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Self-Management of Chronic Disease by Older Adults

A Review and Questions for Research

University of Michigan School of Public Health

Marshall H. Becker, PhD, MPH

University of Michigan School of Public Health

Nancy K. Janz, PhD

University of Michigan School of Public Health

Kate Lorig, DrPH

Stanford University School of Medicine

William Rakowski, PhD

Brown University

Lynda Anderson, PhD

University of Michigan School of Public Health

This article summarizes the literature describing the at-home management of and psychosocial coping with five chronic diseases (heart disease, asthma, chronic obstructive pulmonary disease, arthritis, and diabetes) by the general population of adults. It also reviews the literature describing self-management of these chronic diseases by older adults. Conclusions drawn subsequent to the review are (a) that there are strong commonalities in the essential nature of tasks that exist across disease entities, (b) that the context for self-management of disease by the ill elderly is likely to differ somewhat from the context for other age groups. Questions for future research are posed.

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