|
Coherence
|
Making sense of conditions is easier when they are interconnected but harder if depression dominates. HCPs help with diabetes understanding but less so with other conditions. |
|
Cognitive participation
|
HCP relationships |
Multiple HCP involvement, poor service co-ordination between conditions |
| Individual |
Mental health affects ability to organise healthcare |
|
Collective action
|
Treatment tasks |
More tasks to undertake (polypharmacy, appointments, self-care), but for many this becomes a routine not a burden. |
| Contextual Integration |
Greater healthcare costs, often combined with loss of income, are the main barrier |
|
Reflexive monitoring (Appraisal)
|
Constant need to reassess due to interactions between conditions and treatments. Little guidance or assistance from HCPs. |
