Interventions to Support Behavioral Self-Management of Chronic Diseases

A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward t...

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Vydáno v:	Annual review of public health Ročník 40; s. 127
Hlavní autoři:	Allegrante, John P, Wells, Martin T, Peterson, Janey C
Médium:	Journal Article
Jazyk:	angličtina
Vydáno:	United States 01.04.2019
Témata:	Adult Aged Aged, 80 and over Chronic Disease - economics Chronic Disease - epidemiology Chronic Disease - nursing Female Health Behavior Health Expenditures - statistics & numerical data Humans Male Middle Aged Quality of Life - psychology Self-Management - economics Self-Management - methods United States - epidemiology United States health behavior health care utilization health outcomes disease self-management chronic diseases disease management
ISSN:	1545-2093, 1545-2093
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Abstract	A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions.
AbstractList	A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions. A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions.A majority of the US adult population has one or more chronic conditions that require medical intervention and long-term self-management. Such conditions are among the 10 leading causes of mortality; an estimated 86% of the nation's $2.7 trillion in annual health care expenditures goes toward their treatment and management. Patient self-management of chronic diseases is increasingly essential to improve health behaviors, health outcomes, and quality of life and, in some cases, has demonstrated effectiveness for reducing health care utilization and the societal cost burden of chronic conditions. This review synthesizes the current state of the science of chronic disease self-management interventions and the evidence for their effectiveness, especially when applied with a systematic application of theories or models that account for a wide range of influences on behavior. Our analysis of selected outcomes from randomized controlled trials of chronic disease self-management interventions contained in 10 Cochrane systematic reviews provides additional evidence to demonstrate that self-management can improve quality of life and reduce utilization across several conditions.
Author	Allegrante, John P Peterson, Janey C Wells, Martin T
Author_xml	– sequence: 1 givenname: John P surname: Allegrante fullname: Allegrante, John P email: jpa1@tc.columbia.edu organization: Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, New York, NY 10032, USA – sequence: 2 givenname: Martin T surname: Wells fullname: Wells, Martin T email: mtw1@cornell.edu organization: Department of Statistical Science, Cornell University, Ithaca, New York 14853, USA; email: mtw1@cornell.edu – sequence: 3 givenname: Janey C surname: Peterson fullname: Peterson, Janey C email: jcpeters@med.cornell.edu organization: Department of Medicine, Weill Cornell Medical College, New York, NY 10065, USA; email: jcpeters@med.cornell.edu
BackLink	https://www.ncbi.nlm.nih.gov/pubmed/30601717$$D View this record in MEDLINE/PubMed
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SubjectTerms	Adult Aged Aged, 80 and over Chronic Disease - economics Chronic Disease - epidemiology Chronic Disease - nursing Female Health Behavior Health Expenditures - statistics & numerical data Humans Male Middle Aged Quality of Life - psychology Self-Management - economics Self-Management - methods United States - epidemiology
Title	Interventions to Support Behavioral Self-Management of Chronic Diseases
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