This paper presents the theory of asthma self-management, a middle-range theory that focuses on the personal, socioeconomic, environmental, and healthcare-related factors that affect asthma self-management behaviors and asthma control in adults. The theory of asthma self-management was deduced from Orem’s self-care theory, one of the three subtheories of the self-care deficit theory of nursing. A substruction model is included and illustrates the linkages between the concepts of Orem’s self-care theory and the novel middle-range theory. The development of this theory expands the body of nursing science by bridging an existing theory with current asthma knowledge.
BaljetE.LuijksH.van den BemtL.SchermerT. R. (2023). Chronic comorbid conditions and asthma exacerbation occurrence in a general population sample. NPJ Primary Care Respiratory Medicine, 33(1), 29. https://doi.org/10.1038/s41533-023-00350-x
2.
BaptistA. P.HamadA.PatelM. R. (2014). Special challenges in treatment and self-management of older women with asthma. Annals of Allergy, Asthma, and Immunology, 113(2), 125–130. https://doi.org/10.1016/j.anai.2014.05.013
DenfordS.CampbellJ. L.FrostJ.GreavesC. J. (2013). Processes of change in an asthma self-care intervention. Qualitative Health Research, 23(10), 1419–1429. https://doi.org/10.1177/1049732313507376
5.
FawcettJ.DeSanto-MadeyaS. (2013). Contemporary nursing knowledge: Analysis and evaluation of nursing models and theories (3rd ed.). F.A. Davis Company.
6.
Gibson-ScipioW.GourdinD.KrouseH. J. (2015). Asthma self-management goals, beliefs and behaviors of urban African American adolescents prior to transitioning to adult health care. Journal of Pediatric Nursing, 30(6), e53–e61. https://doi.org/10.1016/j.pedn.2015.06.012
7.
IlmarinenP.StridsmanC.BashirM.TuomistoL. E.VähätaloI.GoksörE.KankaanrantaH.BackmanH.LanghammerA.PiiriläP.RönmarkE.LundbäckB.NwaruB. I.WennergrenG. (2022). Level of education and asthma control in adult-onset asthma. Journal of Asthma, 59(4), 840–849. https://doi.org/10.1080/02770903.2021.1871742
8.
KaplanA.BoivinM.BouchardJ.KimJ.HayesS.LicskaiC. (2023). The emerging role of digital health in the management of asthma. Therapeutic Advances in Chronic Disease, 14, 20406223231209329. https://doi.org/10.1177/20406223231209329
9.
LycettH. J.RaebelE. M.WildmanE. K.GuitartJ.KennyT.SherlockJ. P.CooperV. (2018). Theory-based digital interventions to improve asthma self-management outcomes: Systematic review. Journal of Medical Internet Research, 20(12), e293. https://doi.org/10.2196/jmir.9666
10.
MancusoC. A.SaylesW.AllegranteJ. P. (2010). Knowledge, attitude, and self-efficacy in asthma self-management and quality of life. Journal of Asthma, 47(8), 883–888. https://doi.org/10.3109/02770903.2010.492540
11.
MurphyJ.McSharryJ.HynesL.MatthewsS.RhoonL.MolloyG. J. (2021). Prevalence and predictors of adherence to inhaled corticosteroids in young adults (15-30 years) with asthma: A systematic review and meta-analysis. Journal of Asthma, 58(5), 683–705. https://doi.org/10.1080/02770903.2020.1711916
12.
OremD. (2001). Nursing concepts of practice (6th ed.). Mosby.
PicklesK.EasseyD.ReddelH. K.LocockL.KirkpatrickS.SmithL. (2018). “This illness diminishes me. What it does is like theft”: A qualitative meta-synthesis of people’s experiences of living with asthma. Health Expectations, 21(1), 23–40. https://doi.org/10.1111/hex.12605
PinnockH.ParkeH. L.PanagiotiM.DainesL.PearceG.EpiphaniouE.BowerP.SheikhA.GriffithsC. J.TaylorS. J. (2017). Systematic meta-review of supported self-management for asthma: A healthcare perspective. BMC Medicine, 15(1), 64. https://doi.org/10.1186/s12916-017-0823-7
17.
ReddelH. K.BacharierL. B.BatemanE. D.BrightlingC. E.BrusselleG. G.BuhlR.CruzA. A.DuijtsL.DrazenJ. M.FitzGeraldJ. M.FlemingL. J.InoueH.KoF. W.KrishnanJ. A.LevyM. L.LinJ.MortimerK.PitrezP. M.SheikhA.. . . BouletL. P. (2022). Global Initiative for Asthma Strategy 2021: Executive summary and rationale for key changes. European Respiratory Journal, 59(1). https://doi.org/10.1183/13993003.02730-2021
18.
RejeskiW. J.FanningJ. (2019). Models and theories of health behavior and clinical interventions in aging: A contemporary, integrative approach. Clinical Interventions in Aging, 14, 1007–1019. https://doi.org/10.2147/cia.S206974
RyanR. M.DeciE. L. (2017). Self-determination theory: Basic psychological needs in motivation, development, and wellness. Guilford Press.
21.
SchuersM.ChapronA.GuihardH.BouchezT.DarmonD. (2019). Impact of non-drug therapies on asthma control: A systematic review of the literature. European Journal of General Practice, 25(2), 65–76. https://doi.org/10.1080/13814788.2019.1574742
22.
SullivanK.ThakurN. (2020). Structural and social determinants of health in asthma in developed economies: A scoping review of literature published between 2014 and 2019. Current Allergy and Asthma Reports, 20(2), 5. https://doi.org/10.1007/s11882-020-0899-6
23.
TaunkS. T.CardetJ. C.LedfordD. K. (2022). Clinical implications of asthma endotypes and phenotypes. Allergy and Asthma Proceedings, 43(5), 375–382. https://doi.org/10.2500/aap.2022.43.220047
24.
WalkerL. O.AvantK. C. (2019). Strategies for theory construction in nursing (6th ed.). Pearson Education.
25.
WolfZ. R.HeinzerM. M. (1999). Substruction: Illustrating the connections from research question to analysis. Journal of Professional Nursing, 15(1), 33–37. https://doi.org/https://doi.org/10.1016/S8755-7223(99)80023-4
