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Interventions to Support Behavioral Self-Management of Chronic Diseases
Open accessAbstract
A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions.
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“The concept of self-management as an important part of long-term management of chronic diseases is gaining acceptance, and it is now considered essential for achieving long-term improvement in health outcomes and quality of life [3].”
From Digital Interventions for Self-Management of Type 2 Diabetes Mellitus: Systematic Literature Review and Meta-Analysis (2024) · cites this paper as [3]
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The Promise of Digital Health: Then, Now, and the Future
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“The concept of self-management as an important part of long-term management of chronic diseases is gaining acceptance, and it is now considered essential for achieving long-term improvement in health outcomes and quality of life [3].”
The Use of Gamification in the Self-Management of Patients With Chronic Diseases: Scoping Review
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Engaging with EPIO, a digital pain self-management program: a qualitative study
Bostrøm, K., Varsi, C., Eide, H., Børøsund, E., Kristjansdottir, Ó. B., Schreurs, K. M. G., Waxenberg, L. B., Weiss, K. E., Morrison, E. J., Nordang, E. F., et al. (2022) · BMC Health Services Research · doi:10.1186/s12913-022-07963-x · Cited by 18
“the center of managing pain, are therefore increasingly recommended [2, 3], often pointing to the importance of raising awareness of the many physical, psychological and social aspects of pain, as well as encouraging and facilitating patient self-management, including planning and carrying out patients’ own goals [4].”
Background
Metadata
- Authors
- Allegrante, J. P., Wells, M. T., & Peterson, J. C.
- Affiliations
- Columbia University (US)
- Cornell University (US)
- Weill Cornell Medicine (US)
- Venue
- Annual Review of Public Health
- Publisher
- Annual Reviews
- Published
- 2019-04-01
- Volume
- 40
- Issue
- 1
- Pages
- 127-146
- ISSN
- 0163-7525 (ISSN-L)
- 1545-2093
- PMC
- PMC6684026
- OpenAlex
- W2907160473
- Cited by
- 502
- References
- 111
- Citations by year
- 2026: 70 · 2025: 106 · 2024: 99 · 2023: 92 · 2022: 69 · 2021: 47 · 2020: 16 · 2019: 2
- FWCI
- 4.89
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Annual Review of Public Health (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Atlantic Philanthropies
- National Institute on Aging (K23AG042869)
- National Heart, Lung, and Blood Institute (R25HL116378)
- National Institute of Allergy and Infectious Diseases (U19AI111143)
- Topics
- Health Sciences › Medicine › Epidemiology › Chronic Disease Management Strategies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- chronic disease self-management, self-management interventions, health behavior change, behavioral interventions, quality of life, health care utilization, cost burden, health behavior theory, randomized controlled trials
- MeSH terms
- Self-Management, Adult, Aged, Aged, 80 and over, Chronic Disease, Health Expenditures, Female, Humans, Male, Middle Aged, Quality of Life, United States, Health Behavior
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