Chronic disease self-management: a hybrid concept analysis

Area of Science:

• Health behavior
• Chronic disease management
• Patient-centered care

Background:

• Chronic diseases necessitate chronic disease self-management (CDSM).
• Existing CDSM interventions show limited long-lasting effects.
• A comprehensive understanding of CDSM, integrating literature and patient views, is crucial for improving interventions.

Purpose of the Study:

• To describe the literature's conceptualization of CDSM.
• To identify inadequacies in the literature-based CDSM concept by comparing it with patient perspectives.
• To propose a more comprehensive definition of CDSM.

Main Methods:

• A hybrid concept analysis was employed.
• This involved analyzing existing literature and conducting fieldwork with patients.

Main Results:

• Literature defines CDSM primarily through individual characteristics.
• Patient fieldwork revealed aspects of CDSM not adequately represented in the literature.
• CDSM is a complex process influenced by multiple environmental levels.

Conclusions:

• Current literature definitions of CDSM are incomplete.
• Patient perspectives highlight the importance of environmental factors in CDSM.
• Future CDSM interventions should integrate individual and external characteristics.