Registered Nurses' Association of Ontario

Table 2: Comparison of Client Education and Self-Management Education

Table 2: Comparison of Client Education and Self-Management Education



  • Issues covered reflect widespread common problems related to a specific disease.
  • Issues covered are identified by the client.
  • Disease-specific and offers information and technical skills related to the disease.
  • Provides problem-solving skills relevant to the concerns identified by the client living with a chronic condition.
  • Based on the underlying theory that disease-specific knowledge creates behaviour change, which in turn produces better outcomes.
  • Based on the theory that greater client confidence in his/her capacity to make life-improving  changes yields better clinical and other outcomes.
  • The goal is “compliance”.
  • The goal is increased self-efficacy and improved clinical outcomes.
  • Delivered by health-care professional.
  • Educators may be nurses, other health-care professionals, or others who are living with the disease.


Adapted from Bodenheimer, T., Lorig, K., Holman, H., & Grumbach, K. (2002). Patient self-management of chronic disease in primary care. Journal of the American Medical Association, 288(19), 2469-2475.


Chronic Disease
Strategies to Support Self Management in Chronic Conditions
Point of Care Resources