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A Middle-Range Explanatory Theory of Self-Management Behavior for Collaborative Research and Practice
1Postdoctoral Associate, Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, MA.
This study analyzed self-management behaviors, defining them as proactive and reactive actions influenced by personal characteristics and support systems. The findings aim to improve disease management interventions and clinical practice.
Area of Science:
- Nursing Science
- Health Behavior Research
Background:
- Self-management behaviors are crucial in chronic illness management.
- International health organizations utilize these behaviors for intervention development.
Purpose of the Study:
- To conduct a concept analysis of self-management behaviors.
- To clarify the theoretical definition and middle-range theory of self-management behaviors.
Main Methods:
- Concept analysis using Orem's self-care framework.
- Walker and Avant's eight-step concept analysis approach.
- Systematic literature search of academic databases (April 2001-March 2015).
Main Results:
- 189 journal articles were reviewed.
- Self-management behaviors encompass proactive (lifestyle, planning) and reactive (coping with change) actions.
- Antecedents include physical, psychological, socioeconomic, cultural characteristics, and support systems.
Conclusions:
- The refined definition and theory of self-management behaviors will inform future research.
- This work supports collaborative research and clinical practice in disease management.
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