Effectiveness Of Self-management Interventions Research Articles

Effect of self-management intervention on patients with chronic obstructive pulmonary diseases, Chitwan, Nepal.

Self-management skills are important for patients with Chronic Obstructive Pulmonary Disease (COPD) who are responsible for their day to day care. Poor self-management behaviours have a significant influence on symptoms, functional impairments and quality of life. Evidence has shown that self-management interventions support patients to respond to changing symptoms and thereby make appropriate decisions regarding their self-management. This study aimed to find out the effect of self-management interventions in patients with COPD in terms of self-management practice, inhaler practice, COPD symptoms burden, functional ability, self-perceived dyspnoea and emotional symptoms. Quasi-experimental pre-test post-test design was carried out among patients with COPD attending respiratory units of Chitwan Medical College Teaching Hospital (CMC-TH), Nepal. Convenience sampling technique was used to select the 70 patients with COPD for the study. Baseline data was collected from the participants using (i) Semi-structured interview schedule for socio-demographic and clinical variables, (ii) COPD Self-Management Practice Questionnaire, (iii) Borg Dyspnoea Scale, and (iv) Six Minute Walking Distance (6MWD) Test (v) Pulmonary Function Test (PFT) and (vi) Observation Checklist. Self-management Intervention given was 2 ½ hour sessions per week for 6 weeks along with information booklets distribution. Participants were re-evaluated after 3 months of intervention using same tools. Data analysis was performed using IBMSPSS version 20.0 for window. Wilcoxon signed-rank test was performed to find the effectiveness of the self-management interventions on outcome parameters. Self-management interventions (2 ½ hour session per week for 6 weeks) elicited a statistically significant change on self-management practice (z = -7.215, p<0.001), inhaler practice (DPI practice z = -6.731, p<0.001, MDI practice, z = -1.816, p = 0.005), functional ability (z = -4.243, p<0.001), self-perceived dyspnoea (z = -4.443, p<0.001), COPD symptom burden (z = -7.009, p<0.001) and emotional symptoms (depression, z = -6.856, p<0.001, anxiety, z = -6.675, p<0.001) of patients with COPD. Self-management intervention acts as powerful equipment to improve self-management practice, COPD symptoms burden, functional ability, self-perceived dyspnoea and emotional symptoms of patients with COPD. Hence, clinician and policy maker need to plan and intervene the rehabilitation program for the patients with COPD to enhance the effectiveness of therapy, self-management practice and general longevity.

The Effectiveness of Teaching Self-Management to Students with Autism Spectrum Disorder on Their Self-Management, On-Task and Task Completion Skills

Introduction: Self-management strategies (SMS) consist of antecedent cue regulation, self-monitoring, self-instruction, self-evaluation, or self-reinforcement strategies. Students with autism spectrum disorder (ASD) can use these strategies especially in their daily life skills, academic skills, or in environments that require social skills. Method: In this study, the effect of self-management (SM) teaching on the acquisition and maintenance of SMS by students with ASD was examined. It was also aimed to determine how students acquire and maintain the behaviors of on-task and task completion by using strategies, and to what extent they generalize the strategies and target behaviors to different people/environments. The study was conducted using multiple probe design with probe conditions across subjects, one of the single-subject research models. Findings: The findings of the study showed that SM teaching was effective in helping students with ASD acquire SMS, and that students who used the strategies continued to use the strategies after the intervention. In addition, it was determined that students who used the SMS consisting of antecedent cue regulation, self-monitoring, self-evaluation, and self-reinforcement increased their on-task and task completion levels, maintained the gains after the intervention and generalized them to different people and environments. Social validity findings collected from the participants showed that they were positive about the use and effects of the SMS. Discussion: There was a significant increase in students' pre-teaching and post-teaching performances regarding target behaviors. The effectiveness of SM interventions was tried to be supported by the findings of the current study and was consistent with the results of the related study.

Effects of Self-Management Interventions in People With Interstitial Lung Disease

Effects of Self-Management Interventions in People With Interstitial Lung Disease

Effect of self-management intervention on behavioral intention among women passive smokers

The number of smokers globally continues to increase every year. The World Health Organization (WHO) estimates that the death rate from smoking has reached 30%, or the equivalent of 17.3 million people, and the figure is predicted to continue to increase until 2030, reaching 23.3 million people. Of this figure, it is estimated that there are at least 8 million deaths caused by cigarette smoke and 1.2 million cases of which are passive smokers. Passive smokers are non-smokers who are exposed to second-hand smoke from active smokers. They suffer from more harmful effects than active smokers. Active smokers inhale cigarettes directly but through a filter in the cigarette, while passive smokers inhale unfiltered smoke plus smoke that has been exhaled out of active smokers’ lungs. Strategic steps are needed to increase knowledge about the dangers of cigarette smoke for passive smokers such as a self-management intervention to raise awareness, increase knowledge, and change attitudes so that in the end a positive behavioral intention is formed to reduce the health risk of cigarette smoke. This is a quasi-experimental study with one group design with pretest and posttest, involving 100 respondents who were selected through purposive sampling.

