TY - JOUR
T1 - Problem solving in diabetes self-management
T2 - A model of chronic illness self-management behavior
AU - Hill-Briggs, Felicia
N1 - Funding Information:
This research was supported by National Institute of Health Supplemental Grant R01–48117–03S1 to Felicia Hill-Briggs, sponsored by Frederick L. Brancati, M.D., M.H.S., Departments of Epidemiology and Medicine, Johns Hopkins Medical Institutions.
Copyright:
Copyright 2017 Elsevier B.V., All rights reserved.
PY - 2003
Y1 - 2003
N2 - 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.
AB - 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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U2 - 10.1207/S15324796ABM2503_04
DO - 10.1207/S15324796ABM2503_04
M3 - Review article
C2 - 12763713
AN - SCOPUS:0038797788
SN - 0883-6612
VL - 25
SP - 182
EP - 193
JO - Annals of Behavioral Medicine
JF - Annals of Behavioral Medicine
IS - 3
ER -