title: Evolution of a conceptual model for adaptation to chronic illness.
abstract: OBJECTIVE
  To describe the evolution of "The Women to Women Conceptual Model for Adaptation to Chronic Illness."
  
  
  METHODS
  A three-phase, computer-based research intervention to provide support and health information to chronically ill middle-aged women living in rural areas of the intermountain West. EVOLUTION OF A CONCEPTUAL MODEL: The path of the conceptualization of the WTW project was traced from a single concept to its present explanatory, multiconcept model consisting of three major adaptation constructs (environmental stimuli, psychosocial response, illness management) with related middle-range theoretical concepts (focal, contextual, and residual stimuli, psychosocial adaptation, chronic illness self-management, and quality of life) including empirical indicators and measures for each.
  
  
  CONCLUSIONS
  As the computer-based intervention is maturing, we are demonstrating its efficacy in helping rural women to better manage chronic illness. At the completion of this study, the intervention should be adequately tested so that it could be adapted for use by advanced practice nurses especially those working with people in isolated rural areas.
authors.affiliation: College of Nursing, Montana State University, Bozeman, MT 59717, USA. cweinert@montana.edu
authors.forename: Clarann
authors.initials: C
authors.lastname: Weinert
authors.forename: Shirley
authors.initials: S
authors.lastname: Cudney
authors.forename: Amber
authors.initials: A
authors.lastname: Spring
mesh_terms: D000223:Adaptation, Psychological; D002908:Chronic Disease / Q000523:psychology*; D005260:Female; D006801:Humans; D008960:Models, Psychological; D012424:Rural Population; D016387:Women's Health