School of Nursing
Doctor of Nursing Practice (DNP)
chronic disease self-management, self-management support interventions, quality of life, self-efficacy, rural health
Callahan, Karla A., "Chronic Disease Self-Management Support in Rural Areas: An Integrative Review" (2021). Doctoral Dissertations and Projects. 3082.
Millions of Americans live with chronic health conditions which require careful attention and specific actions for optimal management. Chronic Disease Self-Management Education (CDSME) has been effectively utilized to improve health outcomes and quality of life for individuals with chronic disease, enhancing knowledge and self-efficacy. Traditional CDSME programs are less available for rural residents. An examination of successful CDSME programs highlights common interventions that yield success and may be utilized in a variety of settings. Self-management is more complex, but also more essential, for individuals with more than one chronic condition. Clinicians can provide individualized support for appropriate self-management techniques, thereby enhancing self-efficacy and quality of life. This Integrative Review will examine the literature to identify effective strategies to provide self-management support for adults in rural communities who live with one or more chronic conditions.