Barriers to effective self-management in cardiac patients: The patient's experience

Patient Education and Counseling

Volumn 79, Issue 1, 2010, Pages 69-76

  Mead, Holly ^a   Andres, Ellie ^a   Ramos, Christal ^a   Siegel, Bruce ^a   Regenstein, Marsha ^a  

^a GEORGE WASHINGTON UNIVERSITY   (United States)

Author keywords

Access barriers; Cardiac rehabilitation; Chronic heart disease; Focus groups; Low income and minority patients; Self management

Indexed keywords

ARTICLE; CARDIAC PATIENT; CHRONIC DISEASE; CLINICAL PRACTICE; CONTROLLED STUDY; FEMALE; HEALTH BEHAVIOR; HEALTH CARE ACCESS; HEALTH CARE COST; HEALTH CARE QUALITY; HEALTH INSURANCE; HEALTH PROGRAM; HEALTH SERVICE; HEART DISEASE; HEART REHABILITATION; HUMAN; INCOME; INFORMATION PROCESSING; INTEGRATED HEALTH CARE SYSTEM; LIFESTYLE MODIFICATION; MALE; MINORITY GROUP; OUTCOME ASSESSMENT; PATIENT MONITORING; PERSONAL EXPERIENCE; PRIORITY JOURNAL; PSYCHOSOCIAL CARE; SECONDARY PREVENTION; SELF CARE; SELF REPORT; SOCIAL SUPPORT;

ADOLESCENT; ADULT; CHRONIC DISEASE; CONTINUITY OF PATIENT CARE; DISEASE MANAGEMENT; FEMALE; FOCUS GROUPS; HEALTH SERVICES ACCESSIBILITY; HEALTH SERVICES NEEDS AND DEMAND; HEALTH STATUS DISPARITIES; HEART DISEASES; HUMANS; MALE; MEDICALLY UNDERSERVED AREA; MIDDLE AGED; PATIENT SATISFACTION; SELF CARE; SOCIAL SUPPORT; TREATMENT OUTCOME; UNITED STATES; YOUNG ADULT;

EID: 77649272891     PISSN: 07383991     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.pec.2009.08.003     Document Type: Article

References (38)

