A middle range theory of self- and family management of chronic illness

Dena Schulman-Green, Shelli L. Feder, Daniel David, Lynda Rada, Danait Tesfai, Margaret Grey

Research output: Contribution to journalArticlepeer-review


Background: The Self- and Family Management Framework was created in 2006 to help structure self- and family management science. Based on a series of reviews and syntheses of emerging research and critical evaluation, we developed the Framework into a robust nursing theory. Purpose: In this article, we reintroduce the Self- and Family Management Framework as the Middle Range Theory of Self- and Family Management of Chronic Illness. Methods: We review steps in the development and updating of the Framework, share rationale for advancement to a middle range theory, explicate components of the newly designed model, and propose future directions. Discussion and Conclusion: It is our hope that this middle range theory will guide researchers and clinicians more comprehensively in supporting patients and families managing chronic illness, which will in turn inform continued theory development.

Original languageEnglish (US)
Article number101985
JournalNursing outlook
Issue number3
StatePublished - May 1 2023


  • Chronic illness
  • Middle range theory
  • Self- and family management

ASJC Scopus subject areas

  • General Nursing


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