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ORIGINAL RESEARCH article
Front. Public Health
Sec. Aging and Public Health
Volume 12 - 2024 |
doi: 10.3389/fpubh.2024.1412832
This article is part of the Research Topic Analyses on Health Status and Care Needs among Older Adults View all 8 articles
Factors associated with self-management in older adults with multiple chronic conditions (MCCs): a qualitative study
Provisionally accepted- 1 Ph.D. Candidate in Nursing, Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
- 2 Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
- 3 Professor of Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Tehran, Iran
- 4 Professor of Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
- 5 Social Welfare Management Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
Background and purpose: Recognizing the importance of self-management in older adults with multiple chronic conditions (MCCs) is crucial for their quality of life. This qualitative study explored the factors linked to self-management among older adults with MCCs. Materials and methods: The present study was conducted in three stages: an integrated review, qualitative interviews, and Delphi. The search used electronic databases including Web of Science, PubMed, Scopus, Magiran, SID, and Iranmedex. The results of 33 studies that met the inclusion criteria were analyzed using conventional content analysis. A data matrix was formed; and purposeful sampling was conducted among older adults with MCCs, family caregivers, and specialists. The data were collected through semi-structured interviews. Data analysis of 29 interviews was conducted simultaneously with data collection using oriented qualitative content analysis and the Elo and Kyngäs approach. Three rounds of Delphi were conducted via email correspondence with a group of 30 experts to develop and validate the proposed variables. Results: The factors that influence self-management can be categorized into various categories. biological factors, cognitive factors, co-morbidities, socio-economic factors, health-related behaviors, mental health, interactions with healthcare teams, Family relationships, medical facility resources, employee empowerment, health policy development, and cultural influences. Conclusion: Self-management in older Iranian adults with MCCs is a complex and multidimensional phenomenon. By identifying the relevant factors, it is possible to design operational plans that promote self-management among the older adult population and are tailored to fit the specific needs of Iranian society.
Keywords: older adults, Chronic conditions, self-management, Qualitative content analysis, Chronic Disease
Received: 05 Apr 2024; Accepted: 30 Aug 2024.
Copyright: © 2024 Sadeghi, Mohammadi Shahbolaghi, Hosseini, Fallahi-Khoshknab and Ghaedamini Harouni. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
* Correspondence:
Hajar Sadeghi, Ph.D. Candidate in Nursing, Student Research Committee, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
Farahnaz Mohammadi Shahbolaghi, Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
Mohammadali Hosseini, Professor of Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, Tehran, Iran
Masoud Fallahi-Khoshknab, Professor of Nursing Department, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
Gholamreza Ghaedamini Harouni, Social Welfare Management Research Center, Social Health Research Institute, University of Social Welfare and Rehabilitation Sciences, Tehran, Iran, university of social welfare and rehailitation, Tehran, Iran
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