A Multidimensional Approach to Chronic Disease Management: The Patient Health Engagement Model

Chronic disease management is a complex process which requires adaptation to unfamiliar lifestyle changes and long-term treatment, starting from its diagnosis until the end of life. In this case, healthcare professionals should inform the patient about the process, support their self -management skills, and adopt the appropriate approach by taking into account the patient's emotional responses and perceptions about their disease process. The Patient Health Engagement (PHE) Model is the most current person-centered care approach which is based on strengthening the patient's active role in maintaining chronic disease self-management. This model reveals that the patient undergoes sequential phases (blackout, arousal, adhesion, and eudaimonic project) according to the critical situations experienced in this process. By defining these phases, the model enables healthcare professionals to determine the patient's needs in terms of cognitive, emotional, and behavioral dimensions, to plan individualized care, and to integrate the patient as an active member of the healthcare team. Therefore, the aim is to describe the patient's experiences in chronic disease management starting from diagnosis, to introduce the PHE Model, and to discuss its use in chronic disease management. It is hoped that this review will guide nurses in using this model in chronic disease management and will provide an effective approach to clinical practice.