Using the common sense model to design interventions for the prevention and management of chronic illness threats: from description to process.
In this article, we discuss how one might use the common sense model of self-regulation (CSM) for developing interventions for improving chronic illness management. We argue that features of that CSM such as its dynamic, self-regulative (feedback) control feature and its system structure provide an important basis for patient-centered interventions. We describe two separate, ongoing interventions with patients with diabetes and asthma to demonstrate the adaptability of the CSM. Finally, we discuss three additional factors that need to be addressed before planning and implementing interventions: (1) the use of top-down versus bottom-up intervention strategies; (2) health care interventions involving multidisciplinary teams; and (3) fidelity of implementation for tailored interventions.
McAndrew
Lisa M
LM
Center for the Study of Health Beliefs and Behavior, Institute for Health, Rutgers, the State University of New Jersey, New Brunswick, NJ 08901, USA.
Musumeci-Szabó
Tamara J
TJ
Mora
Pablo A
PA
Vileikyte
Loretta
L
Burns
Edith
E
Halm
Ethan A
EA
Leventhal
Elaine A
EA
Leventhal
Howard
H
D000223:Adaptation, Psychological; D001249:Asthma / Q000453:epidemiology; D002908:Chronic Disease; D048909:Diabetes Complications / Q000453:epidemiology; D006706:Homeostasis; D006801:Humans; D001523:Mental Disorders / Q000188:drug therapy / Q000453:epidemiology / Q000628:therapy*; D018802:Patient-Centered Care / Q000592:standards; D011582:Psychological Theory; D012927:Social Control, Informal