A conceptual care model for individualized care approach in cardiac rehabilitation--combining both illness representation and self-efficacy.
OBJECTIVE
This paper analyses the two prominent psychological theories of patient response--illness representation and self-efficacy--and explore the possibilities of the development of a conceptual individualized care model that would make use of both theories.


METHODS
Analysis of the literature established common themes that were used as the basis to form a conceptual framework intended to assist in the joint application of these theories to therapeutic settings.


RESULTS
Both theories emphasize personal experience, pre-construction of self, individual response to illness and treatment, and that the patients' beliefs are more influential in their recovery than the severity of the illness. Where the theories are most divergent is their application to therapeutic interventions, which reflects the different sources of influence that each theory emphasizes. Based on their similarities and differences it is possible to integrate the two theories into a conceptual care model.


CONCLUSIONS
The Interactive Care Model combines both theories of patient response and provides an explicit framework for further research into the design of effective therapeutic interventions in rehabilitation care.
Lau-Walker
Margaret
M
European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK. m.lau-walker@surrey.ac.uk
D001294:Attitude to Health; D003327:Coronary Disease / Q000534:rehabilitation*; D006801:Humans; D010347:Patient Care Planning; D010349:Patient Compliance / Q000706:statistics & numerical data; D011582:Psychological Theory; D020377:Self Efficacy; D016896:Treatment Outcome