ArticleBMJ open2019
Delineating the concept of self-management in chronic conditions: a concept analysis.
Article in BMJ open, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05397925 (Effectiveness of a Training Program for Self-management of the Substance Addiction Consequences - Protocol for a Randomized Controlled Trial), which is not on this map. Cited by 126 papers, 10 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.
Effectiveness of a Training Program for Self-management of the Substance Addiction Consequences - Protocol for a Randomized Controlled Trial
Who cites it
126 citing papers in PubMed, 10 syntheses or guidelines pooled it, 273 citations in OpenAlex.
- Facilitators and Barriers to Digital Health Technologies for Self-Management in Patients With Chronic Kidney Disease: Systematic Review Based on the Updated CFIR 2.0 Framework.Journal of medical Internet research · 2026Pooled it
- Self-management interventions for common long-term conditions in low- and middle-income countries: a synthesis of current evidence.Journal of global health · 2025Pooled it
- Self-care towards the end of life: A systematic review and narrative synthesis on access, quality and cost.Palliative medicine · 2025Pooled it
- Effects of Self-Management Interventions in People With Interstitial Lung Disease.Respiratory care · 2023Pooled it
- Guideline
- Self-reported barriers in self-management of women with gestational diabetes: A systematic review of qualitative studies.Nursing open · 2023Pooled it
- Experiences of breast cancer survivors with lymphedema self-management: a systematic review of qualitative studies.Journal of cancer survivorship : research and practice · 2023Pooled it
- Pragmatic solutions to enhance self-management skills in solid organ transplant patients: systematic review and thematic analysis.BMC primary care · 2022Pooled it
- Digital Health Technologies for Long-term Self-management of Osteoporosis: Systematic Review and Meta-analysis.JMIR mHealth and uHealth · 2022Pooled it
- Longitudinal outcome evaluations of Interdisciplinary Multimodal Pain Treatment programmes for patients with chronic primary musculoskeletal pain: A systematic review and meta-analysis.European journal of pain (London, England) · 2022Pooled it
- Efficacy of a Mobile Health-Based Behavioral Treatment for Lifestyle Modification in Type 2 Diabetes Self-Management: Greenhabit Randomized Controlled Trial.Journal of medical Internet research · 2025Trial
- Caregiver activation: a concept analysis.International journal of nursing studies advances · 2026Review
- Self-management difficulties in Swedish older adults and associations with sociodemographic factors, number of conditions, depression and health status.Scandinavian journal of primary health care · 2026Article
- Self-Care Experiences and Support Needs of Community-Dwelling Older Adults With Multimorbidity: A Qualitative Study Informed by the Caring Life-Course Theory.Journal of clinical nursing · 2026Article
- Exploring the Priorities for Home Self-Management Among Patients with Interstitial Lung Disease: A Mixed-Methods Approach Using Q-Methodology.Healthcare (Basel, Switzerland) · 2026Article
- Invisible Agency in the Search for Healing: Patient and Family Roles in the Care of Hard-to-Heal Wounds in Primary Healthcare.International wound journal · 2026Article
- Self-Management of Geriatric Syndromes-longitudinal data on medical and psychosocial factors in older patients.Scientific data · 2026Article
- A new self-management engagement scale for haemodialysis patients (PRIESM CKD-HD): development and validation.Clinical kidney journal · 2026Article
- Determinants of self-management among gastrointestinal cancer patients undergoing chemotherapy: a structural equation modeling analysis.Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer · 2026Article
- Self-Management Interventions in Young Adults (18-30 Years) With Type 1 Diabetes, Sickle Cell Disease, and Inflammatory Bowel Disease: A Scoping Review.Chronic diseases and translational medicine · 2026Review
66 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
7 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesSelf-management is a concept frequently used within healthcare but lacks consensus. It is the aim of this study to clarify the concept.
designConcept analysis according to Walker and Avant, comprises eight steps: select concept, determine purpose, identify uses, determine defining attributes, identify model case, identify additional cases, identify antecedents and consequences and define empirical referents. SOURCES USED: PubMed, Scopus and Web of Science.
resultsTen attributes delineating the concept have been identified and organised into three groups. Group (a): person-oriented attributes: the person must (1) actively take part in the care process, (2) take responsibility for the care process and (3) have a positive way of coping with adversity. Group (b): person-environment-oriented attributes: (4) the person must be informed about the condition, disease and treatment and self-management, (5) should be individualised, which entails expressing needs, values and priorities, (6) requires openness to ensure a reciprocal partnership with healthcare providers and (7) demands openness to social support. Finally, Group (c): summarising attributes: self-management (8) is a lifetime task, (9) assumes personal skills and (10) encompasses the medical, role and emotional management.
conclusionsThe findings of this study recognise the complexity of the concept, but also show the need for further investigation to make the concept more measurable. Clarity about the concept will enhance understanding and facilitate implementation in self-management programmes for chronic conditions.
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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.