The effectiveness of eHealth self-management interventions in patients with chronic heart failure: Protocol for a systematic review and meta-analysis.

PurposeThe objective of this paper is to design a protocol for a systematic review and meta-analysis on the effectiveness of self-management interventions in patients with chronic heart failure.MethodsThe protocol is developed following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. The protocol has been registered in PROSPERO (CRD42021246973). Base on the population, intervention, comparator, and outcome (PICO) framework, our research questions are: 1) What are the effects of eHealth self-management interventions on patients with chronic heart failure? 2) What factors of interventions might affect outcomes? The process includes: 1) search strategy and inclusion criteria; 2) data extraction; 3) risk of bias assessment and 4) data analysis. Searching process and data extraction will be guided by Cochrane Handbook for Systematic Reviews of Interventions. We will use Cochrane Risk of Bias tool to assess the risk of bias. The data analysis will be performed using Metafor package in R.ConclusionsThis systemic review will synthesize the current evidence and identify gaps. Findings in the meta-analysis will provide guidance for designing a more effective self-management intervention for patients with chronic heart failure in future.

Effects of self-management interventions with behavior-change support on long-term adherence in patients with chronic respiratory diseases: A systematic review

Effects of self-management interventions with behavior-change support on long-term adherence in patients with chronic respiratory diseases: A systematic review

The effects of self-management interventions on depressive symptoms in adults with chronic physical disease(s) experiencing depressive symptomatology: a systematic review and meta-analysis

BackgroundChronic diseases are the leading cause of death worldwide. It is estimated that 20% of adults with chronic physical diseases experience concomitant depression, increasing their risk of morbidity and mortality. Low intensity psychosocial interventions, such as self-management, are part of recommended treatment; however, no systematic review has evaluated the effects of depression self-management interventions for this population. The primary objective was to examine the effect of self-management interventions on reducing depressive symptomatology in adults with chronic disease(s) and co-occurring depressive symptoms. Secondary objectives were to evaluate the effect of these interventions on improving other psychosocial and physiological outcomes (e.g., anxiety, glycemic control) and to assess potential differential effect based on key participant and intervention characteristics (e.g., chronic disease, provider).MethodsStudies comparing depression self-management interventions to a control group were identified through a) systematic searches of databases to June 2018 [MEDLINE (1946 -), EMBASE (1996 -), PsycINFO (1967 -), CINAHL (1984 -)] and b) secondary ‘snowball’ search strategies. The methodological quality of included studies was critically reviewed. Screening of all titles, abstracts, and full texts for eligibility was assessed independently by two authors. Data were extracted by one author and verified by a second.ResultsFifteen studies were retained: 12 for meta-analysis and three for descriptive review. In total, these trials included 2064 participants and most commonly evaluated interventions for people with cancer (n = 7) or diabetes (n = 4). From baseline to < 6-months (T1), the pooled mean effect size was − 0.47 [95% CI −0.73, − 0.21] as compared to control groups for the primary outcome of depression and − 0.53 [95% CI −0.91, − 0.15] at ≥ 6-months (T2). Results were also significant for anxiety (T1) and glycemic control (T2). Self-management skills of decision-making and taking action were significant moderators of depression at T1.ConclusionSelf-management interventions show promise in improving depression and anxiety in those with concomitant chronic physical disease. The findings may contribute to the development of future Self-management interventions and delivering evidence-based care to this population. Further high-quality RCTs are needed to identify sources of heterogeneity and investigate key intervention components.

Effectiveness of self-management interventions in inflammatory arthritis: a systematic review informing the 2021 EULAR recommendations for the implementation of self-management strategies in patients with inflammatory arthritis

ObjectiveTo perform a systematic review (SR) on the effectiveness of self-management interventions, in order to inform the European League Against Rheumatism Recommendations for its implementation in patients with inflammatory arthritis...

