Self-management of heart disease by older adults assessment of an intervention based on social cognitive theory

Noreen M. Clark; Nancy K. Janz; Julia A. Dodge; M. Anthony Schork; John R.C. Wheeler; Jersey Liang; Steven J. Keteyian; John T. Santinga

doi:10.1177/0164027597193005

Self-management of heart disease by older adults assessment of an intervention based on social cognitive theory

Noreen M. Clark, Nancy K. Janz, Julia A. Dodge, M. Anthony Schork, John R.C. Wheeler, Jersey Liang, Steven J. Keteyian, John T. Santinga

Healthy Aging Research Center

Research output: Contribution to journal › Journal Article › peer-review

39 Scopus citations

Abstract

A randomized, controlled trial involving 636 older individuals was conducted to evaluate an intervention to enhance self-management of heart disease. Program participants experienced less impact of illness on their psychosocial functioning (p ≤ .05), especially their emotional behavior (p ≤ .05) and alertness (p ≤ .01). Compared to controls, male program participants experienced improvements in their physical functioning, specifically their ability to ambulate (p ≤ .05) and the frequency and severity of their symptoms. Female program participants did not experience gains in physical functioning. Most group differences emerged by 12 months and decayed by the 18-month final evaluation. To accurately assess the pattern of change associated with a program of this type, evaluation over at least 18 months following program completion may be needed. Separate interventions for older man and women with heart disease appear warranted, as do follow-up activities at strategic points in time to sustain program effects.

Original language	English
Pages (from-to)	362-382
Number of pages	21
Journal	Research on Aging
Volume	19
Issue number	3
DOIs	https://doi.org/10.1177/0164027597193005
State	Published - 09 1997

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abstract = "A randomized, controlled trial involving 636 older individuals was conducted to evaluate an intervention to enhance self-management of heart disease. Program participants experienced less impact of illness on their psychosocial functioning (p ≤ .05), especially their emotional behavior (p ≤ .05) and alertness (p ≤ .01). Compared to controls, male program participants experienced improvements in their physical functioning, specifically their ability to ambulate (p ≤ .05) and the frequency and severity of their symptoms. Female program participants did not experience gains in physical functioning. Most group differences emerged by 12 months and decayed by the 18-month final evaluation. To accurately assess the pattern of change associated with a program of this type, evaluation over at least 18 months following program completion may be needed. Separate interventions for older man and women with heart disease appear warranted, as do follow-up activities at strategic points in time to sustain program effects.",

author = "Clark, {Noreen M.} and Janz, {Nancy K.} and Dodge, {Julia A.} and Schork, {M. Anthony} and Wheeler, {John R.C.} and Jersey Liang and Keteyian, {Steven J.} and Santinga, {John T.}",

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AU - Dodge, Julia A.

AU - Schork, M. Anthony

AU - Wheeler, John R.C.

AU - Liang, Jersey

AU - Keteyian, Steven J.

AU - Santinga, John T.

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Self-management of heart disease by older adults assessment of an intervention based on social cognitive theory

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