• Patricia A Grady and Lisa Lucio Gough.
• The authors are with the National Institute of Nursing Research, National Institutes of Health, Bethesda, MD.
• Am J Public Health. 2014 Aug 1;104(8):e25-31.

AbstractFor both clinical and economic reasons, the increasing number of persons living with chronic conditions represents a public health issue of growing importance. Emphasizing patient responsibility, and acting in concert with the provider community, self-management represents a promising strategy for treating chronic conditions-moving beyond education to teaching individuals to actively identify challenges and solve problems associated with their illness. Self-management also shows potential as an effective paradigm across the prevention spectrum (primary, secondary, and tertiary) by establishing a pattern for health early in life and providing strategies for mitigating illness and managing it in later life. We suggest ways to advance research methods and practical applications of self-management as steps in its future development and implementation.

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