Comparison of the effect of educational and self-management interventions on adherence to treatment in hemodialysis patients: A systematic review and meta-analysis of randomized controlled trials.

Adherence to fluid intake, diet, and drug management is very important in hemodialysis patients. Educational and self-management interventions are frequently used to improve adherence to treatment in hemodialysis patients. To synthesize a comparison of the effect of educational and self-management interventions on adherence to treatment in hemodialysis patients in randomized controlled trials. Systematic searches were conducted using 11 multidisciplinary databases in June 2020. The PRISMA checklist was used. The subgroup analysis was used to compare the effect of educational and self-management interventions on adherence to fluid intake, diet, and drug management. In the included studies, educational interventions were performed ranging from 15 to 60minutes, in 1-72 sessions. Self-management interventions were performed ranging from 10 to 120minutes, in 1-84 sessions. The overall effect of educational interventions was small on adherence to fluid intake (P=.019, Hedges' g=-0.39), diet in serum phosphorus level (P=.001, Hedges' g=-0.35), drug management (P=.002, Hedges' g=-0.44), and not significant on adherence to diet in serum potassium level (P=.181). The overall effect of self-management interventions was small on adherence to fluid intake (P=.001, Hedges' g=-0.19) and diet in serum phosphorus level (P<.001, Hedges' g=-0.42). Additionally, the overall effect of self-management interventions was moderate on adherence to diet in serum potassium level (P=.002, Hedges' g=-0.75) and drug management (P<.001, Hedges' g=-0.55). There was no difference between the educational and self-management interventions on adherence to fluid intake, diet, and drug management (P>.05). The analysis shows that educational and self-management interventions had a beneficial effect on adherence to fluid intake, diet, and drug management and no difference between these interventions. Therefore, these interventions can be used by healthcare professionals. It is also recommended that these interventions be well defined and transferable to routine clinical practice.

Research priorities in α1-antitrypsin deficiency: results of a patients' and healthcare providers' international survey from the EARCO Clinical Research Collaboration.

α1-antitrypsin deficiency (AATD) is a rare and under-recognised genetic condition. Owing to its low prevalence, international initiatives are key for conducting high-quality research in the field.From July 2018 to December 2019, the European Alpha-1 Research Collaboration (EARCO) developed and conducted two surveys, one for healthcare providers and one for patients and caregivers, aiming to identify research priorities and barriers in access to treatment for AATD.A survey on 164 research questions was electronically sent to 230 AATD experts in Europe, and 94 completed surveys from 24 countries were received. The top research areas identified by healthcare providers were causes of variable progression and poor outcomes, improvement in diagnosis, initiation and optimal dosing of augmentation therapy and effectiveness of self-management interventions. During the same period, 438 surveys were completed by patients and caregivers from 26 countries. The top research areas identified were improving knowledge about AATD, in particular among general practitioners, access to AATD specialised centres and access to reliable, easy to understand information about living with AATD. Regarding barriers to treatment, participants from countries where augmentation therapy was reimbursed prioritised improving knowledge in AATD, while respondents in non-reimbursed countries regarded access to AATD augmentation therapy and to specialised centres as the most relevant.The main research and management priorities identified by healthcare providers and patients included understanding the natural history of AATD, improving information to physicians, improving access to specialised reference centres, personalising treatment and having equal opportunities for access to existing therapies.

사진카드를 활용한 자기관리중재가 ADHD 유아의 수업참여행동에 미치는 효과

사진카드를 활용한 자기관리중재가 ADHD 유아의 수업참여행동에 미치는 효과

Protocol for a systematic review of self-management interventions for older adults living with cancer

BackgroundCancer predominates in adults over age 65. Cancer treatments are known to create physical and psychosocial challenges, which may be amplified for older adults with cancer.Learning and applying self-management behaviours and skills during treatment with cancer can help to manage/recover health and improve quality of life. In many other chronic illnesses, self-management interventions are known to improve health outcomes and lower healthcare costs. The purpose of this systematic review is to determine the effectiveness of self-management interventions for older adults with cancer on physical, psychosocial, and health system-related outcomes.MethodsWe are conducting a systematic review of self-management interventions for older adults (65+) diagnosed with cancer (solid tumour or haematological) in the active treatment phase of cancer. This systematic review is guided by the Preferred Reporting Items for Systematic Reviews and Meta-analysis (PRISMA) statement. Studies are limited to experimental or quasi-experimental methods published in English, French, German, or Dutch. A search strategy was designed with a Health Sciences librarian and performed using the following electronic databases: Ageline, AMED, ASSIA, Cinahl, Cochrane, Embase, Medline, PsychINFO, and Sociological s. Approximately 14,000 titles and abstracts are being electronically screened by a minimum of 2 reviewers, with relevant studies to be screened for full text. The final sample of included studies will be assessed for quality using the Cochrane Risk of Bias tool and Down and Black for quasi-experimental studies, with data synthesized in a narrative and tabular format.DiscussionThis systematic review will expand the knowledge base of interventions supporting self-management for older adults with cancer. This study will inform future intervention development by identifying gaps and strengths in effective self-management interventions targeting the needs of older adults receiving active treatment for cancer.Systematic review registrationPROPERO registry ID# CRD42019134113

