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What we know about the purpose, theoretical foundation, scope and dimensionality of existing self-management measurement tools: A scoping review
Dalhousie University, Canada.
Dalhousie University, Canada.
Mid Sweden University, Faculty of Human Sciences, Department of Nursing Sciences.
Dalhousie University, Canada.
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2018 (English)In: Patient Education and Counseling, ISSN 0738-3991, E-ISSN 1873-5134, Vol. 101, no 4, p. 579-595Article in journal (Refereed) Published
Abstract [en]

Objectives:

To identify self-report, self-management measures for adults with chronic conditions, and describe their purpose, theoretical foundation, dimensionality (multi versus uni), and scope (generic versus condition specific). Methods: A search of four databases (8479 articles) resulted in a scoping review of 28 self-management measures. Results: Although authors identified tools as measures of self-management, wide variation in constructs measured, purpose, and theoretical foundations existed. Subscales on 13 multidimensional tools collectively measure domains of self-management relevant to clients, however no one tool’s subscales cover all domains. Conclusions: Viewing self-management as a complex, multidimensional whole, demonstrated that existing measures assess different, related aspects of self-management. Activities and social roles, though important to patients, are rarely measured. Measures with capacity to quantify and distinguish aspects of self-management may promote tailored patient care. Practice implications: In selecting tools for research or assessment, the reason for development, definitions, and theories underpinning the measure should be scrutinized. Our ability to measure self-management must be rigorously mapped to provide comprehensive and system-wide care for clients with chronic conditions. Viewing self-management as a complex whole will help practitioners to understand the patient perspective and their contribution in supporting each individual patient.

Place, publisher, year, edition, pages
2018. Vol. 101, no 4, p. 579-595
Keywords [en]
Self-management, outcome measure, chronic disease, scoping review, measurement
National Category
Nursing
Identifiers
URN: urn:nbn:se:miun:diva-32594DOI: 10.1016/j.pec.2017.10.014ISI: 000428618600003PubMedID: 29239734OAI: oai:DiVA.org:miun-32594DiVA, id: diva2:1169005
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Developing a patient-centred, clinically relevant measure of self-management for individuals with multiple chronic conditionsAvailable from: 2017-12-22 Created: 2017-12-22 Last updated: 2018-05-08Bibliographically approved

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Audulv, Åsa

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