Development and effects of a self-management efficacy promotion program for adult patients with congenital heart disease

Lee, Mi Ja; Jung, Dukyoo

doi:10.1177/1474515118800099

Cited by 15 publications

(35 citation statements)

References 32 publications

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“…Considering that PHC is akin to self-efficacy and there is evidence that self-efficacy can be improved for individuals with cardiovascular disease through cardiac rehabilitation programs, 28,29 it is possible that these methods might also translate to improving patients' PHC. A recent study by Lee and colleagues, 30 in 2019, reported that a six-week self-management efficacy promotion program among adults with CHD improved disease-related knowledge and self-management performance, but did not increase healthrelated quality of life. However, authors did not report examining differences specifically in Psychosocial health, ASR: Adult Self-Report (ages 18+ years); HADS: Hospital Anxiety and Depression Scale; NYHA: New York Heart Association; PHC: Perceived Health Competency; T1: baseline; T2: three-year follow-up; YSR: Youth Self-Report (ages 15-17 years).…”

Section: Discussionmentioning

confidence: 99%

Perceived health competence predicts anxiety and depressive symptoms after a three-year follow-up among adolescents and adults with congenital heart disease

Leslie

Schofield

Vannatta

et al. 2019

European Journal of Cardiovascular Nursing

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Background: Congenital heart disease places survivors at increased risk for cardiovascular complications as they age and requires long-term medical management. Perceived health competence, or how capable one feels in managing one’s health, is linked to emotional adjustment in various disease populations, but has not been investigated among congenital heart disease survivors. Aim: The purpose of this study was to examine the relationship of perceived health competence at baseline (T1) as a predictor of anxiety and depressive symptoms three years later (T2). Methods: Congenital heart disease survivors ( n=125; MT1age=27; 58.6% female; severity of cardiac lesion: 25% simple, 44% moderate, 31% complex) were recruited from a pediatric and an adult hospital as part of a larger study. Participants completed the Perceived Health Competence Scale and the Youth or Adult Self-Report at T1 for anxiety and affective/depressive symptoms. At T2, participants completed the Hospital Anxiety and Depression Scale. New York Heart Association functional class, a measure of functional impairment, was abstracted from medical charts at T2. Results: Lower T1 perceived health competence was significantly associated with greater emotional distress at T1 (depression r=−0.47; anxiety: r=−0.45), as well as greater T2 functional impairment ( r=−0.41). T1 perceived health competence also predicted T2 anxiety and depressive symptoms, which remained significant when including T1 anxiety and depressive symptoms and T2 functional impairment. Conclusion: Congenital heart disease survivors who feel more competent in managing their health may be less likely to experience future anxiety and depressive symptoms. Perceived health competence may be a worthwhile target for psychosocial intervention to promote emotional wellbeing among congenital heart disease survivors and ensure the best outcomes.

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Section: Discussionmentioning

confidence: 99%

Perceived health competence predicts anxiety and depressive symptoms after a three-year follow-up among adolescents and adults with congenital heart disease

Leslie

Schofield

Vannatta

et al. 2019

European Journal of Cardiovascular Nursing

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“…High self‐efficacy has been found to be positively associated with disease management, psychological well‐being, 6 quality of life 21 and adherence to medication, diet and exercise 22,23 among people with CVD. In addition, high self‐efficacy was found to predict changes in lifestyle concerning the risk factors and behavioural modification in chronic heart diseses 16‐18,24,25 . Low self‐efficacy has been associated with poor management of illness, coping strategies in dealing with disease, and poor health status including high symptom burden and a lower quality of life among people with coronary heart disease 7,25,26 …”

Section: Introductionmentioning

confidence: 99%

Instruments to assess self‐efficacy among people with cardiovascular disease: A COSMIN systematic review

Kavradım

Yangöz

Özer

et al. 2020

Int. J. Clin. Pract.

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Background: Self-efficacy plays an important role in recovery. There is a need for valid tools that can assess self-efficacy in cardiovascular diseases to provide evidence-based practices. Objective: To perform a psychometric review of self-efficacy instruments in cardiovascular disease according to the COSMIN checklist in order to facilitate the selection of the most suitable measuring instruments.

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“…In the European Journal of Cardiovascular Nursing there have been several studies investigating the effects of complex interventions, such as self-management programs for chronic conditions, 2–4 tele-rehabilitation after hospital discharge, 5,6 complementary methods for symptom management, 7 and interventions utilizing peer support for postoperative recovery. 8 The ultimate goal of these complex interventions is to achieve a meaningful and sustainable change of clinical practice.…”

Section: The Problem: Complex Interventions = ‘Black Boxes’?mentioning

confidence: 99%

Process evaluation of complex cardiovascular interventions: How to interpret the results of my trial?

Saarijärvi

Wallin

Bratt

2020

European Journal of Cardiovascular Nursing

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Complex interventions of varying degrees of complexity are commonly used and evaluated in cardiovascular nursing and allied professions. Such interventions are increasingly tested using randomized trial designs. However, process evaluations are seldom used to better understand the results of these trials. Process evaluation aims to understand how complex interventions create change by evaluating implementation, mechanisms of impact, and the surrounding context when delivering an intervention. As such, this method can illuminate important mechanisms and clarify variation in results. In this article, process evaluation is described according to the Medical Research Council guidance and its use exemplified through a randomized controlled trial evaluating the effectiveness of a transition program for adolescents with chronic conditions.

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Development and effects of a self-management efficacy promotion program for adult patients with congenital heart disease

Abstract: The self-management efficacy promotion program for adults with congenital heart disease had a significant effect on disease-related knowledge and self-management implementation, but did not affect health-related quality of life.

Cited by 15 publications

References 32 publications

Perceived health competence predicts anxiety and depressive symptoms after a three-year follow-up among adolescents and adults with congenital heart disease

Perceived health competence predicts anxiety and depressive symptoms after a three-year follow-up among adolescents and adults with congenital heart disease

Instruments to assess self‐efficacy among people with cardiovascular disease: A COSMIN systematic review

Process evaluation of complex cardiovascular interventions: How to interpret the results of my trial?

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