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A Model of Self-Regulation for Control of Chronic Disease

University of Michigan School of Public Health, 109 S. Observatory Street, Ann Arbor, MI 48109-2029; phone: (734) 763-5454; fax: (734) 763-7379nmclark{at}umich.edu

Molly Gong, MD

Niko Kaciroti, MS

University of Michigan School of Public Health, Ann Arbor, Michigan.

Chronic disease poses increasing threat to individual and community health. The day-to-day manager of disease is the patient who undertakes actions with the guidance of a clinician. The ability of the patient to control the illness through an effective therapeutic plan is significantly influenced by social and behavioral factors. This article presents a model of patient management of chronic disease that accounts for intrapersonal and external influences on management and emphasizes the central role of self-regulatory processes in disease control. Asthma serves as a case for exploration of the model. Findings from a 5-year study of 637 children with asthma and their care-taking parents supported that the self-regulation elements of the model were reasonably stable over time and baseline values were predictive of important disease management outcomes.

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