1. Bodenheimer T., Wagner E.H., and Grumbach K. Improving primary care for patients with chronic illnesses: the Chronic Care Model, Part 2. J Amer Med Assoc 288 (2002) 1909-1914
2. Rich M.W., Beckham V., Wittenberg C., Leven C., Freedland K.E., and Carney R.M. A multidisciplinary intervention to prevent the readmission of elderly patients with congestive heart failure. N Engl J Med 333 (2005) 1190-1195
3. Yu D.S.F., Thompson D.R., and Lee D.T.F. Disease management programmes for older people with heart failure: crucial characteristics which improve post-discharge outcomes. Eur Heart J 27 (2006) 596-612
4. Cline C.M.J., Israelsson B.Y.A., Willenheimer R.B., Broms K., and Erhardt L.R. Cost effective management programme for heart failure reduces hospitalization. Heart 80 (1998) 442-446
5. Chin M.H., and Goldman L. Factors contributing to the hospitalization of patients with congestive heart failure. Am J Public Health 87 (1997) 643-648
6. Bodenheimer T., Lorig K., Holman H., and Grumbach K. Patient self-management of chronic disease in primary care. J Amer Med Assoc 288 (2002) 2469-2475
7. Holman H., and Lorig K. Patient self-management: a key to effectiveness and efficiency in care of chronic disease. Public Health Rep 199 (2004) 239-243
8. Lorig K.R., Sobel D.S., Stewart A.L., Brown Jr. B.W., Bandura A., Ritter P., Gonzalez V.M., Laurent D.D., and Holman H.R. Evidence suggesting that a chronic disease self-management program can improve health status while reducing hospitalization: a randomized trial. Med Care 37 (1999) 5-14
9. Lorig K.R., Sobel D.S., Ritter P.L., Laurent D., and Hobbs M. Effect of self-management program on patients with heart disease. Eff Clin Pract 4 (2001) 256-262
10. Gulanick M., Bliley A., Perino B., and Keough V. Recovery patterns and lifestyle changes after coronary angioplasty: the patient's perspective. Heart Lung 27 (1998) 253-262
11. Timmins F. A review of the information needs of patients with acute coronary syndromes. Nurs Crit Care 14 (2005) 174-183
12. Ni H., Nauman D., Burgess D., Wise K., Crispell K., and Hershberger R.E. Factors influencing knowledge of and adherence to self-care among patients with heart failure. Arch Intern Med 159 (1999) 1613-1619
13. Rahimi A.R., Spertus J.A., Reid K.J., Bernheim S.M., and Krumholz H.M. Financial barriers to health care and outcomes after myocardial infarction. J Amer Med Assoc 297 (2007) 1063-1072
14. Blustein J., Valentine M., Mead H., and Regenstein M. Race/ethnicity patient confidence to self-manage cardiovascular disease. Med Care 46 (2008) 1-6
15. In: Brian D., Smedley A.Y., and Nelson A.R. (Eds). Unequal treatment: confronting racial and ethnic disparities in health care (2002), Institute of Medicine, Washington, DC
16. Pincus T., Esther R., DeWalt D.A., and Callahan L.F. Social conditions and self-management are more powerful determinants of health than access to care. Med Care 129 (1998) 406-411
17. Gerber Y., Weston S.A., Killian J.M., Therneau T.M., Jacobsen S.J., and Roger V.L. Neighborhood income and individual education: effect on survival after myocardial infarction. Mayo Clin Proc 83 (2008) 663-669
18. Rosamond W., Flegal K., Friday G., Furie K., Go A., Greenlund K., Haase N., Ho M., Howard V., Kissela B., Kittner S., Lloyd-Jones D., McDermott M., Meigs J., Moy C., Nichol G., O'Donnell C.J., Roger V., Rumsfeld J., Sorlie P., Steinberger J., Thom T., Wasserthiel-Smoller S., and Hong Y. Heart disease and stroke statistics-2007 update: a report from the American Heart Association Statistics Committee and Stroke Statistics Subcommittee. Circulation 115 (2007) e69-e171
19. Riegel B., and Carlson B. Facilitators and barriers to heart failure self-care. Patient Educ Couns 46 (2002) 287-295
20. Jerant A.F., von Friederichs-Fitzwater M.M., and Moore M. Patients' perceived barriers to active self-management of chronic conditions. Patient Educ Couns 57 (2005) 300-307
21. Bayliss E.A., Ellis J.L., and Steiner J.F. Barriers to self-management and quality-of-life outcomes in seniors with multimorbidities. Ann Fam Med 5 (2007) 395-402
22. Horowitz C.R., Rein S.B., and Leventhal H.A. A story of maladies, misconceptions and mishaps: effective management of heart failure. Soc Sci Med 58 (2004) 631-643
23. Green J., and Thorogood N. Qualitative methods for health research (2004), Sage Publications, Inc., Thousand Oaks, CA
24. Patton M. Qualitative research and evaluation methods. 3rd ed. (2002), Sage Publications, Inc., Thousand Oaks, CA
25. Cresswell J. Qualitative inquiry research design: choosing among five transitions (1998), Sage Publications, Inc., Thousand Oaks, CA
26. Webb C., and Kevern J. Focus groups: a critique of nursing research. J Adv Nurs 33 (2001) 798-805
27. Fern E.F. Advanced focus group research (2001), Sage Publications, Inc., Thousand Oaks, CA
28. Squires A. Methodological challenges in cross-language qualitative research: a research review. Int J Nurs Stud 46 (2009) 277-287
29. Green J., and Thorogood N. Qualitative methods for health research (2005), Sage, London
30. Zuvekas S.H., and Taliaferro G.S. Pathways to access: health insurance, the health care delivery system, and racial/ethnic disparities, 1996-1999. Health Aff 22 (2003) 139-153
31. Sambamoorthi U., and McAlpine D.D. Racial, ethnic, socioeconomic, and access disparities in use of preventive services among women. Prev Med 37 (2003) 475-484
32. National Healthcare Disparities Report, 2006. Agency for Healthcare Research and Quality. Rockville, MD; 2006.
33. Osterberg L., and Blaschke T. Adherence to medication. N Engl J Med 353 (2005) 487-497
34. Albert N.M. Improving medication adherence in chronic cardiovascular disease. Crit Care Nurse 28 (2008) 54-64
35. Williams M.A., Ades P.A., Hamm L.F., Keteyian S.J., LaFontaine T.P., Roitman J.L., and Squires R.W. Clinical evidence for a health benefit from cardiac rehabilitation: an update. Am Heart J 152 (2005) 835-841
36. Balady G.J., Ades P.A., Comoss P., Limacher M., Pina I.L., Southard D., Williams M.A., and Bazzarre T. AHA/AACVPR scientific statement: core components of cardiac rehabilitation/secondary prevention programs. Circulation 102 (2000) 1069-1073
37. Gregory P.C., Laveist T.A., and Simpson C. Racial disparities in access to cardiac rehabilitation. Am J Phys Med Rehabil 85 (2006) 705-710
38. Suaya J.A., Shepard D.S., Normand S.L., Ades P.A., Prottas J., and Stason W.B. Use of cardiac rehabilitation by medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation 116 (2007) 1653-1662