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Special Issue "Self-Efficacy and Self-Management of Chronic Diseases"

A special issue of International Journal of Environmental Research and Public Health (ISSN 1660-4601).

Deadline for manuscript submissions: closed (15 February 2021) | Viewed by 2409

Special Issue Editors

Department of Pharmaceutical Systems and Policy, School of Pharmacy, West Virginia University, Morgantown, WV 26506, USA
Interests: health economics; health services and outcomes research; multimorbidity; mental health; comparative effectiveness research; chronic disease management; population health; data science; pharmacoepidemiology
Global Health Institute and School of Public Health, Xi’an Jiaotong University, Xi'an 710061, China
Interests: obesity and chronic disease prevention and control; health disparities; nutritional epidemiology; health promotion; global health
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Special Issue Information

Dear Colleagues,

Globally, non-communicable diseases (NCDs) have been on the rise. Since 2011, the United Nations has hosted three General Assembly Special Summits to address NCD problems and has called on countries to take action to fight the related challenges. NCDs are the leading cause of global deaths, representing 63% of all annual global deaths. Approximately 80% of deaths linked to NCDs occur in low- and middle-income countries [1]. It has been estimated that, globally, 463 million individuals have diabetes [2], and an estimated 422 million individuals have cardiovascular diseases [3]. These chronic conditions require ongoing care on a daily basis. Although physicians and caregivers play a critical role in managing chronic conditions, health primarily happens outside the healthcare setting. To prevent complications, patients need to self-manage their conditions. Thus, patients’ self-efficacy and self-management of chronic conditions have become an integral part of comprehensive chronic disease management and play a critical role in improving health outcomes and reducing financial burden [4]. Self-efficacy represents the confidence a person has in carrying out a specific activity [5], and self-management refers to the daily actions that need to be taken by a person with one or more chronic health conditions to minimize morbidity attributable to their health conditions [6,7].

This Special Issue is seeking current research within the field of self-efficacy and self-management of chronic conditions. We seek conceptual frameworks, original research studies (qualitative, quantitative, and mixed methods), studies evaluating interventions of self-efficacy and self-management programs, systematic reviews, meta-analyses, and thought pieces to provide readers with an updated understanding of the concept of self-efficacy and its relevance for chronic disease self-management. We are also interested in articles that evaluate the relationship between self-efficacy and self-management with respect to outcomes, such as medication adherence, patient-reported outcomes (example: functional status, disability), and other health outcomes, including health-related quality of life, mortality, morbidity, and economic outcomes (healthcare expenditures, employment, financial burden).

We also encourage papers on how clinicians can apply self-efficacy and self-management to improve the psychological and functional well-being of persons with chronic diseases and generic and disease-specific instruments that assess self-efficacy and self-management. Authors may submit articles along the spectrum of primary prevention to tertiary prevention of chronic conditions.

Technological innovations, including wearables, are presumed to help patients’ self-efficacy and self-management of chronic conditions. There are numerous mobile applications (apps) available for self-management of chronic conditions; patients often lack information on the effectiveness of these applications. Articles summarizing the evidence on available mobile apps for self-management of specific chronic conditions are welcome.

Many adults also have multiple chronic conditions, varying from 13.1% to 71.8% across published studies [8]. Thus, the management of chronic conditions has become all the more challenging. The submission of articles focusing on the role of multiple chronic conditions or multimorbidity and challenges of self-efficacy and self-management for those with multimorbidity is also encouraged.

