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Problem solving in diabetes self-management: A model of chronic illness self-management behavior
Abstract
Management of chronic illnesses is a significant public health concern that is made more challenging by problems of regimen adherence. Effective self-management of chronic illnesses such as diabetes requires not only technical skill to perform regimen behaviors but also problem-solving skills to manage daily barriers to regimen adherence and to make appropriate adjustments to the self-care regimen. A review of the empirical literature on the relation between problem solving and disease self-management in diabetes, a chronic illness exemplar, illuminates methodological limitations that indicate a need for a theoretical framework for problem solving applied to chronic disease self-management. A problem-solving model of chronic disease self-management is proposed, derived from theories of problem solving in cognitive psychology, educational/learning theory, and social problem solving. Four essential components of problem solving in disease self-management are identified: (a). problem-solving skill, (b). problem-solving orientation, (c). disease-specific knowledge, and (d). transfer of past experience. The model is illustrated, and empirical support for this problem-solving model in the diabetes literature is discussed. The model has utility in driving testable hypotheses regarding the relation of disease-specific problem solving to chronic illness management, in developing problem-solving assessment instruments relevant to disease self-management, and in guiding disease self-management training and interventions.
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“Indeed, the broader concept of “problem solving” is considered an essential element in chronic disease education and self-management programs (Hill-Briggs, 2003).”
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“Patients, therefore, require sufficient knowledge about diabetes self-management and effective skills for applying this knowledge within the context of their daily lives (Bodenheimer, Lorig, Holman, & Grumbach, 2002; Hill-Briggs, 2003).”
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“In the context of diabetes, several models have been proposed to describe the high-level data reasoning tasks involved in managing diabetes, such as problem-solving [20], sensemaking framework [33], and fuid contextual reasoning [25].”
BackgroundDevelopment and validation of the diabetes adolescent problem solving questionnaire
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“Across all areas of scholarship, the core process of problem solving has included a set of goal-oriented behaviors that includes identifying a problem, generating a set of potential strategies for problem resolution, selecting the most appropriate strategy, implementing that strategy, and evaluating and potentially re…”
BackgroundNegative Affect Differentiation and Adherence During Treatment for Thalassemia
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“(IPS), (3) avoidant problem solving (APS), (4) positive motivation/orientation (PMO), (5) negative motivation/ orientation (NMO), (6) positive transfer/learning (PTR), and (7) negative transfer/learning (NTR) (Hill-Briggs, 2003; Hill-Briggs et al., 2007).”
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“자가관리 증진 프로그램의 개발을 위해 만성질환자를 위한 자가 관리 모형이론(Gifford & Groessl, 2002)을 주축으로 하여 프로그램 의 개념틀인 다섯 가지 요인, 즉 정보요인, 동기요인, 행동기술요인, 프로그램 시행 및 결과요인으로 구성하였으며, 그 중 동기요인은 사 회인지행동이론(Holman & Lorig, 1992)과 자기효능감이론(Bandura, 1986)을, 행동기술요인은 문제해결식 중재이론(Hill-Briggs, 2003)을 토대로 보완하였다.”
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Ji, M., Sereika, S. M., Dunbar‐Jacob, J. M., & Erlen, J. A. (2021) · The Science of Diabetes Self-Management and Care · doi:10.1177/0145721720983222 · Cited by 10
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“daily decisions that affect their overall health, including potential negative effects on concurrent illness treatment management and adherence; c) addressing socio-cultural and economic influences, such as day-to-day coping demands [20], ongoing or intermittent social relationship distress or abuse [21–23], as well a…”
Toward Solving the Problem of Problem Solving
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“…components involved when infants attempted spoon-feeding (McCarty et al., 1999), children made monetary decisions (Lee et al., 2012), and diabetic patients responded to a glucose monitor (Hill-Briggs, 2003; see Tables 4-5, provided as supplemental material at http://jmte.sagepub.com/supplemental).”
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“Arabic translation, chronic kidney disease, Chronic Kidney Disease Self-Management 29, Kidney Disease Knowledge survey, nursing care, pre-dialysis (Grady & Gough, 2014; Hill-Briggs, 2003).”
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“e structure of the online program was created by applying relevant theories such as social cognitive behavior theory [28], self-efficacy theory [29], and problem-solving mediation theory [15] on the basis of selfmanagement model theory for chronic disease patients [14].”
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“One of the important components of being able to successfully self-manage is the ability to problem solve in order to implement solutions to overcome barriers inhibiting optimal decision making.(4) Problem solving is defined as the “cognitive-behavioral process by which a person attempts”
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“Mobile Diabetes Detective (MoDD) is a web application with text messaging grounded in theories of problem solving in diabetes selfmanagement [16] and in the patient empowerment and activation model [4].”
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“Second, problem-solving refers to the process of using self-management skills and activities to find solutions to difficult or complex situations (Hill-Briggs, 2003; Lorig & Holman, 2003).”
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“Hill-Briggs (2003) found that a problem-solving approach is critical to good disease self-management. Chronic disease sufferers must perceive problems as an opportunity and maintain positive expectations, high self-efficacy, adequate knowledge and problem-solving skills, and the ability to adapt skills appropriately f…”
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“Due to the complex regimen required, diabetes mellitus has been referred to as ‘exemplar’ for the need to better understand the factors influencing self-management (Hill-Briggs, 2003).”
