Self-management Science Framework

Self-management is a process by which individuals, dyads, and families use knowledge and beliefs, self-regulation skills and abilities, and social facilitation to achieve health-related outcomes. Self-management takes place in the context of risk and protective factors specific to the condition, physical and social environment, and individual and family. Self-management leads to proximal and distal health-related outcomes. Proximal outcomes are self-management behaviors and cost of health care services; distal outcomes are health status, quality of life and cost of health. Self-management is applicable to chronic conditions as well as health promotion. [1-3]



1UWM Self-Management Science Center Working Group*. (2011). Individual and Family Self-management Theory: Definition of self-management. Retrieved from

2Ryan, P.& Sawin, K.J(2009) The Individual and Family Self-Management Theory: Background and Perspectives on Context Process and Outcomes. Nursing Outlook, 57, 217-225.
3 Ryan, P. (2009). The integrated theory of health behavior change: background and intervention development. Clinical Nurse Specialist, 23(3), 161-170.

*Working group members. P. Ryan, K. Sawin, R., Doering, B. Rodgers, S. Morgan, R. Schiffman, E. Hildebrandt & R. Marine.