Being creative and resourceful: Individuals’ abilities and possibilities for self-management of chronic illness
2011 (English)Doctoral thesis, comprehensive summary (Other academic)Alternative title
Att vara kreativ och resursstark : Individers förmåga och möjlighet till egenvård av kronisk sjukdom (Swedish)
Individuals’ self-management styles are crucial for how they manage to live with illness. Commonly investigated factors include social support, self-efficacy, health beliefs, and demographics. There is a gap in the literature with regard to in-depth studies of how those factors actually influence an individual’s self-management.
The aim of this thesis was to investigate the underlying mechanisms of self-management from the perspective of individuals living with chronic illness.
Interviews were conducted with 47 individuals with various chronic illnesses, some of them repeatedly over two and a half years (a total of 107 interviews). The material was analysed with; constructive grounded theory, content analysis, phenomenography, and interpretive description.
The Self-management Support Model identified aspects that influenced participants’ self-management: economic and social situation, social support, views and perspectives on illness, attribution of responsibility, and ability to integrate self-management into an overall life situation. For example, individuals with a life-oriented or disease-oriented perspective on illness prioritized different aspects of self-management. People who attributed internal responsibility performed a more complex self-management regimen than individuals who attributed external responsibility. In conclusion, individuals who were creative and resourceful had a better chance of tailoring a self-management regimen that suited them well. People in more disadvantaged positions (e.g., financial strain, limited support, or severe intrusive illness) experienced difficulty in finding a method of self-management that fit their life situation.
These findings can inspire healthcare providers to initiate a reflective dialogue about self-management with their patients.
Place, publisher, year, edition, pages
Sundsvall: Mittuniversitetet , 2011. , 82 p.
Mid Sweden University doctoral thesis, ISSN 1652-893X ; 109
Self-management, self-care, chronic illness, chronic disease, qualitative research, life conditions, beliefs and values, self-management integration, longitudinal
Egenvård, sjukdomshantering, kronisk sjukdom, kvalitativ forskning, livsvillkor, värderingar, egenvårds integrering, hantering, anpassning
IdentifiersURN: urn:nbn:se:miun:diva-13512ISBN: 978-91-86694-39-5 (print)OAI: oai:DiVA.org:miun-13512DiVA: diva2:410132
2011-05-13, Lubbesalen, M108, Mittuniversitetet, Sundsvall, 10:15 (Swedish)
Axelsson, Karin, Professor
Asplund, Kenneth, ProfessorNorbergh, Karl-Gustaf, PhD
ProjectsExploring individuals’ conceptions as a way to understand self-management among people living with long term medical conditions
List of papers