- The disease and symptoms.
- Benefits of self-management.
- Areas needing self-management (diet, physical activity, smoking, environment, medication compliance, etc.).
- How to self-manage.
- Medications and side effects.
- Resources available.
- Medical information on the disease, symptoms, medications, side effects, outcome, medical terminology, etc.
- Information on self-management tasks needed and their benefits.
- Applicable clinical practice guidelines.
- Information on resources available.
- Information on the patient's condition, comorbidities, and information needs.
- Ability and resources to communicate.
- Assessment of perceptions, motivations, confidence, abilities, needs, and goals related to living well with condition.
- Building motivation to self-manage (e.g., alter behavior, comply with meds, monitor symptoms, etc.).
- Increase confidence and self-efficacy for the specific self-management behaviors needed.
- Collaboratively define problems and barriers to self-management.
- Collaboratively set self-management goals.
- Develop problem-solving skills and help with problem-solving.
- Provide emotional support .
- Facilitate stress management.
- Provide followup regarding reassessment, goals, problem-solving, reinforcement, prompts, and reminders.
- Assessment tools and skills.
- Skills and ability to work collaboratively with patients (garner trust, listen carefully, solicit and accept patient's own priorities).
- Psychosocial skills, abilities, and tools to engage patients and enhance motivation, confidence, and self-efficacy.
- Stress management knowledge and skills.
- Information and technology to prompt and inform followup.
- Information on patient's prior goals, problems, needs, knowledge, behavior change successes and failures, meds compliance, and visit compliance.
- Protocols for synthesizing assessment data into priorities for supportive interventions.
- Protocols for providing support (for motivating, building confidence, problem solving, setting goals collaboratively, etc.).