ArticleANS. Advances in nursing science
Integrating Symptoms Into the Middle-Range Theory of Self-Care of Chronic Illness.
Article in ANS. Advances in nursing science. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07042399 (Self-care Behaviours of Type 2 Diabetes Mellitus Patients), which is not on this map. Cited by 139 papers, 15 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Self-care Behaviours of Type 2 Diabetes Mellitus Patients: a Multicenter Prospective Observational Study With 2 Years Follow-up (SCUDOS)
Who cites it
139 citing papers in PubMed, 15 syntheses or guidelines pooled it.
- Nursing interventions to enhance self-care in heart failure: a systematic review interpreted through the COM-B model.Systematic reviews · 2026Pooled it
- Pooled it
- Self-care needs in an aged population living with a chronic condition or multimorbidity: a systematic review.BMC geriatrics · 2026Pooled it
- The effectiveness of self-care interventions in working-age adults with type 2 diabetes mellitus: a systematic review and meta-analysis.Frontiers in endocrinology · 2026Pooled it
- Patient participation in self-monitoring regarding healthcare of heart failure: an integrated systematic review.BMC primary care · 2025Pooled it
- Self-care towards the end of life: A systematic review and narrative synthesis on access, quality and cost.Palliative medicine · 2025Pooled it
- Predictors of self-care in patients with cancer treated with oral anticancer agents: A systematic review.PloS one · 2024Pooled it
- Self-care behaviors in patients with cancer treated with oral anticancer agents: a systematic review.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2022Pooled it
- Efficacy of motivational interviewing on enhancing self-care behaviors among patients with chronic heart failure: a systematic review and meta-analysis of randomized controlled trials.Heart failure reviews · 2022Pooled it
- Use of Mobile Apps for Self-care in People With Parkinson Disease: Systematic Review.JMIR mHealth and uHealth · 2022Pooled it
- Instruments Measuring Self-Care in Children and Young Adults With Chronic Conditions: A Systematic Review.Frontiers in pediatrics · 2022Pooled it
- Do chronic heart failure symptoms interact with burden of treatment? Qualitative literature systematic review.BMJ open · 2021Pooled it
- Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models.International journal of environmental research and public health · 2021Pooled it
- Cardiovascular Consequences of Excessive Alcohol Drinking via Electrocardiogram: A Systematic Review.Journal of addictions nursingPooled it
- Caregivers' Contributions to Heart Failure Self-care: An Updated Systematic Review.The Journal of cardiovascular nursingPooled it
- Predictors of Adherence to Self-Care in Rural Patients With Heart Failure.The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association · 2020Trial
- Deriving preliminary criterion-anchored cut-off scores for nurse-patient mutuality: A receiver operating characteristic analysis of the Nurse-Patient Mutuality in Chronic Illness Scale.International journal of nursing studies advances · 2026Article
- Self-care in children and young people with complex chronic conditions instrument: development and content validation.International journal of nursing studies advances · 2026Article
- How People Integrate Mental Health Apps Into Everyday Self-Care: Qualitative Study.JMIR mHealth and uHealth · 2026Article
- Self-Efficacy as a Mediator Between Medication Adherence and Self-Care in Inflammatory Bowel Disease: A Multicenter Cross-Sectional Study.Journal of clinical nursing · 2026Article
79 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The Middle-Range Theory of Self-Care of Chronic Illness has been used widely since it was first published in 2012. With the goal of theoretical refinement in mind, we evaluated the theory to identify areas where the theory lacked clarity and could be improved. The concept of self-care monitoring was determined to be underdeveloped. We do not yet know how the process of symptom monitoring influences the symptom appraisal process. Also, the manner in which self-care monitoring and self-care management are associated was thought to need refinement. As both of these issues relate to symptoms, we decided to enrich the Middle-Range Theory with knowledge from theories about symptoms. Here, we propose 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.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.