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Resources for Health: A Social-Ecological Intervention for Supporting Self-management of Chronic Conditions

Russell E. Glasgow

Elizabeth G. Eakin

AMC Cancer Research Center, USA

There is a pressing need for practical interventions to support self-management of chronic illness that can be integrated with primary care, and that take into account the patient's social environment. This pilot study was conducted with low-income clients of a community health center and focused on enhancing use of social-environmental resources supportive of self-management. Twenty-eight patients having at least one chronic illness, randomized to immediate versus delayed treatment conditions, met once with a health educator to develop a self-management plan, and received one follow-up phone call and two newsletters. Significant improvements in use of community resources, minutes of physical activity, and medication adherence were obtained compared to control. Integrating brief self-management counseling with social environmental support appeared effective, although much more can be done to better link counseling to primary care practice.

Key Words: chronic illness • low income • physical activity • self-management • social environment

Journal of Health Psychology, Vol. 6, No. 6, 693-705 (2001)
DOI: 10.1177/135910530100600607


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