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Background: Our ability to self-care can play a crucial role in the prevention, management and rehabilitation of diverse conditions, including chronic non-communicable diseases. Various tools have been developed to support the measurement of self-care capabilities of healthy individuals, those experiencing everyday self-limiting conditions, or one or more multiple long-term conditions. We sought to characterise the various non-mono-disease specific self-care measurement tools for adults as such a review was lacking. Objective: The aim of the review was to identify and characterise the various non-mono-disease specific self-care measurement tools for adults. Secondary objectives were to characterise these tools in terms of their content, structure and psychometric properties. Design: Scoping review with content assessment. Methods: The search was conducted in Embase, PubMed, PsycINFO and CINAHL databases using a variety of MeSH terms and keywords covering 1 January 1950 to 30 November 2022. Inclusion criteria included tools assessing health literacy, capability and/or performance of general health self-care practices and targeting adults. We excluded tools targeting self-care in the context of disease management only or indicated to a specific medical setting or theme. We used the Seven Pillars of Self-Care framework to inform the qualitative content assessment of each tool. Results: We screened 26,304 reports to identify 38 relevant tools which were described in 42 primary reference studies. Descriptive analysis highlighted a temporal shift in the overall emphasis from rehabilitation-focused to prevention-focused tools. The intended method of administration also transitioned from observe-and-interview style methods to the utilisation of self-reporting tools. Only five tools incorporated questions relevant to the seven pillars of self-care. Conclusions: Various tools exist to measure individual self-care capability, but few consider assessing capability against all seven pillars of self-care. There is a need to develop a comprehensive, validated tool and easily accessible tool to measure individual self-care capability including the assessment of a wide range of self-care practices. Such a tool could be used to inform targeted health and social care interventions. [ABSTRACT FROM AUTHOR]

Introduction: The Geneva Declaration emerging from the 13th Geneva Conference on Person-Centred Medicine dealt with self-care, inter-care, and well-being during COVID-19 pandemic times. For the first time since the inception of the Geneva Conferences, the main theme involved self-care and inter-care. Not only these important healthcare strategies were innovative but also their specific relevance to person-centred care was implicitly assumed but had not been pointedly articulated. There has been significant literature available on self-care and only recently on inter-care, a concept sometimes referred to as mutual care. Objectives: The main objective of this paper is to examine systematically the place of self-care and mutual care within the framework of person-centred medicine (PCM) and thus help substantiate academically the main theme of the 2021 Geneva Declaration from the International College of Person-Centred Medicine. Methodology: The main approach involved an exploratory review of the literature aimed at clarifying the extent to which self-care and mutual care are related to the core concepts and to the key principles of PCM. Results: The relationship of the self-care and mutual care health strategies to the core concepts and key principles of PCM is tabularly appraised. It was found that both health strategies were related to the three core concepts of PCM and to virtually all key principles of PCM, except the holistic framework. Conclusions: Self-care and mutual care are related to and substantiated by the core concepts and key principles of PCM. The value of these findings could be extended through the identification and analyses of best practices and the performance of systematic research studies. [ABSTRACT FROM AUTHOR]

The rapidly increasing number of people who have long-term conditions requires a system of coordinated support for self-care throughout the NHS. A system to support self-care needs to be aligned to systems that support shared-care and community development, making it easier for the multidisciplinary teams who provide care to also help patients and populations to help themselves. Public health practitioners need to work closely with clinicians to achieve this. The best place to coordinate this partnership is a community-based coordinating hub, or local health community - a geographic area of about 50,000 population where different contributions to self-care can be aligned. A shared vision for both health and disease management is needed to ensure consistent messaging by all. A three tier system of shared care can help to combine vertical and horizontal integration. This paper uses severe and enduring mental illness as an exemplar to anticipate the design of such a system. [ABSTRACT FROM AUTHOR]