A revised Self- and Family Management Framework

BackgroundResearch on self- and family management of chronic conditions has advanced over the past 6 years, but the use of simple frameworks has hampered the understanding of the complexities involved.PurposeWe sought to update our previously published model with new empirical, synthetic, and theoretical work.MethodsWe used synthesis of previous studies to update the framework.DiscussionWe propose a revised framework that clarifies facilitators and barriers, processes, proximal outcomes, and distal outcomes of self- and family management and their relationships.ConclusionsWe offer the revised framework as a model that can be used in studies aimed at advancing self- and family management science. The use of the framework to guide studies would allow for the design of studies that can address more clearly how self-management interventions work and under what conditions.