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Chronic Illness, Vol. 1, No. 1, 49-60 (2005)
DOI: 10.1177/17423953050010010301
© 2005 SAGE Publications

Chronically ill rural women: self-identified management problems and solutions

Shirley Cudney

College of Nursing, Montana State University — Bozeman, Bozeman, MT 59717, USA, scudney{at}montana.edu

Therese Sullivan

College of Nursing, Montana State University — Bozeman, Bozeman, MT 59717, USA

Charlene A. Winters

College of Nursing, Montana State University — Bozeman, Missoula Campus, Missoula, MT 59712, USA

Lynn Paul

Department of Human Health and Development, Montana State University — Bozeman, Bozeman, MT 59717, USA

Pat Oriet

OB-GYN Associates, 925 Highland Boulevard, Suite 1210, Bozeman, MT 59715, USA

Objective: To add to the knowledge base of illness management of chronically ill, rural women by describing the self-identified problems and solutions reported by women participants in the online health-education segment of the Women to Women (WTW) computer outreach project.

Methods: WTW is a research-based computer intervention providing health education and online peer support for rural women with chronic diseases. Messages posted to the online chat room were examined to determine the women's self-management problems and solutions.

Results: The self-identified problems were: (1) difficulties in carrying through on self-management programmes; (2) negative fears and feelings; (3) poor communication with care providers; and (4) disturbed relationships with family and friends. The self-identified solutions to these problems included problem-solving techniques that were tailored to the rural lifestyle. Although not all problems were `solvable', they could be `lived with' if the women's prescriptions for self-management were used.

Discussion: Glimpses into the women's day-to-day experiences of living with chronic illness gleaned from the interactive health-education discussions will give health professionals insights into the women's efforts to manage their illnesses. The data provide health professionals with information to heighten their sensitivity to their clients' day-to-day care and educational needs.

Key Words: Chronic illness • Self-management • Computer intervention • Rural • Women


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C. A. Winters, S. A. Cudney, T. Sullivan, and A. Thuesen
The rural context and women's self-management of chronic health conditions
Chronic Illness, December 1, 2006; 2(4): 273 - 289.
[Abstract] [PDF]