A middle range theory of self- and family management of chronic illness

Background: The Self-and Family Management Framework was created in 2006 to help structure self-and family management science. Based on a series of reviews and syntheses of emerging research and critical evaluation, we devel-oped the Framework into a robust nursing theory.Purpose: In this article, we reintroduce the Self-and Family Management Frame-work as the Middle Range Theory of Self-and Family Management of Chronic Illness.Methods: We review steps in the development and updating of the Framework, share rationale for advancement to a middle range theory, explicate compo-nents of the newly designed model, and propose future directions.Discussion and Conclusion: It is our hope that this middle range theory will guide researchers and clinicians more comprehensively in supporting patients and families managing chronic illness, which will in turn inform continued theory development.