Barriers to self-management

Several barriers to self-management that might impact people living with chronic conditions include1:

  • Motivational barriers.  Sometimes it is tough to do things even when we want to do them.  Working with a rehabilitation professional can help you figure out what type of motivation would work best for you.  An occupational therapist may be helpful in this role.
  • Behavioural barriers.  Sometimes we go about meeting our goals in the wrong way.  Sometimes we set goals that are too hard, or we organize our lives in ways that don not support success.  This is another place that an occupational therapist can help – helping you set achievable goals, and work out a plan to realize them.
  • Emotional barriers.  Low self-esteem and low confidence can interfere with meeting your goals.  We are less likely to keep up with healthy behaviours like eating right and exercising when we are feeling down.  A social worker can help you work through issues that might be getting in your way.
  • Relationship barriers.  Sometimes, we can become sidetracked by people in our lives who are not as supportive as we would like.  Good communication skills can help you get the support you need from your loved ones.  Rehabilitation professionals like occupational therapists and social workers can help you build your communication skills.   Rehabilitation professionals can also provide the support you need as you work towards your goals.
  • Environmental barriers.  Our environment can also sometimes provide barriers.  For example, healthy food is often more expensive than unhealthy food.  The right rehabilitation professionals can help you find a way around your barriers, for example:
    • Dietitians can help you find inexpensive healthy meal ideas.
    • Physiotherapists can create an exercise plan that does not involve a gym membership or expensive equipment.
    • Local recreation centres may have flexible payment plans.

Self-management programs

If you are looking to learn more about self-management, or to create your own plan, you might want to explore the following:

1Vallis, M. Barriers to self-management in people affected by chronic disease. DiabetesVoice, 2009, 54:5-8.