%0 Journal Article
%T The role of self-efficacy in cardiovascular disease self-management: a review of effective programs
%A Hannah Katch
%A Holly Mead
%J Patient Intelligence
%D 2010
%I Dove Medical Press
%R http://dx.doi.org/10.2147/PI.S12624
%X ole of self-efficacy in cardiovascular disease self-management: a review of effective programs Review (4363) Total Article Views Authors: Hannah Katch, Holly Mead Published Date October 2010 Volume 2010:2(Default) Pages 33 - 44 DOI: http://dx.doi.org/10.2147/PI.S12624 Hannah Katch, Holly Mead The George Washington University, Department of Health Policy, Washington DC, USA Research objective: To conduct a comprehensive, systematic review of disease self-management programs for patients with cardiovascular disease (CVD), looking specifically at those with self-efficacy as a key component to the effectiveness of such programs on CVD management and outcomes. Study design: We conducted a review of effective strategies promoting patient involvement and engagement in the self-management of CVD. To narrow the scope of the review, we defined strategies that were empirically tested and showed a measurable and positive impact on outcomes that reflect improved self-management (eg, medication adherence or patient¡¯s perceived management skills) and/or improved clinical outcomes (eg, lower blood pressure or reduced hospitalization). Results: We identified five disease management programs focusing on self-efficacy that had been rigorously evaluated by multiple studies in varying patient populations. Each of these programs were shown to be effective in increasing patients¡¯ engagement and involvement in the management of their disease, by demonstrating improvement in self-efficacy while developing patients¡¯ self-management skills. They also were shown to improve clinical outcomes for patients, such as lower blood pressure and reduced hospitalizations. Conclusion: The studies that we reviewed demonstrate the importance of including self-efficacy as a key component in CVD self-management programs. These programs should be multidisciplinary in approach, should be tailored to the needs of the patients, and should have a theoretical foundation of behavior change. More research is needed to investigate the causal link between self-efficacy, self-management and clinical outcomes.
%K cardiovascular disease (CVD)
%K self-management
%K self-efficacy
%U https://www.dovepress.com/the-role-of-self-efficacy-in-cardiovascular-disease-self-management-a--peer-reviewed-article-PI