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“The components of musical problem solving that comprise this framework are synonymous with those of problem-solving models established in other fields of study as diverse as health care, finance, child development, and business, as well as observations of various age groups and levels of expertise (Buijs, Smulders, &…”
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“Although little previous research has examined parental problem-solving in relation to children’s T1D management, many studies have established that problem-solving skills are crucial for diabetes self-management (Fitzpatrick et al., 2013; Hill-Briggs, 2003; Hill-Briggs and Gemmell, 2007).”
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“Interventions and programs that require more than four sessions and teach tangible skills in the problem-solving method, as opposed to just using problem-solving skills in a counseling session, are most effective [13,14].”
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“행동기술요인은 목표성취를 위한 행동계획의 수립을 포함한 심리사회적 대처를 의미하는 것으로[13,14], 본 연구에서는 적극적 대처방식을 증가시키고 소극적 대처방식을 감소시키는 데 초점을 두었다.”
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“This is consistent with perspectives that highlight a need for the use of multiple factors to explain the adoption of health behaviors, individual illness management, and problem solving (Creer and Holroyd 2006; Hill-Briggs 2003; McColl-Kennedy et al. 2012).”
BackgroundTelemedicine: A Way to Improve Glycemic Control among Elderly Diabetics
Black, S. (2008) · Auerbach Publications eBooks · doi:10.1201/9781420060478-17 · Cited by 1
Klinovszky, A., Buzás, N., Sallay, V., Lengyel, C., & Papp-Zipernovszky, O. (2023) · American Journal of Health Behavior · doi:10.5993/ajhb.47.6.1 · Cited by 1
Lee, D.-H., Silva, S. G., Yang, Q., Crowley, M. J., Hatch, D., Pennington, G., Matters, D., Urlichich, D., & Shaw, R. J. (2025) · CIN Computers Informatics Nursing · doi:10.1097/cin.0000000000001243 · Cited by 2
Representación de enfermedad y depresión en pacientes con ERCT y asma: comparación por enfermedad
Lugo-González, I. V., Pérez-Bautista, Y. Y., Montijo, S. S. R., & Valero, C. Z. V. (2019) · Psicología y Salud · doi:10.25009/pys.v29i2.2590 · Cited by 1
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Rahim-Williams, F. B. (2004) · Digital Commons - University of South Florida (University of South Florida) · Cited by 1
Rush, T. E. (2013) · The Scholarship East Carolina University's Institutional Repository (East Carolina University) · Cited by 1
Janney, A. (2011) · Digital Commons - PCOM (Philadelphia College of Osteopathic Medicine) · Cited by 1
How to Develop Personalized eHealth for Behavioural Change : Method and Example
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Glasgow, R. E. (2005) · Current Diabetes Reports · doi:10.1007/s11892-005-0037-9 · Cited by 1
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The Role of Macropinocytosis in Sonic Hedgehog-Induced Axon Growth and Guidance: A Dissertation
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“In other words, problem solving involves combining the synthesis of knowledge and past experiences with an application of skills into a behavior (Hill-Briggs, 2003).”
BackgroundInfluentialSelf-Management of Type 1 Diabetes Across Adolescence: A Dissertation
Keough, L. (2009) · eScholarship@UMassChan · doi:10.13028/rrt1-h293
“In other words, problem solving involves combining the synthesis of knowledge and past experiences with an application of skills into a behavior (Hill-Briggs, 2003).”
BackgroundInfluentialCan we Improve how we Diagnose Osteomyelitis in the Diabetic Foot
Harman, K. (2010) · The University of Bath Online Publications Store (The University of Bath)
Metadata
- Authors
- Hill-Briggs, F.
- Venue
- Annals of Behavioral Medicine
- Publisher
- Oxford University Press (OUP)
- Published
- 2003-06
- Volume
- 25
- Issue
- 3
- Pages
- 182-193
- ISSN
- 0742-5554 (ISSN-L)
- 0883-6612
- 1532-4796
- OpenAlex
- W2044182956
- Cited by
- 241
- References
- 71
- Citations by year
- 2026: 8 · 2025: 9 · 2024: 5 · 2023: 11 · 2022: 9 · 2021: 13 · 2020: 10 · 2019: 14 · 2018: 14 · 2017: 6 · 2016: 7 · 2015: 10 · 2014: 19 · 2013: 8 · 2012: 11
- FWCI
- 1.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of Behavioral Medicine (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (R01-48117-03S1)
- Topics
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes Management and Education
- Social Sciences › Psychology › Applied Psychology › Problem Solving Skills Development
- Social Sciences › Psychology › Applied Psychology › Behavioral Health and Interventions
- Keywords
- diabetes self-management, problem solving, chronic disease self-management, medication adherence, problem-solving model, social problem solving, cognitive psychology, disease-specific knowledge, self-management education
- MeSH terms
- Attitude to Health, Chronic Disease, Humans, Problem Solving, Psychological Theory, Self Care, Sick Role
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