A model of self-regulation for control of chronic disease

Health Educ Behav. 2001 Dec;28(6):769-82. doi: 10.1177/109019810102800608.


Chronic disease poses increasing threat to individual and community health. The day-to-day manager of disease is the patient who undertakes actions with the guidance of a clinician. The ability of the patient to control the illness through an effective therapeutic plan is significantly influenced by social and behavioral factors. This article presents a model of patient management of chronic disease that accounts for intrapersonal and extemal influences on management and emphasizes the central role of self-regulatory processes in disease control. Asthma serves as a case for exploration of the model. Findings from a 5-year study of 637 children with asthma and their care-taking parents supported that the self-regulation elements of the model were reasonably stable over time and baseline values were predictive of important disease management outcomes.

Publication types

  • Research Support, U.S. Gov't, P.H.S.

MeSH terms

  • Asthma / psychology*
  • Asthma / therapy
  • Chronic Disease
  • Health Behavior
  • Health Knowledge, Attitudes, Practice
  • Internal-External Control
  • Patient Participation / psychology
  • Self Care / psychology*
  • Self Efficacy
  • Social Support