![]() ![]() This has necessitated the reconfiguration of organisational interfaces, introduction of new technologies, and re-consideration of the work that stems from chronic illness. The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.Ĭompeting interests: The authors have declared that no competing interests exist.Īs part of a ‘care transition’ self-management support policies for long-term conditions (LTCs) are designed to enhance peoples’ self-management capacities and reduce the fiscal burden on health care systems. The authors are members of the Patient Theme of CLAHRC for Greater Manchester. CLAHRC Greater Manchester is a partnership between the Greater Manchester NHS Trusts and the University of Manchester and is part of the National Institute for Health Research. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.įunding: This research has been funded by the Collaboration for Leadership in Applied Health Research and Care (CLAHRC) for Greater Manchester. Received: NovemAccepted: FebruPublished: April 2, 2013Ĭopyright: © 2013 Vassilev et al. Tehran University of Medical Sciences, Iran (Republic of Islamic) (2013) Social Networks, the ‘Work’ and Work Force of Chronic Illness Self-Management: A Survey Analysis of Personal Communities. A network perspective offers an opportunity to redress the balance of an exclusively individual focus on self-management because it addresses the broader set of contributions and resources available to people in need of chronic illness management and support.Ĭitation: Vassilev I, Rogers A, Blickem C, Brooks H, Kapadia D, Kennedy A, et al. This indicates a degree of substitutability between differently constituted networks, and that the level and type of input by different members of a network might change according to circumstances. ![]() In networks with ‘no partner’ other people tend to contribute more in the way of illness related work than in networks with a partner. Network member characteristics (type of relationship, proximity, frequency of contact) impact on the amount of illness work undertaken in peoples’ networks. Whilst partners and close family make the highest contributions there is evidence of inputs from a wide range of relationships. The results provide an articulation of how social network members are substantially involved in illness management. A concentric circles diagram was used as a research tool with which participants identified 2,544 network members who contributed to illness management. 300 people from deprived areas and with chronic illnesses took part in a survey conducted in 2010 in the North West of England. We therefore took a network approach to explore self-management support conceptualising it as types of illness ‘work’ undertaken within peoples’ social networks. This is relevant for understanding the division of labour and the meeting of needs for those living with a long-term condition. While it is recognised that social network members play an important role there is currently a gap in knowledge regarding who provides what type of support and under what circumstances. Evidence for the success of self-management support has mainly focussed on individually-centred outcomes of behavioural change. Self-management support forms a central aspect of chronic Illness management nationally and globally. ![]()
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