A Middle-Range Theory of Self-Care of Chronic Illness

  title={A Middle-Range Theory of Self-Care of Chronic Illness},
  author={Barbara Riegel and Tiny Jaarsma and Anna Str{\"o}mberg},
  journal={Advances in Nursing Science},
Nearly 50% of adults have one or more chronic illnesses. Self-care is considered essential in the management of chronic illness, but the elements of self-care in this context have not been specified in a middle-range theory. This article describes a middle-range theory of self-care that addresses the process of maintaining health with health promoting practices within the context of the management required of a chronic illness. The key concepts include self-care maintenance, self-care… 

Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness

A revision to the Middle-Range Theory of Self-Care of Chronic Illness where symptoms are clearly integrated with the self-care behaviors of self- care maintenance, monitoring, and management is proposed.

Cross-cultural assessment of the Self-Care of Chronic Illness Inventory: A psychometric evaluation.

A literature review on self-care of chronic illness: definition, assessment and related outcomes.

Supporting patient self-care is recognized as a crucial factor in chronic illness care, and the development of general non-disease-specific assessment tools could facilitate the evaluation of complex patients, especially those with multiple co-morbidities.

Factors Related to Self-Care in Heart Failure Patients According to the Middle-Range Theory of Self-Care of Chronic Illness: a Literature Update

Experiences and skills, motivation, habits, cultural beliefs and values, functional and cognitive abilities, confidence, and support and access to care are all important to consider when developing or improving interventions for patients with heart failure and their families.

Self-Care of African Immigrant Adults with Chronic Illness

Self-care self-efficacy and perceived income adequacy were better determinants of self-care than acculturation, and the perception of inadequate income was a significant determinant of poor self- care management.

Self-Care of Chronic Illness Inventory: An Initial Psychometric Evaluation in People Living With HIV in Italy

Preliminary psychometric analyses of the structural validity and internal consistency of the Self-Care of Chronic Illness Inventory among 108 PLWH living in Italy largely replicate the instrument's original factor structure and indicated high internal consistency and reliability.

An integrative review and theoretical examination of chronic illness mHealth studies using the Middle-Range Theory of Self-care of Chronic Illness.

Examining chronic illness mHealth interventions using a theoretical lens has categorized current interventions, conducted a gap analysis uncovering areas for future study, and made recommendations to move the science forward.

Reporting on Self-care in Research Studies: Guidance to Improve Knowledge Building.

This work proposes some additional basic guidelines when reporting on studies that include self-care as the conceptual or theoretical framework, an outcome measure, or the target of the intervention, and can be used in addition to the existing guidelines on reporting of research.

Reporting on self-care in research studies: Guidance to improve knowledge building

  • T. JaarsmaB. RiegelA. Strömberg
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2017
To improve the integration of knowledge related to self-care, some additional basic guidelines are proposed when reporting on studies that include selfcare as the conceptual or theoretical framework, as an outcome measure, or as the target of the intervention.

Self‐care among older people living with chronic conditions

Self-care is an individual capacity, disposition and activity older people manifest in living with multiple chronic conditions that influence one another and are hierarchical and continuous and can offer a model to support self-care among older people living with chronic conditions.



A Situation-Specific Theory of Heart Failure Self-care

A situation-specific theory of heart failure self-care is described in which self- care is defined as a naturalistic decision-making process involving the choice of behaviors that maintain physiologic stability and the response to symptoms when they occur (management).

A Typology of Heart Failure Self-Care Management in Non-Elders

  • V. DicksonJ. DeatrickB. Riegel
  • Medicine, Psychology
    European journal of cardiovascular nursing : journal of the Working Group on Cardiovascular Nursing of the European Society of Cardiology
  • 2008

‘Self-care without a self’: Alzheimer’s disease and the concept of personal responsibility for health

  • Ursula Naue
  • Psychology, Philosophy
    Medicine, health care, and philosophy
  • 2008
It is argued that concepts such as those of personhood, wellbeing, autonomy, rationality, rationality and normality have to be re-thought with regard to an increasingly ageing population.

Cultural diversity In heart failure management: Findings from the Discover Study (Part 2)

A key finding of this study is that culture provides an important context to aid interpretations of attitudes, values, beliefs and behaviours, not only in illness but in health.

Self-care behaviour of patients with heart failure.

It can be concluded that supportive-educative intervention is effective in enhancing heart failure-related self-care behaviour early after discharge and more emphasis must be placed on behavioural strategies.

The self-regulation of health and illness behaviour.

This book discusses a Common-Sense Model of Illness Cognition and Behaviour, and Cognitive-Affective Interventions for Facilitating Effective Decision-Making in the Use of Genetic Testing.

An Update on the Self-care of Heart Failure Index

This article addresses 8 specific questions about reliability, item difficulty, frequency of administration, learning effects, social desirability, validity, judgments of self-care adequacy, clinically relevant change, and comparability of the various versions of the SCHFI.

A Middle-Range Theory of Caregiver Stress

  • P. Tsai
  • Psychology
    Nursing science quarterly
  • 2003
A middle-range theory of caregiver stress based on theRoy adaptation model is presented as the first step in understanding the applicability of the Roy adaptation model in the context of stress in caregivers.