Department of Nursing Sciences, Mid Sweden University, Sundsvall, Sweden.
School of Rehabilitation Therapy, Queen's University, Kingston, Ontario, Canada.
Patient Educ Couns. 2019 Feb;102(2):367-375. doi: 10.1016/j.pec.2018.08.034. Epub 2018 Aug 31.
To extend our understanding of self-management by using original data and a recent concept analysis to propose a unifying framework for self-management strategies.
Longitudinal interview data with 117 people with neurological conditions were used to test a preliminary framework derived from the literature. Statements from the interviews were sorted according to the predefined categories of the preliminary framework to investigate the fit between the framework and the qualitative data. Data on frequencies of strategies complemented the qualitative analysis.
The Taxonomy of Every Day Self-management Strategies (TEDSS) Framework includes five Goal-oriented Domains (Internal, Social Interaction, Activities, Health Behaviour and Disease Controlling), and two additional Support-oriented Domains (Process and Resource). The Support-oriented Domain strategies (such as information seeking and health navigation) are not, in and of themselves, goal focused. Instead, they underlie and support the Goal-oriented Domain strategies. Together, the seven domains create a comprehensive and unified framework for understanding how people with neurological conditions self-manage all aspects of everyday life.
The resulting TEDSS Framework provides a taxonomy that has potential to resolve conceptual confusion within the field of self-management science.
The TEDSS Framework may help to guide health service delivery and research.
通过使用原始数据和最近的概念分析来扩展自我管理的理解，提出一个用于自我管理策略的统一框架。
使用 117 名神经疾病患者的纵向访谈数据来测试从文献中得出的初步框架。根据初步框架的预定义类别对访谈中的陈述进行排序，以调查框架与定性数据之间的契合度。关于策略频率的数据补充了定性分析。
日常自我管理策略分类法（TEDSS）框架包括五个目标导向领域（内部、社会互动、活动、健康行为和疾病控制），以及两个额外的支持导向领域（过程和资源）。支持导向领域的策略（如信息搜索和健康导航）本身并不是以目标为导向的。相反，它们是目标导向领域策略的基础和支持。这七个领域共同构成了一个全面而统一的框架，用于理解患有神经疾病的人如何自我管理日常生活的各个方面。
由此产生的 TEDSS 框架提供了一个分类法，有可能解决自我管理科学领域的概念混淆。
TEDSS 框架可能有助于指导卫生服务的提供和研究。
