- Julie Gass, PhD, Clinical Research Psychologist, VA Center for Integrated Healthcare, Buffalo, NY
- Robyn Shepardson, PhD, Clinical Research Psychologist, VA Center for Integrated Healthcare, Syracuse, NY
- Jennifer Funderburk, PhD, Clinical Research Psychologist, VA Center for Integrated Healthcare, Syracuse, NY
Most health behaviors happen at home, not in the office. It is therefore incumbent on clinicians to support patient self-management strategies, such as at-home monitoring and stress reduction. Although self-management has been discussed conceptually in healthcare for decades, there remain gaps in its selection and use – there are no clear guidelines on how clinicians can help patients successfully use self-management, and little guidance on which strategies are evidence-informed. We will take a transdiagnostic approach in discussing key self-management strategies, including self-monitoring, depression self-management, and anxiety self-management. We will review best practices, including use of mHealth/technology. Attendees will receive handouts detailing evidence-informed self-management strategies and modifiable patient handouts to support effective self-management.
- Determine how to decide which self-management strategy to suggest to patients using our Decision Tool
- Understand the current evidence base for self-management studies including management of depression and anxiety as well as self-monitoring
- Learn how to implement effective self-management strategies in their own patient populations
- Grady, P. A., & Gough, L. L. (2014). Self-management: A comprehensive approach to management of chronic conditions. American Journal of Public Health, 104, e25-e31. doi:10.2105/AJPH.2014.302041
- van Grieken, R. A., Kirkenier, A. C. E., Koeter, M. W. J., Nabitz, U. W., & Schene, A. H. (2015). Patients’ perspective on self-management in the recovery from depression. Health Expectations, 18, 1339-1348. doi:10.1111/hex.12112
- Shepardson, R. L., Tapio, J., & Funderburk, J. S. (2017). Self-management strategies for stress and anxiety used by nontreatment seeking veteran primary care patients. Military medicine, 182(7), e1747-e1754.
- Afshin, A., Babalola, D., Mclean, M., Yu, Z., Ma, W., Chen, C. Y., ... & Mozaffarian, D. (2016). Information technology and lifestyle: a systematic evaluation of internet and mobile interventions for improving diet, physical activity, obesity, tobacco, and alcohol use. Journal of the American Heart Association, 5(9), e003058.
- Fletcher, B. R., Hartmann-Boyce, J., Hinton, L., & McManus, R. J. (2015). The effect of self-monitoring of blood pressure on medication adherence and lifestyle factors: a systematic review and meta-analysis. American journal of hypertension, 28(10), 1209-