Effects of self-management intervention under self-efficacy theory on 7-14 years old children with asthma

Objective To explore the effects of self-management intervention under the self-efficacy theory on 7-14 years old children with asthma. Methods In this prospective study, totally 201 pediatric patients with asthma treated in Tangshan Maternal & Child Health Care Hospital from April 2016 to April 2018 were selected and divided into managed (n=42) and control (n=42) groups according to the random number table. Patients in the control group received conventional care according to the recommendations under Global Initiative for Asthma (GINA) , while patients in the managed group received self-management intervention under the self-efficacy theory on this basis for 6 months. The frequency of asthma and emergency treatment during the intervention period was calculated, and the control of asthma and pulmonary function within 1 year after intervention was evaluated. Exercise of Self-care Agency Scale (ESCA) and Chronic Disease Resilience Scale for Children (CDRSC) were used to assess the self-care agency and psychological resilience of the two groups before and after intervention. Results Compared with the control group, the average frequency of asthma and emergency treatment was reduced in the managed group during the intervention period. The proportion of patients whose asthma was partially or fully controlled within 1 year after intervention increased, and there was statistically significant difference between the two groups (P<0.05) . Daytime and nighttime symptom scores and pulmonary function were ameliorated in both groups after intervention. The improvement effects were better in the managed group than in the control group, and there was statistically significant difference between the two groups (P<0.05) . The scores of self-concept, self-care responsibility, self-care skill and health knowledge in ESCA and the scores of personalities, coping style and interpersonal relationship in CDRSC increased in both groups after intervention. The scores of the managed group were higher than those of the control group, and there was statistically significant difference between the two groups (P<0.05) . Conclusions Self-management intervention under the self-efficacy theory can effectively improve the self-care agency and psychological resilience in 7-14 years old children with asthma, thus reducing the incidence of asthma and emergency treatment and improving the recovery of pulmonary function. Key words: Asthma; Children; Self-care agency; Psychological resilience; Self-efficacy theory; Self-management nursing

The Effects of Self-Management Interventions on the Health Outcomes of Individuals With Chronic Kidney Disease After Critical Illness: An Integrative Review

BackgroundSelf-management is a crucial step towards achieving better physical and mental well-being and a better health-related quality of life for individuals with chronic kidney disease (CKD). Despite the high prevalence of CKD and the significant burdens faced by the individuals with CKD, their caregivers, and healthcare systems, very few studies have explored CKD and its consequences compared to other chronic diseases.ObjectiveTo synthesize and present the best available evidence on the effectiveness of CKD self-management interventions in terms of the biomedical, psychosocial, and behavioral aspects of health outcomes.MethodsThree electronic English-language literature databases were searched from inceptions to March 2018. Two reviewers independently selected articles according to pre-specified criteria, critically appraised and extracted data from relevant research. Narrative summaries were presented because the interventions and study features of the included articles were heterogeneous.ResultsOf the five included articles, three were interventional and two were systematic reviews. Effective self-management interventions have beneficial effects on biomedical outcomes such as blood pressure, psychosocial outcomes such as quality of life and self-efficacy, and behavioral outcomes such as CKD knowledge, self-management techniques, and adherence to self-care regimens and treatments.ConclusionsA self-management program that could provide better education and guidance for individuals with CKD is needed, as this would improve the provision of resources and preparations for foreseeable and avoidable CKD complications. The findings from the included articles demonstrate that limited amount of research has focused on CKD management. Additional randomized controlled trials that compare interventions with usual care are needed to determine the efficacy of CKD self-management programs.

Self-management of non-communicable diseases in low- and middle-income countries: A scoping review.

