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Construction of a Theoretical Model of Chronic Disease Self-Management: Self-Management Within a Syndemic
Julie Zuñiga1, Whitney Thurman, Chelsi West Ohueri
1Author Affiliations: The University of Texas at Austin, Austin (Drs Zuñiga, Thurman, West Ohueri, Cho, and García and Ms Chineyemba); Regis College, Weston, Massachusetts (Dr Martin); University of California San Diego, San Diego (Dr Mathews); University of San Francisco, San Francisco, California (Dr Christopoulos); and University of North Carolina, Chapel Hill (Dr Davy-Mendez).
Abstract:
The purpose of this article is to describe a model of chronic disease self-management that incorporates the complexity of social and environmental interactions experienced by people who self-manage chronic conditions. This study combines quantitative data from a large national research cohort and qualitative interviews to test and refine a self-management model. The self-management within a syndemic model depicts the contextual, psychological, and social factors that predict self-management behaviors and clinical and long-term outcomes.
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