Supporting self-management of chronic health conditions: common approaches.
Abstract
Objective The aims of this paper are to provide a description of the principles of chronic condition self-management, common approaches to support currently used in Australian health services, and benefits and challenges associated with using these approaches.Methods We examined literature in this field in Australia and drew also from our own practice experience of implementing these approaches and providing education and training to primary health care professionals and organizations in the field.Results Using common examples of programs, advantages and disadvantages of peer-led groups (Stanford Courses), care planning (The Flinders Program), a brief primary care approach (the 5As), motivational interviewing and health coaching are explored.Conclusions There are a number of common approaches used to enhance self-management. No one approach is superior to other approaches; in fact, they are often complimentary.Practice implications The nature and context for patients' contact with services, and patients' specific needs and preferences are what must be considered when deciding on the most appropriate support mode to effectively engage patients and promote self-management. Choice of approach will also be determined by organizational factors and service structures. Whatever self-management support approaches used, of importance is how health services work together to provide support.
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Compared with conventional psychotherapy, ACT places greater emphasis on acceptance and mindfulness, rather than changing cognitive content, to enhance caregivers' capacity and flexibility to adapt to long-term committed actions.
“Compared with conventional psychotherapy, ACT places greater emphasis on acceptance and mindfulness, rather than changing the cognitive content, to enhance caregivers’ capacity and flexibility to adapt to long-term committed actions.24,25,26,27,28”
From Acceptance and Commitment Therapy Among Informal Caregivers of People With Chronic Health Conditions: A Systematic Review and Meta-Analysis (2023) · cites this paper as [28]
A previous meta-analysis reported that ACT showed superior effects to traditional cognitive behavioral therapy for transdiagnostic conditions (g = 0.40).
“A previous meta-analysis reported that ACT showed superior effects to traditional cognitive behavioral therapy for transdiagnostic conditions (g = 0.40).28”
From Acceptance and Commitment Therapy Among Informal Caregivers of People With Chronic Health Conditions: A Systematic Review and Meta-Analysis (2023) · cites this paper as [28]
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- Authors
- Lawn, S., & Schoo, A.
- Affiliations
- Flinders University (AU)
- Corresponding author
- Lawn, Sharon
- Venue
- Patient Education and Counseling
- Publisher
- Elsevier BV
- Published
- 2010-08
- Volume
- 80
- Issue
- 2
- Pages
- 205-211
- ISSN
- 0738-3991 (ISSN-L)
- OpenAlex
- W1986282187
- Cited by
- 193
- References
- 54
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 9 · 2023: 4 · 2022: 14 · 2021: 17 · 2020: 12 · 2019: 11 · 2018: 17 · 2017: 20 · 2016: 16 · 2015: 17 · 2014: 19 · 2013: 9 · 2012: 12
- FWCI
- 0.73
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Patient Education and Counseling (publishedVersion)
- PubMed (publishedVersion)
- Flinders Academic Commons (Flinders University) (submittedVersion)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Health Sciences › Health Professions › General Health Professions › Patient-Provider Communication in Healthcare
- Keywords
- self-management, chronic disease, care planning, motivational interviewing, health coaching, primary care, patient engagement, health service collaboration, Australia
- MeSH terms
- Australia, Chronic Disease, Humans, Health Knowledge, Attitudes, Practice, Motivation, Patient Education as Topic, Peer Group, Self Care, Self-Help Groups, Social Support, Patient-Centered Care
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