Abstract
Few studies have elicited barriers to patient self-management of chronic conditions, and only one concerned people with two or more conditions. To inform development of Homing in on Health (HioH), a home delivery variant of the Chronic Disease Self-Management Program (CDSMP), we conducted 10 focus groups involving 54 chronically ill people, 46 (85%) of whom had multiple conditions. The goals were to elicit perceived barriers to active self-management and to accessing self-management support resources. Depression, weight problems, difficulty exercising, fatigue, poor physician communication, low family support, pain, and financial problems were the most frequently noted barriers to active self-management. The most common barriers to accessing self-management support resources were lack of awareness, physical symptoms, transportation problems, and cost/lack of insurance coverage. Our findings provided initial support for the Homing in on Health approach, since many of the barriers identified may be more amenable to home-based intervention than to centralized, facility-based programs.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 300-307 |
| Number of pages | 8 |
| Journal | Patient Education and Counseling |
| Volume | 57 |
| Issue number | 3 |
| DOIs | |
| State | Published - Jun 2005 |
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Keywords
- Chronic disease
- Comorbidity
- Patient education
- Self-care
- Self-efficacy
ASJC Scopus subject areas
- Medicine(all)
Cite this
Patients' perceived barriers to active self-management of chronic conditions. / Jerant, Anthony F; Von Friederichs-Fitzwater, Marlene M.; Moore, Monique.
In: Patient Education and Counseling, Vol. 57, No. 3, 06.2005, p. 300-307.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Patients' perceived barriers to active self-management of chronic conditions
AU - Jerant, Anthony F
AU - Von Friederichs-Fitzwater, Marlene M.
AU - Moore, Monique
PY - 2005/6
Y1 - 2005/6
N2 - Few studies have elicited barriers to patient self-management of chronic conditions, and only one concerned people with two or more conditions. To inform development of Homing in on Health (HioH), a home delivery variant of the Chronic Disease Self-Management Program (CDSMP), we conducted 10 focus groups involving 54 chronically ill people, 46 (85%) of whom had multiple conditions. The goals were to elicit perceived barriers to active self-management and to accessing self-management support resources. Depression, weight problems, difficulty exercising, fatigue, poor physician communication, low family support, pain, and financial problems were the most frequently noted barriers to active self-management. The most common barriers to accessing self-management support resources were lack of awareness, physical symptoms, transportation problems, and cost/lack of insurance coverage. Our findings provided initial support for the Homing in on Health approach, since many of the barriers identified may be more amenable to home-based intervention than to centralized, facility-based programs.
AB - Few studies have elicited barriers to patient self-management of chronic conditions, and only one concerned people with two or more conditions. To inform development of Homing in on Health (HioH), a home delivery variant of the Chronic Disease Self-Management Program (CDSMP), we conducted 10 focus groups involving 54 chronically ill people, 46 (85%) of whom had multiple conditions. The goals were to elicit perceived barriers to active self-management and to accessing self-management support resources. Depression, weight problems, difficulty exercising, fatigue, poor physician communication, low family support, pain, and financial problems were the most frequently noted barriers to active self-management. The most common barriers to accessing self-management support resources were lack of awareness, physical symptoms, transportation problems, and cost/lack of insurance coverage. Our findings provided initial support for the Homing in on Health approach, since many of the barriers identified may be more amenable to home-based intervention than to centralized, facility-based programs.
KW - Chronic disease
KW - Comorbidity
KW - Patient education
KW - Self-care
KW - Self-efficacy
UR - http://www.scopus.com/inward/record.url?scp=18844374582&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=18844374582&partnerID=8YFLogxK
U2 - 10.1016/j.pec.2004.08.004
DO - 10.1016/j.pec.2004.08.004
M3 - Article
C2 - 15893212
AN - SCOPUS:18844374582
VL - 57
SP - 300
EP - 307
JO - Patient Education and Counseling
JF - Patient Education and Counseling
SN - 0738-3991
IS - 3
ER -