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.
Schreurs
Karlein M G
KM
Department of Health Psychology, Utrecht University, P.O. Box 80140, 3508 TC, Utrecht, The Netherlands. k.screurs@fss.uu.nl
Colland
Vivian T
VT
Kuijer
Roeline G
RG
de Ridder
Denise T D
DT
van Elderen
Thérèse
T
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