Helping patients manage their chronic conditions Chronic Disease -- therapy Decision Making Health Behavior Self Care -- methods Self-management support is the assistance caregivers give patients with chronic disease in order to encourage daily decisions that improve health-related behaviors and clinical outcomes. Self-management support can be viewed in two ways: as a portfolio of techniques and tools that help patients choose healthy behaviors; and a fundamental transformation of the patient-caregiver relationship into a collaborative partnership. The purpose of self-management support is to aid and inspire patients to become informed about their conditions and take an active role in their treatment. True self-management support involves both patient education and collaborative decision making. This document describes five interlocking strategies that help caregivers work within the collaborative model. The five strategies are: (1) Collaborative decision making: establishing an agenda; (2) Information giving: ask, tell, ask; (3) Information giving: closing the loop; (4) Collaborative decision making: assessing readiness to change; and (5) Collaborative decision making: goal setting. In addition, this document reviews literature describing the effectiveness of self-management support interventions. Among the conclusion from that review: (1) Self-management support does improve health-related behaviors, and as a result, clinical outcomes. (2) The self-management support intervention for which the evidence is strongest is a collaborative interaction between caregiver and patient. (3) Providing information is a necessary--but not sufficient--intervention to improve health-related behaviors or clinical outcomes. (4) A collaborative relationship between caregiver and patient must be added to information giving in order to improve behaviors and outcomes. Providing self-management support presents a major challenge to primary care practices because self-management support takes time--perhaps the most limited resource in primary care. Physicians cannot provide adequate self-management support amid the many competing agendas of a 15-minute office visit. Thus, primary care practices must create teams in which non-physician caregivers are trained to work with physicians in offering self-management support, from information giving and collaborative decision making to assessing patients' readiness to change health-related behaviors and setting behavior-changed goals. Oakland, Calif. : California HealthCare Foundation, c2005 Bodenheimer, Thomas MacGregor, Kate. Sharifi, Claire. California HealthCare Foundation Technical Report Text Illustrations 25 leaves. nlm:nlmuid-101309864-pdf 101309864 http://resource.nlm.nih.gov/101309864 ISBN: 1932064842 English United States Reproduced with permission of the copyright holder. Further use of the material is subject to CC BY license. https://creativecommons.org/licences/by/4.0