Fisher Edwin B, Brownson Carol A, O'Toole Mary L, Shetty Gowri, Anwuri Victoria V, Glasgow Russell E
Washington University, Division of Health Behavior Research, 4444 Forest Park Ave, St Louis, MO 63108, USA.
Am J Public Health. 2005 Sep;95(9):1523-35. doi: 10.2105/AJPH.2005.066084. Epub 2005 Jul 28.
In the Diabetes Initiative of The Robert Wood Johnson Foundation, an ecological perspective helped identify the following key resources and supports for self-management (RSSM): individualized assessment, collaborative goal setting, skills enhancement, follow-up and support, access to resources, and continuity of quality clinical care. These RSSM reflect the grounding of diabetes self-management in the context of social and environmental influences. Research supports the value of each of these key resources and supports. Differences among self-management interventions may be seen as complementary, rather than conflicting, ways of providing RSSM. This way of understanding differences among interventions may aid development of varied programs to reach diverse audiences. In contrast to the "5 A's" model of key provider services (Assess, Advise, Agree, Assist, and Arrange), RSSM articulate self-management from the perspective of individuals' needs. Both approaches emphasize identification of goals, teaching of skills, and facilitation and reinforcement of the use of those skills.
在罗伯特·伍德·约翰逊基金会的糖尿病倡议中，一种生态视角有助于确定以下自我管理的关键资源和支持（RSSM）：个性化评估、协作式目标设定、技能提升、随访与支持、资源获取以及优质临床护理的连续性。这些RSSM反映了糖尿病自我管理在社会和环境影响背景下的基础。研究支持这些关键资源和支持中的每一项的价值。自我管理干预措施之间的差异可能被视为提供RSSM的互补而非冲突方式。这种理解干预措施差异的方式可能有助于开发针对不同受众的多样化项目。与关键提供者服务的“5A”模型（评估、建议、商定、协助和安排）不同，RSSM从个人需求的角度阐述自我管理。两种方法都强调目标的确定、技能的传授以及促进和强化这些技能的使用。
