• Mary Jane Rotheram-Borus, Barbara L Ingram, Dallas Swendeman, and Adabel Lee.
• Global Center for Children and Families, Semel Institute for Neuroscience and Human Behavior, University of California at Los Angeles, Los Angeles, CA 90024-6521, USA. rotheram@ucla.edu
• Prim. Care. 2012 Dec 1; 39 (4): 649660649-60.

AbstractSeventy-five percent of health care costs can be attributed to chronic diseases, making prevention and management imperative. Collaborative patient self-management in primary care is efficacious in reducing symptoms and increasing quality of life. In this article, the authors argue that self-management interventions span the continuum of prevention and disease management. Self-management interventions rest on a foundation of 5 core actions: (1) activate motivation to change, (2) apply domain-specific information from education and self-monitoring, (3) develop skills, (4) acquire environmental resources, and (5) build social support. Several delivery vehicles are described and evaluated in terms of diffusion and cost-containment goals.Copyright © 2012. Published by Elsevier Inc.

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