Self-Management Interventions among Asian Persons with Chronic Disease: A Systematic Review


  • Somsak Thojampa NU


interventions, self-management, chronic disease


The U.S. National Center for Health Statistics defined disease to be chronic when lasting three months or more. Chronic disease generally cannot be prevented by vaccines, or cured by medications,nor do they just disappear. With the increasing incidence of chronic disease, self-management is seen to be one of the techniques used to appropriately address the problem. It is important to acquire skills and knowledge to achieve goals for better quality of life. The aim of this paper is to identify the major diseases of chronically-ill patients and to determine the self-management interventions adopted by patients diagnosed with a chronic disease. The researcher utilized systematic integrative literature review using content analysis technique. Due to diverse potential findings, the review utilized a certain degree of limitations as criteria for selection. A multi-staging strategy was developed to identify the significant and relevant review literatures. Key words such self-management, chronic disease; interventions were used to retrieve significant literatures. PubMed, CINAHL, Cochrane library and Thai databases were utilized for literature retrieval.The literatures are published from June 2006 to December 2012 and were published internationally. A total of 14 literatures systematically reviewed based from the research intentions. Findings revealed that the
common chronic diseases among Asians include diabetes mellitus, chronic heart diseases, arthritis,sedentary-acquired problems like obesity and hypertension. The review also identified self-management interventions such as increase of active exercises, improvement of dietary control to sodium intake, takin medications religiously as prescribed, weight monitoring, cognitive improvement and counseling, improved self-care and behavioral changes. It is recommended that further studies be made to identify more independent actions to improve intervention program for an improved outcome to patients with chronic diseases.


Download data is not yet available.


Centers for Disease Control and Prevention. (2014).
Chronic Disease Prevention and Health
Promotion. Retrieved from:
Chan, W.L.S., Hui, E., Chan, C., Cheung, D., Wong,
S., Wong, R. & Woo, J. (2011).
Evaluation of chronic disease self-management
program (CDSMP) for older adults in Hong
Kong. The Journal of Nutrition, Health &
Aging, 15, 209-214.
Chen, L., Chuang, L., Chang, C., Wang, C., Wang, I.,
Chung, Y., & Lai, F. (2013). Evaluating selfmanagement
behaviors of diabetic patients in a
telehealthcare program: Longitudinal study
over 18 months. Journal of Medical Internet
Research, 15 (12), e266-e266. doi:10.2196/
Deesiang, W. & Preechawong, S. (2008 ).
Effectiveness of self- management program on
LDL cholesterol level of type 2 Diabetic Patients.
Journal of Nursing Science Chulalongkorn
University,20(2), 27-39.
Junchai, J., Therawiwat, M. & Imamee, N. (2012).
Diabetes education and self-management
program of persons with type 2 diabetes, Prachuap Khiri
Khan Province. The Public Health Journal of
Burapha University,7(2), 69-83.
Keeratiyutawong, P. ( 2006 ). Effectiveness of a selfmanagement
program for Thaiswith type 2
diabetes. Thai Journal Of Nursing Research,
10 (2), 85-97.
Lee, C. Y., Lee, H., Jeon, K. M., Hong, Y. M., & Park,
S. H. (2011). Self-management program for
obesity control among middle-aged women in
korea: A pilot study. Japan: Blackwell Pub.
Lundberg, P. C., & Rattanasuwan, O. (2007).
Experiences of fatigue and self-management
of thai buddhist cancer patients undergoing
radiation therapy. Cancer Nursing, 30 (2), 146-
Mulder, N. (2000).Inside Thai society: Interpretations
of everyday life. Singapore: Pepin Press.
Newman, S., Steed, L., & Mulligan, K. (2004).
Self-management interventions for chronic
illness. Lancet, 364(9444), 1523-1537.
Ruengkajorn, O. & Kittiwatanapaisan, W. ( 2011). The
Effectiveness of Self-management
Program on Self-management Behavior and Asthma
Controlled level in Asthma Patient at Ranode
Hospital, Songkhla Province. Journal of
Nursing Science & Health, 34(3), 11-21.
Sharma, J. (2013). Chronic disease management in
the South-East Asia Region: A need to do
more. WHO South-East Asia Journal Public Health,
2,79-82. Available May 24, 2014, from: http://
Wattanakul, S., Teerawiwat, M., Imamee, N. &
Tulsakul, S. ( 2011). Learning program for
self-management on diet and exercise of
persons with Pre- Hypertension in Burirum
Province. Journal of public health nursing,27(1),




How to Cite

Thojampa, S. (2018). Self-Management Interventions among Asian Persons with Chronic Disease: A Systematic Review. NU Journal of Nursing and Health Sciences, 11(3), 8–17. Retrieved from