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Dall'Oglio I, Gasperini G, Carlin C, et al. Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models. Int J Environ Res Public Health. 2021;18(7)doi: 10.3390/ijerph18073513.
Dall'Oglio, I., Gasperini, G., Carlin, C., Biagioli, V., Gawronski, O., Spitaletta, G., Grimaldi Capitello, T., Salata, M., Vanzi, V., Rocco, G., Tiozzo, E., Vellone, E., & Raponi, M. (2021). Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models. International journal of environmental research and public health, 18(7), . https://doi.org/10.3390/ijerph18073513
Dall'Oglio, Immacolata, et al. "Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models." International journal of environmental research and public health vol. 18,7 (2021). doi: https://doi.org/10.3390/ijerph18073513
Dall'Oglio I, Gasperini G, Carlin C, Biagioli V, Gawronski O, Spitaletta G, Grimaldi Capitello T, Salata M, Vanzi V, Rocco G, Tiozzo E, Vellone E, Raponi M. Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models. Int J Environ Res Public Health. 2021 Mar 28;18(7). doi: 10.3390/ijerph18073513. PMID: 33800684; PMCID: PMC8037526.
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Int J Environ Res Public Health. 2021 Mar 28;18(7). doi: 10.3390/ijerph18073513.

Self-Care in Pediatric Patients with Chronic Conditions: A Systematic Review of Theoretical Models.

International journal of environmental research and public health

Immacolata Dall'Oglio, Giulia Gasperini, Claudia Carlin, Valentina Biagioli, Orsola Gawronski, Giuseppina Spitaletta, Teresa Grimaldi Capitello, Michele Salata, Valentina Vanzi, Gennaro Rocco, Emanuela Tiozzo, Ercole Vellone, Massimiliano Raponi

Affiliations

  1. Bambino Gesù Children's Hospital, IRCCS, Piazza Sant'Onofrio 4, 00165 Rome, Italy.
  2. Department of Biomedicine and Prevention, University of Rome Tor Vergata, 00133 Rome, Italy.
  3. Centre of Excellence for Nursing Scholarship-Nursing Professional Order of Rome, Viale Giulio Cesare, 78, 00192 Rome, Italy.

PMID: 33800684 PMCID: PMC8037526 DOI: 10.3390/ijerph18073513

Abstract

BACKGROUND: To improve outcomes in children and young adults (CYAs) with chronic conditions, it is important to promote self-care through education and support.

AIMS: (1) to retrieve the literature describing theories or conceptual models of self-care in CYAs with chronic conditions and (2) to develop a comprehensive framework.

METHODS: A systematic literature search was conducted on nine databases, according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. All peer-reviewed papers describing a theory or a conceptual model of self-care in CYAs (0-24 years) with chronic conditions were included.

RESULTS: Of 2674 records, 17 met the inclusion criteria. Six papers included a theory or a model of self-care, self-management, or a similar concept. Six papers developed or revised pre-existing models or theories, while five papers did not directly focus on a specific model or a theory. Patients were CYAs, mainly with type 1 diabetes mellitus and asthma. Some relevant findings about self-care in CYAs with neurocognitive impairment and in those living with cancer may have been missed.

CONCLUSIONS: By aggregating the key elements of the 13 self-care conceptual models identified in the review, we developed a new overarching model emphasizing the shift of self-care agency from family to patients as main actors of their self-management process. The model describes influencing factors, self-care behaviors, and outcomes; the more patients engaged in self-care behaviors, the more the outcomes were favorable.

Keywords: chronic diseases; model; pediatric; self-care; young adults

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