BackgroundThe prevalence of non-communicable diseases (NCDs) is rising in low- and middle-income countries (LMICs). Self-management, which enables patients to better manage their health, presents a potentially-scalable means of mitigating the growing burden of NCDs in LMICs. Though the effectiveness of self-management interventions in high-income countries is well-documented, the use of these strategies in LMICs has yet to be thoroughly summarized.ObjectiveThe purpose of this scoping review is to summarize the nature and effectiveness of past interventions that have enabled the self-management of NCDs in LMICs.MethodsUsing the scoping review methodology proposed by Arksey and O’Malley, PubMed was searched for relevant articles published between January 2007 and December 2018. The implemented search strategy comprised three major themes: self-management, NCDs and LMICs.ResultsThirty-six original research articles were selected for inclusion. The selected studies largely focused on the self-management of diabetes (N = 21), hypertension (N = 7) and heart failure (N = 5). Most interventions involved the use of short message service (SMS, N = 17) or phone calls (N = 12), while others incorporated educational sessions (N = 10) or the deployment of medical devices (N = 4). The interventions were generally effective and often led to improvements in physiologic indicators, patient self-care and/or patient quality of life. However, the studies emphasized results in small populations, with little indication of future scaling of the intervention. Furthermore, the results indicate a need for further research into the self-management of cardiovascular diseases, as well as for the co-management of diabetes and cardiovascular disease.ConclusionsSelf-management appears to be an effective means of improving health outcomes in LMICs. Future strategies should include patients and clinicians in all stages of design and development, allowing for a focus on long-term sustainability, scalability and interoperability of the intervention in the target setting.

Self-management interventions may be more effective than usual care for treating patients with chronic orofacial pain

Aggarwal VR, Fu Y, Main CJ, Wu J. The effectiveness of self-management interventions in adults with chronic orofacial pain: a systematic review, meta-analysis and meta-regression [published online ahead of print January 8, 2019]. Eur J Pain. https://doi.org/10.1002/ejp.1358.

Lifestyle of Patients with Atrial Fibrillation Following Self-Management Interventions: a Randomized Clinical Trial.

Introduction: Cardiovascular diseases are the most common cause of death in most countries, such as Iran. Cardiac arrhythmias, including Atrial Fibrillation (AF) comprise an important category of these diseases. During recent years, AF has become a serious medical condition. This study aimed to investigate the effect of self-management interventions on the lifestyle of patients with AF.Methods: In this Randomized Clinical Trial study, 88 patients were selected and randomly assigned to intervention and control groups. The intervention group received self-management interventions, including education and telephone follow-ups. The data were collected using a demographic questionnaire and Walker’s health-promoting lifestyle profile II, before the intervention and four and twelve weeks after the intervention. The significance level was considered to be 0.05.Results: The results showed a significant increase in the intervention group’s lifestyle mean score, four and twelve weeks after the intervention as compared with control group However, this increase was not similar in all the lifestyle dimensions.Conclusion: In conclusion, implementation of self-management interventions could improve the lifestyle of the patients with Atrial Fibrillation. The results can help nurses to conduct self-management interventions into such patients’ care plan and prevent many physical, psychological, and social problems that negatively affect patients and their lifestyle.

The effectiveness of self-management interventions in adults with chronic orofacial pain: A systematic review, Meta-analysis and Meta-regression.

The current issue includes a paper by Aggarwal, Fu, Main, and Wu (2019), entitled “The effectiveness of self-management interventions in adults with chronic orofacial pain: A Systematic review, Meta-analysis and Meta-regression”. The paper is very relevant for both research and evidenced-based practice, since it presents a comprehensive overview of existing published findings on self-management programmes in chronic orofacial pain. The applied methodology combines qualitative (systematic review) and quantitative (meta-analysis and meta-regression) analyses, which brings a wide and complementary approach to support the conclusions over the 14 studies included in the review. For each study, the paper provides details on the self-management intervention applied, the description of the samples and relevant methodological elements (e.g. recruitment processes) and, what is most important, an appropriate identification of the potential risks of the biases found in the published papers on the topic. In addition, specific statistics are calculated to estimate the treatment effect, which is the basis to determine high-quality level of certainty of evidence according to the GRADE approach for key outcomes such as pain intensity, muscle palpation pain, activity interference and depression. It is also important to mention that according to the meta-regression results, biofeedback alone does not demonstrate any effect on the outcomes. Therefore, the paper encourages the application of self-management interventions as part of the usual care for orofacial chronic patients, in particular for those with temporomandibular muscular disorders. In this sense, the results are aligned with the increasing emphasis given to self-management approaches for the intervention of chronic diseases. As already referred by Grady and Gough (2014), self-management has been described for almost 50 years, covering a wide range of different definitions and conceptualizations. However, during last decades the demographic change together with the need of transforming healthcare systems to make them sustainable are generating a change of paradigm where chronic diseases are probably the main challenge. Thus, the need to foster patient empowerment through health literacy and education together with specific techniques (e.g. relaxation, habits adoption/rehearsal) to improve patients' health conditions and quality of live in chronic conditions is widely acknowledged. However, there are still key questions, e.g. which self-management programmes and specific techniques have demonstrated to be effective for different chronic conditions, which patients and/or individual characteristics are associated to better outcomes, that are not sufficiently evidenced yet. Aggarwal's paper sheds light precisely upon evidenced-based self-management programmes for orofacial chronic pain with a thorough analysis of existing published research on the topic. Particularly interesting is the isolation of specific effects of concrete elements of these self-management programmes (biofeedback) by meta-regression analysis, therefore enabling the optimization and increased efficiency of these evidenced-based programmes. Research to increase efficiency and cost-effectiveness of the interventions for chronic conditions on programmes is complex but essential within the current context where resources limitation threaten the sustainability of healthcare systems, in particular due to the high costs related with chronic diseases.

