title: Self-Management Support in Chronic Care: Practice Implementation Lessons for Healthcare Providers from an Atlantic Collaborative.
abstract: In Atlantic Canada, people live with greater risk factors and higher rates of chronic disease than the average Canadian; and health system costs have historically risen faster than other parts of the country. Many clinicians endorse self-management support (SMS) as a means to help patients manage their chronic conditions but often lack the confidence and proper expertise to do so due to limited literature on SMS implementation. This paper draws on two case examples from Atlantic Canada to address gaps between effective SMS interventions and the implementation and evaluation of such interventions that can support provider adoption.
authors.affiliation: Senior improvement lead at CFHI in Ottawa, ON.
authors.forename: Claudia
authors.initials: C
authors.lastname: Amar
authors.affiliation: Senior director at CFHI in Ottawa, ON.
authors.forename: Jennifer
authors.initials: J
authors.lastname: Verma
authors.affiliation: Regional director medical services at Western Health in Corner Brook, NL.
authors.forename: Darla
authors.initials: D
authors.lastname: King
authors.affiliation: Primary health care program development lead at Health PEI in Charlottetown, PEI.
authors.forename: Donna
authors.initials: D
authors.lastname: MacAusland
authors.affiliation: Policy analyst/planner at Health PEI in Charlottetown, PEI.
authors.forename: Therese
authors.initials: T
authors.lastname: Harper
authors.affiliation: Michael Vallis, PhD R Psych, is a lead at the Behaviour Change Institute and an Associate Professor of Family Medicine at the Nova Scotia Health Authority & Dalhousie University in Halifax, NS.
authors.forename: Michael
authors.initials: M
authors.lastname: Vallis
mesh_terms: D002170:Canada; D002908:Chronic Disease / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000628:therapy; D015438:Health Behavior; D006282:Health Personnel / Q000193:education; D006801:Humans; D012648:Self Care