Application of a theoretical framework to foster a cardiac-diabetes self-management programme.
OBJECTIVE
This paper analyses and illustrates the application of Bandura's self-efficacy construct to an innovative self-management programme for patients with both type 2 diabetes and coronary heart disease.


BACKGROUND
Using theory as a framework for any health intervention provides a solid and valid foundation for aspects of planning and delivering such an intervention; however, it is reported that many health behaviour intervention programmes are not based upon theory and are consequently limited in their applicability to different populations. The cardiac-diabetes self-management programme has been specifically developed for patients with dual conditions with the strategies for delivering the programme based upon Bandura's self-efficacy theory. This patient group is at greater risk of negative health outcomes than that with a single chronic condition and therefore requires appropriate intervention programmes with solid theoretical foundations that can address the complexity of care required.


METHODS
The cardiac-diabetes self-management programme has been developed incorporating theory, evidence and practical strategies.


CONCLUSIONS
This paper provides explicit knowledge of the theoretical basis and components of a cardiac-diabetes self-management programme. Such detail enhances the ability to replicate or adopt the intervention in similar or differing populations and/or cultural contexts as it provides in-depth understanding of each element within the intervention.


CONCLUSIONS
Knowledge of the concepts alone is not sufficient to deliver a successful health programme. Supporting patients to master skills of self-care is essential in order for patients to successfully manage two complex, chronic illnesses.
Valuable information has been provided to close the theory-practice gap for more consistent health outcomes, engaging with patients for promoting holistic care within organizational and cultural contexts.
School of Nursing, Midwifery and Paramedicine, Faculty of Health Sciences, Australian Catholic University, (Brisbane campus), Australia.
C-J Jo
CJ
Wu
A M
AM
Chang
D015190:Blood Glucose Self-Monitoring / Q000379:methods*; D002908:Chronic Disease; D015897:Comorbidity; D003327:Coronary Disease / Q000453:epidemiology / Q000517:prevention & control*; D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000451:nursing*; D058065:Diabetic Cardiomyopathies / Q000453:epidemiology / Q000517:prevention & control*; D006293:Health Promotion / Q000458:organization & administration*; D006801:Humans; D016294:Models, Nursing; D016730:Program Development; D012648:Self Care / Q000379:methods*; D020377:Self Efficacy
Cardiac-Diabetes Self-Management Programme; Cardiovascular Disease; Coronary Heart Disease; Diabetes; Intervention Programme; Self-Management; Theoretical Framework; Theory