Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions
Recent shifts in health policy direction in several countries have, on the whole, translated into self-management initiatives in the hope that this approach will address the growing impact of chronic disease. Dominant approaches to self-management tend to reinforce the current medical model of chron...
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| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Nursing Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2012/282671 |
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| _version_ | 1832551140566237184 |
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| author | Elizabeth Kendall Michele M. Foster Carolyn Ehrlich Wendy Chaboyer |
| author_facet | Elizabeth Kendall Michele M. Foster Carolyn Ehrlich Wendy Chaboyer |
| author_sort | Elizabeth Kendall |
| collection | DOAJ |
| description | Recent shifts in health policy direction in several countries have, on the whole, translated into self-management initiatives in the hope that this approach will address the growing impact of chronic disease. Dominant approaches to self-management tend to reinforce the current medical model of chronic disease and fail to adequately address the social factors that impact on the lives of people with chronic conditions. As part of a larger study focused on outcomes following a chronic disease, this paper explores the processes by which a chronic disease self-management (CDSM) course impacted on participants. Five focus groups were conducted with participants and peer leaders of the course in both urban and rural regions of Queensland, Australia. The findings suggested that outcomes following CDSM courses depended on the complex interplay of four social factors, namely, social engagement, the development of a collective identity, the process of building collaborative coping capacity, and the establishment of exchange relationships. This study highlights the need for an approach to self-management that actively engages consumers in social relationships and addresses the context within which their lives (and diseases) are enacted. This approach extends beyond the psychoeducational skills-based approach to self-management into a more ecological model for disease prevention. |
| format | Article |
| id | doaj-art-bc0727806f684a979f46a9ab0b208565 |
| institution | Kabale University |
| issn | 2090-1429 2090-1437 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Nursing Research and Practice |
| spelling | doaj-art-bc0727806f684a979f46a9ab0b2085652025-02-03T06:04:58ZengWileyNursing Research and Practice2090-14292090-14372012-01-01201210.1155/2012/282671282671Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic ConditionsElizabeth Kendall0Michele M. Foster1Carolyn Ehrlich2Wendy Chaboyer3Centre for National Research on Disability and Rehabilitation Medicine, Griffith Health Institute, Griffith University, Logan Campus, Meadowbrook, QLD 4131, AustraliaSchool of Social Work & Human Services, The University of Queensland, St. Lucia, QLD 4072, AustraliaCentre for National Research on Disability and Rehabilitation Medicine, Griffith Health Institute, Griffith University, Logan Campus, Meadowbrook, QLD 4131, AustraliaNHMRC Centre of Research Excellence in Nursing Interventions for Hospitalised Patients, Research Centre for Clinical and Community Practice Innovation and Griffith Health Institute, Griffith University, Gold Coast Campus, Southport, QLD 4215, AustraliaRecent shifts in health policy direction in several countries have, on the whole, translated into self-management initiatives in the hope that this approach will address the growing impact of chronic disease. Dominant approaches to self-management tend to reinforce the current medical model of chronic disease and fail to adequately address the social factors that impact on the lives of people with chronic conditions. As part of a larger study focused on outcomes following a chronic disease, this paper explores the processes by which a chronic disease self-management (CDSM) course impacted on participants. Five focus groups were conducted with participants and peer leaders of the course in both urban and rural regions of Queensland, Australia. The findings suggested that outcomes following CDSM courses depended on the complex interplay of four social factors, namely, social engagement, the development of a collective identity, the process of building collaborative coping capacity, and the establishment of exchange relationships. This study highlights the need for an approach to self-management that actively engages consumers in social relationships and addresses the context within which their lives (and diseases) are enacted. This approach extends beyond the psychoeducational skills-based approach to self-management into a more ecological model for disease prevention.http://dx.doi.org/10.1155/2012/282671 |
| spellingShingle | Elizabeth Kendall Michele M. Foster Carolyn Ehrlich Wendy Chaboyer Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions Nursing Research and Practice |
| title | Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions |
| title_full | Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions |
| title_fullStr | Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions |
| title_full_unstemmed | Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions |
| title_short | Social Processes That Can Facilitate and Sustain Individual Self-Management for People with Chronic Conditions |
| title_sort | social processes that can facilitate and sustain individual self management for people with chronic conditions |
| url | http://dx.doi.org/10.1155/2012/282671 |
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