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The Effects of Social and Physical Functioning and Self-Management Abilities on Well-Being Among Patients with Cardiovascular Diseases, Chronic Obstructive Pulmonary Disease, and Diabetes

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Abstract

To increase our understanding of relationships between well-being and social/physical functioning and self-management abilities (SMAs) among chronically ill patients. The cross-sectional questionnaire-based study included 1,254 patients with cardiovascular diseases, 725 with chronic obstructive pulmonary disease, and 253 with diabetes (total, 2232/4200; 53 % response rate). Social and physical functioning correlated significantly with SMAs and well-being (all p ≤ 0.001). After controlling for background characteristics, multiple regression showed that social and physical functioning were still related to SMAs (β = 0.32–0.12; both p ≤ 0.001) and well-being (β = 0.39–0.14; both p ≤ 0.001). The strengths of relationships between well-being and social (β = 0.39 vs. 0.20) and physical (β = 0.14 vs. 0.07) functioning declined significantly (both p ≤ 0.001) when the SMA mediator was included in the equation. SMAs of chronically ill are related to their social and physical functioning. We found indications that chronically ill patients reporting lower levels of social and physical functioning are worse self-managers than are those with higher levels of functioning. Furthermore, SMAs may mediate the relationships between social and physical functioning and well-being. Self-management interventions aiming to enhance SMAs more broadly than traditional interventions aiming only to prevent functional decline are expected to improve SMAs and enhance well-being among chronically ill patients.

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Acknowledgment

This research was supported by a grant from the Netherlands Organization for Health Research and Development (ZonMw, project no. 300030201). The views expressed in the paper are those of the authors. The authors declare that they have no competing interests and confirm all patient/personal identifiers have been removed or disguised so the patient/person(s) described are not identifiable and cannot be identified through the details of the story.

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Authors and Affiliations

  1. Department of Health Policy & Management (iBMG), Erasmus University Rotterdam, Rotterdam, The Netherlands

    Jane Murray Cramm & Anna Petra Nieboer

  2. Erasmus University (iBMG), Burgemeester Oudlaan 50, 3062 PA, Rotterdam, The Netherlands

    Jane Murray Cramm

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  1. Jane Murray Cramm
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  2. Anna Petra Nieboer
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Correspondence to Jane Murray Cramm.

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Cramm, J.M., Nieboer, A.P. The Effects of Social and Physical Functioning and Self-Management Abilities on Well-Being Among Patients with Cardiovascular Diseases, Chronic Obstructive Pulmonary Disease, and Diabetes. Applied Research Quality Life 9, 113–121 (2014). https://doi.org/10.1007/s11482-013-9216-z

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