Evolution of a conceptual model for adaptation to chronic illness

Area of Science:

• Nursing
• Health Informatics
• Chronic Illness Management

Background:

• The Women to Women (WTW) Conceptual Model was developed to address the unique needs of chronically ill women.
• Middle-aged women in rural areas face specific challenges in managing chronic conditions.
• A computer-based intervention was designed to provide support and health information.

Purpose of the Study:

• To describe the developmental trajectory of the Women to Women Conceptual Model for Adaptation to Chronic Illness.
• To trace the evolution from a single concept to a comprehensive, multiconcept model.
• To detail the adaptation constructs and theoretical concepts within the model.

Main Methods:

• A three-phase, computer-based research intervention was implemented.
• The study involved chronically ill middle-aged women residing in rural intermountain West areas.
• The conceptualization process of the WTW project was retrospectively analyzed.

Main Results:

• The WTW model evolved into an explanatory, multiconcept framework.
• Key constructs include environmental stimuli, psychosocial response, and illness management.
• Related concepts encompass stimuli, psychosocial adaptation, chronic illness self-management, and quality of life, with empirical indicators and measures.

Conclusions:

• The computer-based intervention demonstrates efficacy in enhancing chronic illness self-management for rural women.
• Further testing will refine the intervention for broader application.
• The intervention is suitable for adaptation by advanced practice nurses, particularly in isolated rural settings.