Current evidence indicates that individuals and families who engage in self-management
(SM) behaviors improve their health outcomes. While the results of these studies are
promising, there is little agreement as to the critical components of SM or directions
for future study. This article offers an organized perspective of similar and divergent
ideas related to SM. Unique contributions of prior work are highlighted and findings
from studies are summarized. A new descriptive mid-range theory, Individual and Family
Self-management Theory, is presented; assumptions are identified, concepts defined,
and proposed relationships are outlined. This theory adds to the literature on SM
by focusing on individuals, dyads within the family, or the family unit as a whole;
explicating process components of SM; and proposing use of proximal and distal outcomes.
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Biography
Polly Ryan, PhD, RN, CNS-BC, is an Associate Professor, University of Wisconsin Milwaukee, Center Scientist, Self-management Science Center, Milwaukee, WI.
Biography
Kathleen J. Sawin, DNS, CPNP, FAAN, is a Professor and Joint Research Chair in the Nursing of Children, Children's Hospital of Wisconsin and College of Nursing, University of Wisconsin Milwaukee, Center Scientist, Self-management Science Center, Milwaukee, WI.
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