The Taxonomy of Everyday Self-management Strategies (TEDSS): A framework derived from the literature and refined using empirical data

PATIENT EDUCATION AND COUNSELING

卷:102

Article

Audulv, Asa¹  Ghahari, Setareh²  Kephart, George³  Warner, Grace^4,5  Packer, Tanya L.^4,5,6 

[1] Mid Sweden Univ, Dept Nursing Sci, Holmgatan 10, SE-85170 Sundsvall, Sweden

[2] Queens Univ, Sch Rehabil Therapy, Kingston, ON, Canada

[3] Dalhousie Univ, Fac Med, Halifax, NS, Canada

[4] Dalhousie Univ, Sch Occupat Therapy, Halifax, NS, Canada

[5] Dalhousie Univ, Sch Hlth Adm, Halifax, NS, Canada

[6] Radboud Univ Nijmegen, Med Ctr, Nijmegen, Netherlands

关键词: Adaptation;    Chronic disease;    Neurological conditions;    Qualitative;    Self-care;    Self-management;    Taxonomy;    TEDSS framework;   

DOI  :  10.1016/j.pec.2018.08.034

来源: Elsevier

【 摘 要 】

Objective: To extend our understanding of self-management by using original data and a recent concept analysis to propose a unifying framework for self-management strategies. Methods: Longitudinal interview data with 117 people with neurological conditions were used to test a preliminary framework derived from the literature. Statements from the interviews were sorted according to the predefined categories of the preliminary framework to investigate the fit between the framework and the qualitative data. Data on frequencies of strategies complemented the qualitative analysis. Results: The Taxonomy of Every Day Self-management Strategies (TEDSS) Framework includes five Goal-oriented Domains (Internal, Social Interaction, Activities, Health Behaviour and Disease Controlling), and two additional Support-oriented Domains (Process and Resource). The Support-oriented Domain strategies (such as information seeking and health navigation) are not, in and of themselves, goal focused. Instead, they underlie and support the Goal-oriented Domain strategies. Together, the seven domains create a comprehensive and unified framework for understanding how people with neurological conditions self-manage all aspects of everyday life. Conclusions: The resulting TEDSS Framework provides a taxonomy that has potential to resolve conceptual confusion within the field of self-management science. Practice Implications: The TEDSS Framework may help to guide health service delivery and research. (C) 2018 The Authors. Published by Elsevier B.V.

【 授权许可】

Free