A model of self-regulation for control of chronic disease.
Chronic disease poses increasing threat to individual and community health. The day-to-day manager of disease is the patient who undertakes actions with the guidance of a clinician. The ability of the patient to control the illness through an effective therapeutic plan is significantly influenced by social and behavioral factors. This article presents a model of patient management of chronic disease that accounts for intrapersonal and extemal influences on management and emphasizes the central role of self-regulatory processes in disease control. Asthma serves as a case for exploration of the model. Findings from a 5-year study of 637 children with asthma and their care-taking parents supported that the self-regulation elements of the model were reasonably stable over time and baseline values were predictive of important disease management outcomes.
Clark
N M
NM
University of Michigan School of Public Health, Ann Arbor 48109-2029, USA. nmclark@umich.edu
Gong
M
M
Kaciroti
N
N
D001249:Asthma / Q000523:psychology* / Q000628:therapy; D002908:Chronic Disease; D015438:Health Behavior; D007722:Health Knowledge, Attitudes, Practice; D007389:Internal-External Control; D010358:Patient Participation / Q000523:psychology; D012648:Self Care / Q000523:psychology*; D020377:Self Efficacy; D012944:Social Support