title: A model of self-regulation for control of chronic disease.
abstract: 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 external 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.
authors.affiliation: University of Michigan School of Public Health, Ann Arbor, MI, USA nmclark@umich.edu.
authors.forename: Noreen M
authors.initials: NM
authors.lastname: Clark
authors.affiliation: University of Michigan School of Public Health, Ann Arbor, MI, USA.
authors.forename: Molly
authors.initials: M
authors.lastname: Gong
authors.affiliation: University of Michigan School of Public Health, Ann Arbor, MI, USA.
authors.forename: Niko
authors.initials: N
authors.lastname: Kaciroti
mesh_terms: D001249:Asthma / Q000188:drug therapy / Q000266:history; D002908:Chronic Disease / Q000628:therapy*; D049674:History, 21st Century; D006801:Humans; D007407:Interviews as Topic; D008962:Models, Theoretical; D009042:Motivation; D017063:Outcome Assessment, Health Care / Q000266:history; D012648:Self Care / Q000266:history*; D020377:Self Efficacy