog K, Sörbom D. LISREL 8: Structural Equation Modelling with the SIMPLIS Command Language. Chicago: Scientific Software International Inc.; 1993.

    Google Scholar 

  34. Hu L, Bentler P. Cutoff criteria for fit indexes in covariance structure analysis: conventional criteria versus new alternatives. Struct Equ Model. 1999; 6: 1-55.

    Article  Google Scholar 

  35. Dekker J, Rijken M, van Poppels M, de Bruin A. The possession of technical aids among persons with somatic chronic disease. Disabil Rehabil. 2003; 26: 393-398.

    Google Scholar 

  36. Elissen A, Nolte E, Knai C, et al. Is Europe putting theory into practice? A qualitative study of level of self-management support in chronic care approaches. BMC Health Serv Res. 2013; 13: 117-126.

    Article  PubMed Central  PubMed  Google Scholar 

  37. Rabiau M, Knauper B, Miquelon P. The external quest for optimal balance between maximizing pleasure and minimizing harm: the compensatory health beliefs model. Br J Health Psychol. 2006; 11: 139-153.

    Article  Google Scholar 

Download references

Acknowledgments

The authors thank all people who responded to the questionnaires.

Support

This study formed part of the research program “National Panel of people with Chronic illness or Disability”, which is financed by the Netherlands Ministry of Public Health, Welfare and Sports and the Netherlands Ministry of Social Affairs and Employment. This study is part of a PhD project that is financed by the Netherlands Ministry of Education, Culture and Science.

Authors’ Statement of Conflict of Interest and Adherence to Ethical Standards

Lieke van Houtum, Monique Heijmans, Mieke Rijken, and Peter Groenewegen declare that they have no conflict of interest. All procedures, including the informed consent process, were conducted in accordance with the Helsinki Declaration of 1975, as revised in 2000. According to the Dutch Medical Research Involving Human Subjects Act, this study does not require ethics approval.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Lieke van Houtum MSc.

Electronic supplementary material

Below is the link to the electronic supplementary material.

ESM 1

(DOCX 14 kb)

ESM 2

(DOCX 28.7 kb)

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

van Houtum, L., Rijken, M., Heijmans, M. et al. Patient-Perceived Self-Management Tasks and Support Needs of People with Chronic Illness: Generic or Disease Specific?. ann. behav. med. 49, 221–229 (2015). https://doi.org/10.1007/s12160-014-9649-0

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12160-014-9649-0

Keywords

Navigation