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. Author manuscript; available in PMC: 2022 Apr 1.
Published in final edited form as: Int J Nurs Stud. 2019 Aug 23;116:103402. doi: 10.1016/j.ijnurstu.2019.103402

Table 1.

Important reasons why people struggle to perform self-care

Behavior Change
 1. Attachment to unhealthy behaviors
 2. Lack of motivation to change
 3. Difficulty deciding when in the lifespan to adopt a healthy lifestyle
 4. Difficulty in maintaining healthy behavior over time
Illness Related Factors
 5. Multimorbidity – difficulty integrating self-care across conditions
 6. Inadequate response to symptoms, knowing the right time to seek help
 7. Life events that interact with illness to interfere with healthy behavior