The Self-Care Matrix: a unifying frameowrk for self-care
File(s)El-Osta et al. 10.3.38-56[1][1].pdf (594.5 KB)
Published version
Author(s)
Type
Journal Article
Abstract
BACKGROUND: There is resurgent interest in the concept and practice of self-care as a means to improve the health, wellness and wellbeing of individuals, and as an avenue to mitigate financial pressures and growing demands on health and social care systems worldwide. An ongoing challenge has been the lack of clarity on the specific nature and entire scope of self-care, coupled to a lack of a universal or widely accepted framework that could support the conceptualisation and study of selfcare in its totality, in all settings and from different perspectives. OBJECTIVES: To advance a comprehensive yet pragmatic and widely accessible framework to support the conceptualisation of self-care in its totality, in order to facilitate the development, commissioning, evaluation and study of self-care initiatives across a variety of settings. METHOD AND FRAMEWORK DEVELOPMENT: A pragmatic review of the academic and lay literature was undertaken to identify extant theories and conceptual models of self-care. Following a content analysis, the models were characterised, and a configuration matrix was constructed to illustrate the key components and main themes of each model. These themes were organised into a number of domains which were grouped together into cardinal dimensions of self-care. The dimensions of self-care were consolidated in an inclusive framework and visually depicted on a schema to illustrate their inter-relationship. RESULTS: We identified a total of 32 candidate models, theories and frameworks of self-care. Characterising these models led to the identification of various themes and domains. These were found to naturally group into four cardinal dimensions of self-care: (1) Activities, (2) Behaviours, (3) Context, and (4) Environment. A new model was synthesised to illustrate the relationship between each dimension on a configuration matrix resulting in the creation of the Self-Care Matrix (SCM). CONCLUSION: The Self-Care Matrix (SCM) is a useful framework that can be used to conceptualise and frame the totality of self-care and its various interlinked elements. SCM is intended for use by all stakeholders who are interested in the study, development, commissioning and evaluation of self-care initiatives.
Date Issued
2019-07-24
Date Acceptance
2019-06-24
Citation
SelfCare, 10 (3), pp.38-56
ISSN
2042-7018
Publisher
Self Care Journal
Start Page
38
End Page
56
Journal / Book Title
SelfCare
Volume
10
Issue
3
Copyright Statement
© 2019 SelfCare. Available by permission of SelfCare.
Identifier
https://www.imperial.ac.uk/people/a.el-osta
Subjects
Self Care
Publication Status
Published
Date Publish Online
2019-07-24