Using the common sense model to design interventions for the prevention and management of chronic illness threats:: From description to process
Using the common sense model to design interventions for the prevention and management of chronic illness threats:: From description to process
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DOI：
10.1348/135910708x295604
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发表时间：
2008-05-01
影响因子：
7.9
通讯作者：
Leventhal, Howard
中科院分区：
文献类型：
--
作者：
McAndrew, Lisa M.;Musumeci-Szabo, Tamara J.;Leventhal, Howard
在这篇文章中，我们讨论了如何使用自我调节的常识模型（CSM）来制定改善慢性病管理的干预措施。我们认为，CSM的特点，如其动态的，自我调节（反馈）控制功能和系统结构，以病人为中心的干预提供了重要的基础。我们描述了两个独立的，正在进行的干预与糖尿病和哮喘患者证明CSM的适应性。最后，我们讨论了在计划和实施干预措施之前需要解决的三个额外因素：（1）自上而下与自下而上干预策略的使用;（2）涉及多学科团队的医疗保健干预措施;（3）实施定制干预措施的保真度。
In this article, we discuss how one might use the common sense model of self-regulation (CSM) for developing interventions for improving chronic illness management. We argue that features of that CSM such as its dynamic, self-regulative (feedback) control feature and its system structure provide an important basis for patient-centered interventions. We describe two separate, ongoing interventions with patients with diabetes and asthma to demonstrate the adaptability of the CSM. Finally, we discuss three additional factors that need to be addressed before planning and implementing interventions: (1) the use of top-down versus bottom-up intervention strategies; (2) health care interventions involving multidisciplinary teams; and (3) fidelity of implementation for tailored interventions.