title: A review and synthesis of research evidence for self-efficacy-enhancing interventions for reducing chronic disability: implications for health education practice (part II).
abstract: Chronic diseases such as arthritis, diabetes, and heart disease that cause pain, functional impairment, social and emotional dysfunction, and premature loss of wage earnings constitute a challenging problem for American society. In the absence of any effective cure for these frequently progressive conditions, the secondary prevention of complications, which requires a high degree of communication and cooperation between patient and clinician, and improving quality of life and functional capacity through better disease self-management becomes critical and are key objectives of Healthy People 2010. Part I of this two-part article described the common clinical features of chronic disease, the diverse disease management strategies used for alleviating pain and preventing disability, and the role of self-efficacy as a framework for intervention. This companion article identifies and synthesizes the key research evidence for educational interventions designed to enhance individual self-efficacy perceptions and presents implications for improving practices in patient education for chronic diseases.
authors.affiliation: Teachers College, Columbia University, New York, USA.
authors.forename: Ray
authors.initials: R
authors.lastname: Marks
authors.forename: John P
authors.initials: JP
authors.lastname: Allegrante
authors.forename: Kate
authors.initials: K
authors.lastname: Lorig
mesh_terms: D002908:Chronic Disease / Q000534:rehabilitation*; D019468:Disease Management; D006801:Humans; D010353:Patient Education as Topic / Q000379:methods*; D011582:Psychological Theory; D012648:Self Care; D020377:Self Efficacy