title: A revised Self- and Family Management Framework.
abstract: BACKGROUND
  Research on self- and family management of chronic conditions has advanced over the past 6 years, but the use of simple frameworks has hampered the understanding of the complexities involved.
  
  
  OBJECTIVE
  We sought to update our previously published model with new empirical, synthetic, and theoretical work.
  
  
  METHODS
  We used synthesis of previous studies to update the framework.
  
  
  CONCLUSIONS
  We propose a revised framework that clarifies facilitators and barriers, processes, proximal outcomes, and distal outcomes of self- and family management and their relationships.
  
  
  CONCLUSIONS
  We offer the revised framework as a model that can be used in studies aimed at advancing self- and family management science. The use of the framework to guide studies would allow for the design of studies that can address more clearly how self-management interventions work and under what conditions.
authors.affiliation: Yale University School of Nursing, West Haven, CT. Electronic address: Margaret.grey@yale.edu.
authors.forename: Margaret
authors.initials: M
authors.lastname: Grey
authors.affiliation: Yale University School of Nursing, West Haven, CT.
authors.forename: Dena
authors.initials: D
authors.lastname: Schulman-Green
authors.affiliation: University of North Carolina at Chapel Hill, Chapel Hill, NC.
authors.forename: Kathleen
authors.initials: K
authors.lastname: Knafl
authors.affiliation: Yale University School of Nursing, West Haven, CT.
authors.forename: Nancy R
authors.initials: NR
authors.lastname: Reynolds
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D019468:Disease Management; D022143:Family Nursing / Q000458:organization & administration*; D006801:Humans; D010043:Outcome and Process Assessment, Health Care; D012648:Self Care
keywords: Chronic conditions; Family management; Frameworks; Self-management