title: Developing self-management education in coronary artery disease.
abstract: We describe a three-step approach to develop and evaluate a novel coronary artery disease (CAD) self-management educational workbook. First, we conducted interviews using grounded theory methods with a diverse CAD cohort (n = 61) to identify needs and perceptions. Second, we developed the workbook, incorporating themes that emerged from the qualitative interviews. Finally, 225 people with CAD used the workbook in a longitudinal study and we evaluated their use of and experience with the workbook at 12 months. 12-month evaluation data revealed that the workbook: provided practical health information; enhanced behavior-specific self-efficacy; and reinforced that healthy behaviors decrease risk. Participants who read the workbook had greater within-patient increases in physical activity at 12-months compared with non-readers (p = 0.093) and among Black/Hispanic participants, workbook readers' increases were significant (592 vs. -645 kilocalories per week, p = 0.035). A self-management educational workbook developed using qualitative methods can provide relevant, disease-specific health information for patients with CAD.
authors.affiliation: Division of Clinical Epidemiology and Evaluative Sciences Research, Center for Integrative Medicine & Department of Cardiothoracic Surgery, Weill Cornell Medical College, 1300 York Ave., Box 46, New York, NY 10065, USA. Electronic address: jcpeters@med.cornell.edu.
authors.forename: Janey C
authors.initials: JC
authors.lastname: Peterson
authors.affiliation: Department of Population Health, New York University School of Medicine, USA; Division of Clinical Epidemiology and Evaluative Sciences Research, Center for Integrative Medicine, Weill Cornell Medical College, USA.
authors.forename: Alissa R
authors.initials: AR
authors.lastname: Link
authors.affiliation: Division of Cancer Control and Population Sciences, National Cancer Institute, National Institutes of Health, USA; Clinical Applications & Prevention Branch, Division of Prevention & Population Sciences, National Heart, Lung, and Blood Institute, National Institutes of Health, USA.
authors.forename: Jared B
authors.initials: JB
authors.lastname: Jobe
authors.affiliation: Division of Clinical Epidemiology and Evaluative Sciences Research, Center for Integrative Medicine, Weill Cornell Medical College, USA.
authors.forename: Ginger J
authors.initials: GJ
authors.lastname: Winston
authors.affiliation: Department of Nursing, Columbia University Medical Center, USA; Division of Clinical Epidemiology and Evaluative Sciences Research, Center for Integrative Medicine, Weill Cornell Medical College, USA.
authors.forename: E
authors.initials: E
authors.lastname: Marina Klimasiewfski
authors.affiliation: Department of Health and Behavior Studies, Teachers College, Columbia University, USA; Department of Sociomedical Sciences, Mailman School of Public Health, Columbia University, USA.
authors.forename: John P
authors.initials: JP
authors.lastname: Allegrante
mesh_terms: D000368:Aged; D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000208:ethnology / Q000534:rehabilitation / Q000628:therapy*; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D010353:Patient Education as Topic / Q000379:methods*; D012648:Self Care / Q000379:methods; D013664:Teaching Materials
keywords: Angioplasty; Chronic disease; Coronary artery disease; Disease self-management; Health behavior; Patient education