Self-Management of Rural Adults with Multimorbidity: A Cross-Sectional Descriptive Study.

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      UNITED States
    • Abstract:
      Purpose: The purpose of this study was to examine self-management of rural dwelling adults with multimorbidity. Sample: Participant sample (N=40) was recruited from 5 primary care clinics located in rural communities in the Midwestern United States. All participants resided in isolated rural communities based on zip code of residence (RUCA: 10). Methods: This cross-sectional descriptive study measured four self-management outcomes (self-efficacy, social support, self-regulation, patient activation) and perceptions of rural community dwelling adults with multimorbidity (N=40). All participants resided in rural/isolated rural communities designated as RUCA 10 (Rural-Urban Commuting Area [RUCA] code). Findings: Study sample was primarily female (n=32), Caucasian (n=40), with a mean age of 62.13 years of age (range 37-90). Participants self-reported multimorbidity (2-7 chronic conditions) differed significantly from care-based (ICD-10 medical record) multimorbidity (range of 2-11 chronic conditions). This sample self-reported high levels of self-efficacy, patient activation, and social support. However, low self-regulation ability was noted in this sample. Participants perceptions of multimorbidity focused primarily on the emotional effects and prioritization required for daily management. Conclusion: Findings from this study elucidate the self-management outcomes and perceptions of rural community dwelling adults with multimorbidity giving a voice to this population to better inform development of interventions tailored to their contextual needs. [ABSTRACT FROM AUTHOR]
    • Abstract:
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