title: Adoption of self-management interventions for prevention and care.
abstract: Seventy-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.
authors.affiliation: 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
authors.forename: Mary Jane
authors.initials: MJ
authors.lastname: Rotheram-Borus
authors.forename: Barbara L
authors.initials: BL
authors.lastname: Ingram
authors.forename: Dallas
authors.initials: D
authors.lastname: Swendeman
authors.forename: Adabel
authors.initials: A
authors.lastname: Lee
mesh_terms: D000368:Aged; D002908:Chronic Disease / Q000628:therapy*; D005260:Female; D006266:Health Education; D006293:Health Promotion / Q000379:methods*; D006801:Humans; D008019:Life Style; D008297:Male; D009042:Motivation; D011320:Primary Health Care; D012648:Self Care; D012944:Social Support; D014481:United States