Prof. Dr. Usha Sambamoorthi
Prof. Dr. Youfa Wang
Guest Editors


  1. 10 Facts on Noncommunicable Diseases. Available online: https://www.who.int/features/factfiles/noncommunicable_diseases/en/ (accessed on 30 March 2020).
  2. Saeedi, P.; Petersohn, I.; Salpea, P.; Malanda, B.; Karuranga, S.; Unwin, N.; Colagiuri, S.; Guariguata, L.; Motala, A.A.; Ogurtsova, K.; et al.Global and regional diabetes prevalence estimates for 2019 and projections for 2030 and 2045: Results from the International Diabetes Federation Diabetes Atlas, 9th edition. Diabetes Res. Clin. Pract. 2019, 157, 107843, doi:10.1016/j.diabres.2019.107843.
  3. Roth, G.A.; Johnson, C.; Abajobir, A.; Abd-Allah, F.; Abera, S.F.; Abyu, G.; Ahmed, M.; Aksut, B.; Alam, T.; Alam, K.; Alla, F.; et al. Global, regional, and national burden of cardiovascular diseases for 10 causes, 1990 to 2015. Am. Coll. Cardiol. 2017, 70, 1–25, doi:10.1016/j.jacc.2017.04.052.
  4. Brady, T.J.; Murphy, L.; O'Colmain, B.J.; Beauchesne, D.; Daniels, B.; Greenberg, M.; House, M.; Chervin, D. A meta-analysis of health status, health behaviors, and healthcare utilization outcomes of the Chronic Disease Self-Management Program. Chronic. Dis. 2013, 10, 12011.
  5. Bandura, A. Self-efficacy mechanism in physiological activation and health promoting behavior. In Adaptation, Learning and Affect; Madden, J., Matthysse, S.; Barchas, J., Eds.; Raven: New York, NY, USA, 1986.
  6. Clark, N.M.; Becker, M.H.; Janz, N.K.; Lorig, K.; Rakowski, W.; Anderson,L. Self-management of chronic disease by older adults: A review and questions for research. Aging Health 1991, doi:10.1177/089826439100300101.
  7. Bodenheimer, T.; Lorig, K.; Holman, H.; Grumbach, K. Patient self-management of chronic disease in primary care. JAMA 2002, 288, 2469–2475, doi:10.1001/jama. 288.19.2469.
  8. Fortin, M.; Stewart, M.; Poitras, M.E.; Almirall, J.; Maddocks, H. A systematic review of prevalence studies on multimorbidity: Toward a more uniform methodology. Fam. Med. 2012, 10, 142–151.

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. International Journal of Environmental Research and Public Health is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 2500 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.


  • Chronic disease
  • Comorbid disease
  • Intervention
  • Multimorbidity
  • Prevention
  • Self-efficacy
  • Self-management
  • Medication adherence
  • Polypharmacy

Published Papers (1 paper)

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Psychometric Validation of the Living with Chronic Illness Scale in Patients with Chronic Heart Failure
Int. J. Environ. Res. Public Health 2021, 18(2), 572; https://doi.org/10.3390/ijerph18020572 - 12 Jan 2021
Cited by 2 | Viewed by 1898
It is necessary to develop self-reported instruments that evaluate the process of living with chronic heart failure (HF) holistically. The Living with Chronic Illness Scale—HF (LW-CI-HF) is the only available tool to evaluate how patients are living with HF. The aim is to [...] Read more.
It is necessary to develop self-reported instruments that evaluate the process of living with chronic heart failure (HF) holistically. The Living with Chronic Illness Scale—HF (LW-CI-HF) is the only available tool to evaluate how patients are living with HF. The aim is to analyse the psychometric properties of the LW-CI scale in the HF population. An international, cross-sectional validation study was carried out in 603 patients living with HF from Spain and Colombia. The variables measured were living with HF, perceived social support, satisfaction with life, quality of life and global impression of severity. The LW-CI-HF scale presented good data quality and acceptability. All domains showed high internal consistency with Cronbach’s alpha coefficient ≥ 0.7. The intraclass correlation coefficient for the total score was satisfactory (0.9) in test–retest reliability. The LW-CI-HF correlated 0.7 with social support and quality of life measures. Standard error of measurement was 6.5 for total scale. The LW-CI-HF scale is feasible, reliable and valid. However, results should be taken with caution in order to be used in clinical practice to evaluate the complex process of living with HF. Further research is proposed. Full article
(This article belongs to the Special Issue Self-Efficacy and Self-Management of Chronic Diseases)
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