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Application of a theoretical framework to foster a cardiac-diabetes self-management programme
Journal article   Open access   Peer reviewed

Application of a theoretical framework to foster a cardiac-diabetes self-management programme

Jo Wu and A M Chang
International Nursing Review, Vol.61(3), pp.336-343
2014
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PDF - Author's Accepted Version77.72 kBDownloadView
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url
https://doi.org/10.1111/inr.12104View
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Abstract

Nursing cardiac-diabetes self-management programme cardiovascular disease coronary heart disease diabetes intervention programme self-management theoretical framework theory
Aim: This paper analyses and illustrates the application of Bandura's self-efficacy construct to an innovative self-management programme for patients with both type 2 diabetes and coronary heart disease. Background: Using theory as a framework for any health intervention provides a solid and valid foundation for aspects of planning and delivering such an intervention; however, it is reported that many health behaviour intervention programmes are not based upon theory and are consequently limited in their applicability to different populations. The cardiac-diabetes self-management programme has been specifically developed for patients with dual conditions with the strategies for delivering the programme based upon Bandura's self-efficacy theory. This patient group is at greater risk of negative health outcomes than that with a single chronic condition and therefore requires appropriate intervention programmes with solid theoretical foundations that can address the complexity of care required. Sources of Evidence: The cardiac-diabetes self-management programme has been developed incorporating theory, evidence and practical strategies. Discussion: This paper provides explicit knowledge of the theoretical basis and components of a cardiac-diabetes self-management programme. Such detail enhances the ability to replicate or adopt the intervention in similar or differing populations and/or cultural contexts as it provides in-depth understanding of each element within the intervention. Conclusion: Knowledge of the concepts alone is not sufficient to deliver a successful health programme. Supporting patients to master skills of self-care is essential in order for patients to successfully manage two complex, chronic illnesses.

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