Effectiveness and components of self-management interventions in adult cancer survivors: a protocol for a systematic review and planned meta-analysis

BackgroundSelf-management interventions have been proposed as effective strategies to improve health and well-being and promote optimal coping in cancer survivors. Several reviews have shown benefits of self-management interventions on a variety of patient-reported outcomes. Effective self-management strategies in other chronic disease populations are typically based on theories of behavior change, but the extent of theoretical underpinnings in cancer self-management programs has not been evaluated to date. Our aim is to expand on previous reviews by evaluating the effectiveness of self-management interventions in cancer survivors as well as the theoretical components of such interventions.MethodsWe will conduct a systematic review of self-management interventions for adults who have completed primary treatment for their solid or hematological cancer. Interventions tested using experimental or quasi-experimental methods, with any type of comparator, will be included. A search strategy will be designed with a health sciences librarian and then performed using MEDLINE, EMBASE, PsycINFO, CINAHL, Scopus, the Cochrane database of systematic reviews, the National Institutes of Health clinical trials registry, and the Cochrane CENTRAL registry of controlled trials. Data synthesis will include a narrative and tabular summary of the results. Appropriate statistical analysis may include a meta-analysis using random effects methods to determine the effectiveness of self-management interventions and a meta-regression to evaluate how characteristics of the interventions are associated with the intervention effect. Risk of bias will be evaluated using the Cochrane risk of bias tool or the Risk of Bias in Non-randomized studies tool (RoBANS).DiscussionThe results of this systematic review will add to previous reviews and expand the existing knowledge base of the effectiveness and active components of self-management interventions for adult cancer survivors.Systematic review registrationPROSPERO CRD42018085300

시각적 지원을 활용한 자기관리중재가 지적장애 성인의 스트레칭 수행과 건강체력에 미치는 영향

연구목적: 본 연구는 시각적 지원을 활용한 자기관리중재가 지적장애 성인의 스트레칭 수행과 건강체력에 미치는 영향을 알아보고자 하는데 목적이 있다. 연구방법: 연구대상은 지적장애 성인 3명이며, 연구설계는 대상자간 중다기초선 설계 및 사전·사후설계를 사용하였다. 중재는 시각적 지원을 활용한 자기관리중재를 실시하였다. 시각적 지원으로 스트레칭 사진과 동영상을 사용하였고, 스트레칭 수행, 자기점검, 자기평가 및 쿠폰판을 작성하는 자기관리중재를 실시하였다. 기초선 기간과 유지기간에 스트레칭 수행율과 건강체력(순발력, 유연성, 평형성)을 측정하였으며, 중재 기간에는 스트레칭 수행율을 측정하였다. 연구결과: 본 연구에 대한 결과는 다음과 같다. 첫째, 시각적 지원을 활용한 자기관리중재를 통해 스트레칭 수행율이 증가하였다. 둘째, 스트레칭 수행율의 증가를 통해 건강체력 중 유연성 및 평형성이 향상되었다. 셋째, 시각적 지원을 활용한 자기관리중재에 의해 습득된 스트레칭 행동은 중재가 종료된 이후에도 유지되었다. 결론: 이러한 결과는 시각적 지원을 활용한 자기관리중재가 지적장애 성인의 스트레칭 수행과 건강체력 향상에 영향을 미쳤음을 시사하는 것이다.