TY - JOUR
T1 - Appalachian residents' experiences with and management of multiple morbidity
AU - Schoenberg, Nancy E.
AU - Bardach, Shoshana H.
AU - Manchikanti, Kavita N.
AU - Goodenow, Anne C.
PY - 2011/5
Y1 - 2011/5
N2 - Approximately three fourths of middle-aged and older adults have at least two simultaneously occurring chronic conditions ('multiple morbidity,' or MM), a trend expected to increase dramatically throughout the world. Rural residents, who tend to have fewer personal and health resources, are more likely to experience MM. To improve our understanding of the ways in which vulnerable, rural residents in the United States experience and manage MM, we interviewed 20 rural Appalachian residents with MM. We identified the following themes: (a) MM has multifaceted challenges and is viewed as more than the sum of its parts; (b) numerous challenges exist to optimal MM selfmanagement, particularly in a rural, underresourced context; however, (c) participants described strategic methods of managing MM, including prioritizing certain conditions and management strategies and drawing heavily on assistance from informal and formal sources.
AB - Approximately three fourths of middle-aged and older adults have at least two simultaneously occurring chronic conditions ('multiple morbidity,' or MM), a trend expected to increase dramatically throughout the world. Rural residents, who tend to have fewer personal and health resources, are more likely to experience MM. To improve our understanding of the ways in which vulnerable, rural residents in the United States experience and manage MM, we interviewed 20 rural Appalachian residents with MM. We identified the following themes: (a) MM has multifaceted challenges and is viewed as more than the sum of its parts; (b) numerous challenges exist to optimal MM selfmanagement, particularly in a rural, underresourced context; however, (c) participants described strategic methods of managing MM, including prioritizing certain conditions and management strategies and drawing heavily on assistance from informal and formal sources.
KW - Chronic
KW - Experiences
KW - Illness and disease
KW - Interviews
KW - Research rural
KW - Risk perceptions
KW - Self-care
UR - http://www.scopus.com/inward/record.url?scp=80053086206&partnerID=8YFLogxK
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U2 - 10.1177/1049732310395779
DO - 10.1177/1049732310395779
M3 - Article
C2 - 21263063
AN - SCOPUS:80053086206
SN - 1049-7323
VL - 21
SP - 601
EP - 611
JO - Qualitative Health Research
JF - Qualitative Health Research
IS - 5
ER -