Development, content, and process evaluation of a short self-management intervention in patients with chronic diseases requiring self-care behaviours.
Many patients with asthma, diabetes, and heart failure do not succeed in integrating the required self-management behaviours into their lives, and fail to attain optimal disease control. The purpose of this study was to describe the development of a theory-driven intervention to enhance self-management that would be appreciated and accepted by participants and providers. Based on self-regulation theory and proactive coping, the program emphasised goal-setting and the planning of behaviour. In five 2h group sessions, participants first decided upon their own goal and behaviours they wanted to change. Next, they wrote an action-plan to implement these behavioural intentions. Behavioural rehearsal and self-monitoring took place between the sessions. Participants and nurse providers evaluated the intervention positively. Evaluations were unrelated to patients' health at baseline, or to feelings of self-efficacy regarding self-management. But patients of older age, lower education, or no current employment responded best to the intervention.
Department of Health Psychology, Utrecht University, P.O. Box 80140, 3508 TC, Utrecht, The Netherlands. k.screurs@fss.uu.nl
Karlein M G
KM
Schreurs
Vivian T
VT
Colland
Roeline G
RG
Kuijer
Denise T D
DT
de Ridder
Thérèse
T
van Elderen
D000223:Adaptation, Psychological; D000328:Adult; D000368:Aged; D001249:Asthma / Q000523:psychology / Q000534:rehabilitation; D001291:Attitude of Health Personnel; D001294:Attitude to Health; D002908:Chronic Disease / Q000523:psychology / Q000534:rehabilitation*; D003920:Diabetes Mellitus / Q000523:psychology / Q000534:rehabilitation; D005260:Female; D006040:Goals; D006333:Heart Failure / Q000523:psychology / Q000534:rehabilitation; D006801:Humans; D008297:Male; D008875:Middle Aged; D020380:Needs Assessment; D009426:Netherlands; D009741:Nursing Staff, Hospital / Q000523:psychology; D010043:Outcome and Process Assessment, Health Care; D010347:Patient Care Planning; D010353:Patient Education as Topic / Q000458:organization & administration*; D016730:Program Development; D015397:Program Evaluation; D012648:Self Care / Q000379:methods / Q000523:psychology; D020377:Self Efficacy