The DOI matches its Crossref record; 73 of the 73 references it cites were found in a registry or an index.
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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“In addition, patients require specialized cognitive and behavioral skills to deal with their condition [4,5].”
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Cites
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Effectiveness of Self-Management Training in Type 2 Diabetes
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- American Diabetes Association:Diabetes 2001 Vital Statistics. Alexandria, VA: American Diabetes Association, 2001.
- National Institutes of Health: Behavioral Science Researchin Diabetes. Conference presentedby National Institute of Diabetes, Digestive, and Kidney Diseases and Office of Behavioral and Social Sciences Research, Bethesda, MD: November 18-19,1999.
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Cited by
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King, D. K., Glasgow, R. E., Toobert, D. J., Strycker, L. A., Estabrooks, P. A., Osuna, D., & Faber, A. J. (2010) · Diabetes Care · doi:10.2337/dc09-1746 · Cited by 369
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., et al. (2023) · Diabetes Care · doi:10.2337/dc23-s005 · Cited by 362
(2019) · Diabetes Care · doi:10.2337/dc20-s005 · Cited by 365
“2337/dc20-S004), patients and providers are encouraged to engage in person-centered collaborative care (3–6), which is guided by shared decision-making in treatment regimen selection, facilitation of obtaining needed medical and psychosocial resources, and shared monitoring of agreed-upon regimen and lifestyle (7).”
BackgroundEcological Approaches to Self-Management: The Case of Diabetes
Fisher, E. B., Brownson, C. A., OʼToole, M. L., Shetty, G., Anwuri, V. V., & Glasgow, R. E. (2005) · American Journal of Public Health · doi:10.2105/ajph.2005.066084 · Cited by 351
American Diabetes Association Professional Practice Committee (2022) · Diabetes Care · doi:10.2337/dc22-s005 · Cited by 445
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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