Evidence map›Paper›PMID 40956127›Full record

ArticleANS. Advances in nursing science

An Update to the Middle-Range Theory of Self-Care of Chronic Illness.

Barbara Riegel, Tiny Jaarsma, Anna Strömberg

Abstract read
In one paragraph

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. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Self-Care Behaviors in Osteoporosis: A Cross-Cultural Study Using Multidimensional Analysis of Textual Data.Journal of nursing scholarship : an official publication of Sigma Theta Tau International Honor Society of Nursing · 2026
    Article
  5. Review
  6. Article
  7. Article
  8. Article
  9. Factors associated with self-care engagement among oesophageal and gastric cancer survivors: a population-based cross-sectional study.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2026
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Review
  15. Article
  16. Article
  17. Article
  18. Review
  19. Article
  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Barbara RiegelAuthor Affiliations: Center for Home Care Policy & Research at VNS Health, New York, New York (Dr Riegel); School of Nursing, University of Pennsylvania, Philadelphia, Pennsylvania (Dr Riegel); Department of Health, Medicine, and Caring Sciences, Linkoping University, Linkoping, Sweden (Prof Jaarsma); Department of Cardiology, University Medical Center Utrecht, Utrecht, The Netherlands (Prof Jaarsma); and Department of Health, Medicine, and Caring Sciences and Department of Cardiology, Linkoping University, Linkoping, Sweden (Prof Stromberg).ORCID 0000-0002-0970-136
Tiny Jaarsma
Anna Strömberg

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSelf-care is essential in the management of chronic illness. In 2012, we published a middle-range theory addressing self-care as a process of maintaining health through health-promoting practices and managing chronic illness. Three key concepts in the theory were self-care maintenance, self-care monitoring, and self-care management. Self-care maintenance refers to those behaviors performed to improve well-being, preserve health, or maintain physical and emotional stability. Self-care monitoring is the process of routine vigilant surveillance, self-awareness, and body monitoring or body listening. Self-care management involves the response to signs and symptoms when they occur. In 2019, we updated the theory, specifying the important contribution of symptoms to self-care. Assumptions and propositions of the theory were specified in the original publication; both are expanded in this update. PURPOSE: Here, we update the theory to reflect changes in our thinking and what has been learned from published literature and discussions with others. An important addition is a detailed discussion of 6 essential intrapersonal requirements for self-care: experience, knowledge, skills, reflection, decision-making, and motivation. These requirements interact dynamically; the order in which they are presented is not meant to reflect the order in which they are developed. IMPLICATIONS FOR PRACTICE AND RESEARCH: These factors are particularly important in guiding the development of self-care interventions. Readers can now refer to this version instead of the 2012 publication.

Indexed as

Nursing TheorySelf CareAdultAgedChronic DiseaseFemaleHumansMaleMiddle Agedacute diseasechronic diseasechronic illnesshealth promotionpopulation healthpreventive medicinerehabilitationself-careself-management

Identifiers

PMID40956127
PMCPMC12851549

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.