A review of self-management in cardiac patients

Order Description

Writing instructions:
The purpose statement for this paper is to review articles published about cardiac patients’ self-management issue.
Introduction:
 In the introduction, give a quick idea of the topic of the literature review, such as the central
theme or organizational pattern.
 Introduce the topic in a way that may capture the interest of the reader; show them why this is
a compelling or important area for research. Provide orienting information.
 Include a statement of the research problem/rationale for the study. Why is the study needed?
Why should this study be supported? Does it fill a particular gap in the literature or respond to
some other absence in the literature? Remember that you are beginning an argument for the
study.
 Include a statement of the purpose of the study.
 Include a 1-2 paragraph overview of the study that you are proposing in order to give the reader
a sense of what the document is all about here at the beginning. You will go into detail later, but
we need a brief overview now.
The literature review should address the major findings of the articles following the questions below:
1- What are general principles of patient self-management?
2- How do cardiac patients experience self-management?
3- How does an individual’s personality shape the experience of self-management?
4- Describe from patient stand points-what are they doing! Ex. Behavioral aspects. What kind of
behaviors that contributes to improve/eliminate self-management.
5- What are the major determinates to self-management.
6- What are the tools available to assess self-management as described in the literature review?
7- What are the major/main factors that contribute to a better patient self-management? (what
are the factors that make patients manage their illness ex. self-efficacy, knowledge, behaviors,
physical factors, psychosocial factors, social support, living condition, social economic or
economic status and attitudes)
Instructions to right the literature review:
This section should give the reader a sense of the literature that has been conducted that is relevant to
the study. It should also highlight themes of this literature. Finally, it should end with a presentation of
what has not been done—the gap that your study fills. Be explicit at the end this section about how the
study that is proposing fills this gap.
a. Read each attached article into this assignment in detail.
b. Find strengths, weaknesses of the study (found in the limitations).
c. Read authors’ recommendations for future research.
Conclusion:
Be sure to conclude the proposal. One way to conclude is to discuss the potential significance of the
study. Discuss what you have drawn from reviewing literature so far. Where might the discussion
proceed?

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Articles to be used in this research:
A review of self-management in cardiac patients
 What kind of general principle of patient self-management?
1. Lorig KR, Holman HR. Self-management education: history, definition, outcomes, and
mechanisms. Ann Behav Med. 2003;26(1):1–7.
2. Ara S. A literature review of cardiovascular disease management programs in managed
care populations. J Manag Care Pharm. 2004;10(4):326–344.(what is available to
choose from)
3. Lorig KR, Sobel DS, Stewart AL, et al. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization:

a
randomized trial. Med Care. 1999;37:5–14.(why this study is important)
4. Lorig KR, Ritter P, Stewart AL, et al. Chronic disease self management program: 2-year
health status and health care utilization outcomes. Med Care. 2001;39(11):1217–
1223.(an example of self management)
5. Gordon K, Smith F, Dhillon S. Effective chronic disease management: patient’s
perspectives on medication-related problems. Patient Educ Couns. 2007;65:407–415.
(patient’s perspectives on medication-related problems to :does medicine cause any
problems with cardiac patients?)
6. Dongbo F, Dine Y, McGowan P, Fu H. Qualitative evaluation of Chronic Disease Self
Management Program (CDSMP) in Shanghai. Patient Educ Couns. 2006;61(3):389–396.
(Another overview what is available!)
7. Wheeler JRC, Janz NK, Dodge JA. Can a disease self-management program reduce
health care costs? The case of older woman with heart disease. Med Care.
2003;41(6):706–715. (one of our purpose statement)
8. Izawa KP, Watanabe S, Omiya K, et al. Effect of the self-monitoring approach on
exercise maintenance Turing cardiac rehabilitation: A randomized, controlled trial.
American Journal of Physical Medicine and Rehabilitation. 2005;84:313–321.(report the
effect of exercise)
 What are the major/main factors that contribute/affect to a better patient self-management?
(what are the factors that make patients manage their illness ex. self-efficacy, knowledge,
behaviors, physical factors, psychosocial factors, social support, living condition, social
economic or economic status and attitudes) describe from patient stand points-what are they
doing! Ex. Behavior aspects. What kind of behaviors that contributes to improve self-management. What are the major determinates to self-management.
1. Jerant AF, con Frederichs-Fitzwater MM, Moore M. Patients’ perceived barriers to
active self-management of chronic conditions. Patient Educ Couns. 2005;57:300–
307.(literacy things can lead my interview)
2. Blustein J, Valentine M, Mean H, Regenstein M. Race/Ethnicity and patient confidence
to self-manage cardiovascular disease. Medical Care. 2008;46(9):924–929.( things can
lead my interview)
3. Clark NM, Dodge JA. Exploring self-efficacy as a predictor of disease management.
Health Educ and Behav. 1999;26(72):72–89.
4. Sullivan MD, LaCroix AZ, Russo J, Katon WJ. Self-efficacy and self-reported functional
status in coronary heart disease: a six-month prospective study. Psychosom Med.
1998;60:473–478.
5. Bandura A. Self-efficacy mechanism in human agency. American Psychologist.
1982;37(2):122–147.
6. Clark NM, Janz NK, Dodge JA, Sharpe PA. Self-regulation of health behavior: the “take
PRIDE” program. Health Educ Q. 1992;19(3):341–354.(give more details about lit.R)
7. Carloson JJ, Norman GJ, Feltz DL, Franklin BA, Johnson JA, Locke SK. Self-efficacy,
psychosocial factors, and exercise behavior in traditional versus modified cardiac
rehabilitation. J Cardiopulmonary Rehabil. 2001;21(6):363–373.
8. Walt DA, Pgnone M, Malone R, et al. Development and pilot testing of a disease
management program for low literacy patients with heart failure. Patient Educ Couns.
2004;55:78–86.
9. Kripalani S, Henderson LE, Chiu EY, Robertson R, Kolm P, Jacobson TA. Predictors of
medication self-management skill in a low-literacy population. J Gen Intern Med.
2006;21:852–856. (will help us to see how people can read)
10. Greene J, Yedida MJ, Take Care to Learn Evaluation Collaborative. Provider behaviors
contributing to patient self-management of chronic illness among underserved
populations. J Health Care Poor and Underserved.
 How patients doing in terms of self-efficacy in relation to their cardiovascular diseases (that
could be behavior components or aspects-what are self-management behaviors of those
patients?
1. Newman S, Engaging patients in managing their cardiovascular health. Heart.
2004;90:iv9–iv13.
2. Clark NM, Janz NK, Becker MH, et al. Impact of self-management education on the
functional health status of older adults with heart disease. Gerontologist.
1992;32(4):438–443.
3. Corbin J, Strauss A. Unending work and care: managing chronic illness at home. San
Francisco: Jossey-Bass, 1988.
 What are the available tools to assess self-management?
1. Massie BM, Shah NB. Evolving trends in the epidemiologic factors of heart failure:
rationale for preventive strategies and comprehensive disease management. Am Heart J
1997; 133:703-12.
2. Lev EL, Owen SV. A measure of self-care self-efficacy. Res Nurs Health 1996;19:421-9.
3. The Cardiac Self-Efficacy Scale, a useful tool with potential to evaluate person-centred
care
 How people measure the compliance to, medical treatment, prevention or promotion in
dealing with cardiac vascular disease for the patients.
1. Lorig K, Stewart A, Ritter P, González V, Laurent D, Lynch J. Outcome measures for
health education and other health care interventions. Thousand Oaks, CA: Sage
Publications; 1996.