A revised Self- and Family Management Framework

Margaret Grey; Dena Schulman-Green; Kathleen Knafl; Nancy R Reynolds

doi:10.1016/j.outlook.2014.10.003

A revised Self- and Family Management Framework

Nurs Outlook. 2015 Mar-Apr;63(2):162-70. doi: 10.1016/j.outlook.2014.10.003. Epub 2014 Oct 15.

Authors

Margaret Grey¹, Dena Schulman-Green², Kathleen Knafl³, Nancy R Reynolds²

Affiliations

¹ Yale University School of Nursing, West Haven, CT. Electronic address: Margaret.grey@yale.edu.
² Yale University School of Nursing, West Haven, CT.
³ University of North Carolina at Chapel Hill, Chapel Hill, NC.

PMID: 25771190
DOI: 10.1016/j.outlook.2014.10.003

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.

Keywords: Chronic conditions; Family management; Frameworks; Self-management.

MeSH terms

Chronic Disease / therapy*
Disease Management*
Family Nursing / organization & administration*
Humans
Outcome and Process Assessment, Health Care*
Self Care*