TY - JOUR
T1 - Evaluation of an Intervention to Promote Self-Management Regarding Cardiovascular Disease
T2 - The Social Engagement Framework for Addressing the Chronic-Disease-Challenge (SEFAC)
AU - Korenhof, Sophie A.
AU - Rouwet, Ellen V.
AU - Elstgeest, Liset E.M.
AU - Tan, Siok Swan
AU - Macchione, Stefania
AU - Vasiljev, Vanja
AU - Rukavina, Tomislav
AU - Alhambra-Borrás, Tamara
AU - Fierloos, Irene N.
AU - Raat, Hein
N1 - Funding Information:
The Social Engagement Framework for Addressing the Chronic-disease-challenge (SEFAC) project received funding from the European Union’s Health Programme (2014–2020; grant agreement 738202). The Dutch Heart Foundation (grant number 2018T012) further supported this work in the Netherlands.
Publisher Copyright: © 2022 by the authors.
PY - 2022/10/12
Y1 - 2022/10/12
N2 - Background: Cardiovascular diseases (CVD) are predominantly lifestyle related. Mental health issues also influence CVD progression and quality of life. Self-management of lifestyle behaviors and mental well-being may play a significant role in reducing the CVD burden. Previous studies have shown that mindfulness practices are associated with psychological well-being, but their effects on CVD self-management are mainly unknown. Methods: The study had a before–after design and included adults over 50 years with CVD and/or one or more risk factors from three European countries. Follow-up was six months. The intervention was a 7-week mindfulness-based intervention (MBI) in a group setting focusing on chronic disease self-management. Outcomes were measured with validated self-report questionnaires at baseline and follow-up: self-efficacy, physical activity, nutrition, smoking, alcohol use, sleep and fatigue, social support, stress, depression, medication adherence, and self-rated health. Results: Among 352 participants, 324 (92%) attended ≥4 of the 7 group sessions and completed follow-up. During follow-up, self-efficacy, stress, social support, depressive symptoms, and self-rated health significantly improved. No significant changes were detected for other outcomes. Conclusions: A 7-week MBI focusing on chronic disease self-management was conducive to improved self-efficacy, emotional well-being, social support, and self-rated overall health during six months. These findings support the use of MBIs for improving self-management in cardiovascular care. ISRCTN registry-number ISRCTN11248135.
AB - Background: Cardiovascular diseases (CVD) are predominantly lifestyle related. Mental health issues also influence CVD progression and quality of life. Self-management of lifestyle behaviors and mental well-being may play a significant role in reducing the CVD burden. Previous studies have shown that mindfulness practices are associated with psychological well-being, but their effects on CVD self-management are mainly unknown. Methods: The study had a before–after design and included adults over 50 years with CVD and/or one or more risk factors from three European countries. Follow-up was six months. The intervention was a 7-week mindfulness-based intervention (MBI) in a group setting focusing on chronic disease self-management. Outcomes were measured with validated self-report questionnaires at baseline and follow-up: self-efficacy, physical activity, nutrition, smoking, alcohol use, sleep and fatigue, social support, stress, depression, medication adherence, and self-rated health. Results: Among 352 participants, 324 (92%) attended ≥4 of the 7 group sessions and completed follow-up. During follow-up, self-efficacy, stress, social support, depressive symptoms, and self-rated health significantly improved. No significant changes were detected for other outcomes. Conclusions: A 7-week MBI focusing on chronic disease self-management was conducive to improved self-efficacy, emotional well-being, social support, and self-rated overall health during six months. These findings support the use of MBIs for improving self-management in cardiovascular care. ISRCTN registry-number ISRCTN11248135.
UR - http://www.scopus.com/inward/record.url?scp=85140916710&partnerID=8YFLogxK
U2 - 10.3390/ijerph192013145
DO - 10.3390/ijerph192013145
M3 - Article
C2 - 36293726
AN - SCOPUS:85140916710
SN - 1661-7827
VL - 19
JO - International Journal of Environmental Research and Public Health
JF - International Journal of Environmental Research and Public Health
IS - 20
M1 - 13145
ER -
