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In order to avoid the premature loss of potentially relevant studies, we broadly defined "chronic disease self-management" as systematic intervention that is targeted towards patients with chronic disease to help them to actively participate in either or both of the following activities: self-monitoring (of symptoms or of physiologic processes) or decision-making (managing the disease or its impact based on self-monitoring). All interventions included in this study attempt to modify patient behavior to reach specific goals of chronic disease self-management.

We attempted to understand the characteristics particular to chronic disease self-management programs that may be most responsible for their effectiveness.

Reprinted with permission from Office of Research, Development, and Information Centers for Medicare & Medicaid Services.

Originally published in: Evidence Report and Evidence-Based Recommendations: Chronic Disease Self Management for Diabetes, Osteoarthritis, Post-Myocardial Infarction Care, and Hypertension.

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