Self-management of complex chronic conditions: Recommendations for qualitative health communication research

N. Diviani, S. Rubinelli
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Abstract

Background: Chronic conditions are on the rise worldwide, urging researchers to increase efforts to develop tailored self-management interventions. Theories and findings from health communication hold great potential to inform these developments, provided that the main current challenges in the field are adequately addressed. Aim: To recommend targets for research in health communication, focusing on qualitative methods, in the field of self-management of (complex) chronic conditions. Methods: A position paper based on a selective review of literature on self-management of chronic health conditions. Findings: To better support the development of tailored self-management programs, health communication research should: i) consider the existential dimension of self-management behavior; ii) recognize and address the fact that we live in an information landscape characterized by information overload and infodemic, and iii) apply qualitative methods to ensure that individuals' perspectives are fully taken into account. Discussion and conclusion: Gaining in-depth qualitative insights into the adjustment process for (complex) chronic health conditions is of mainstream importance for developing tailored communication interventions that can assist newly diagnosed individuals in integrating multiple self-management behaviors in their lives. This holds great potential to improve health outcomes for individuals and to reduce costs for society. 
复杂慢性病的自我管理:对定性健康传播研究的建议
背景:慢性病在世界范围内呈上升趋势,这促使研究人员加大努力,开发量身定制的自我管理干预措施。卫生传播的理论和研究结果有很大潜力为这些发展提供信息,前提是该领域当前的主要挑战得到充分解决。目的:为(复杂)慢性疾病自我管理领域的健康传播研究推荐目标,重点是定性方法。方法:在选择性回顾慢性健康状况自我管理文献的基础上发表立场论文。研究发现:为了更好地支持个性化自我管理项目的开发,健康传播研究应:i)考虑自我管理行为的存在维度;Ii)认识到并解决这样一个事实,即我们生活在一个以信息超载和信息泛滥为特征的信息环境中;iii)应用定性方法,确保充分考虑到个人的观点。讨论和结论:对(复杂)慢性健康状况的调整过程获得深入的定性见解,对于开发量身定制的沟通干预措施具有主流重要性,这些干预措施可以帮助新诊断的个体在其生活中整合多种自我管理行为。这在改善个人健康结果和降低社会成本方面具有巨大潜力。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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