Evaluation of an Intervention to Promote Self-Management Regarding Cardiovascular Disease: The Social Engagement Framework for Addressing the Chronic-Disease-Challenge (SEFAC).
Sophie A Korenhof, Ellen V Rouwet, Liset E M Elstgeest, Siok Swan Tan, Stefania Macchione, Vanja Vasiljev, Tomislav Rukavina, Tamara Alhambra-Borrás, Irene N Fierloos, Hein Raat
International Journal of Environmental Research and Public Health October 12, 2022 DOI: 10.3390/ijerph192013145 (opens in new tab)
Study at a glance
AI-extracted from the abstract| Characteristics | Before-after study Peer reviewed |
|---|---|
| Sample size | 352 |
| Population | Adults over 50 years with cardiovascular disease and/or one or more cardiovascular risk factors from three European countries |
| Duration | 7-week intervention, 6-month follow-up |
| Topics | Meditation |
| Keywords | Humans Cardiovascular diseases Quality of life Adult Social participation Self-management Risk factors Self management Chronic disease management |
| Key points | Self-efficacy, stress, social support, depressive symptoms, and self-rated health improved significantly over six months after the 7-week mindfulness-based intervention, while physical activity, nutrition, smoking, alcohol use, sleep and fatigue, and medication adherence showed no significant changes. The authors conclude the intervention was conducive to improved self-management and emotional well-being and support its use in cardiovascular care. |
Abstract
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.
Citations in the library
Cites 6
- Meditation Programs for Psychological Stress and Well-being JAMA Internal Medicine January 6, 2014
- Mindfulness Interventions Annual Review of Psychology September 30, 2016
- Mindfulness and Behavior Change Harvard Review of Psychiatry November 1, 2020
- Mindfulness training reduces loneliness and increases social contact in a randomized controlled trial Proceedings of the National Academy of Sciences February 11, 2019
- Personality Predicts Utilization of Mindfulness-Based Stress Reduction During and Post-Intervention in a Community Sample of Older Adults. The Journal of Alternative and Complementary Medicine May 2016
and 1 more in the library