Centre for Policy on Ageing



Self-management of heart disease by older adults — assessment of an intervention based on social cognitive theory
Author(s)	Noreen M Clark, Nancy K Janz, Julia A Dodge
Journal title	Research on Aging, vol 19, no 3, September 1997
Pages	pp 362-382
Keywords	Heart disease ; Medical care ; Health [elderly] ; Mental health [elderly] ; Evaluation ; United States of America.
Annotation	A randomised, controlled trial of 636 older people was conducted to evaluate an intervention which enhances self-management of heart disease. Participants experienced less impact of illness on their psychosocial functioning, especially their emotional behaviour and alertness. Compared to controls, male participants experienced improvements in their physical functioning, specifically their walking ability, and in the frequency and severity of their symptoms. Female participants did not experience gains in physical functioning. Most group differences emerged by 12 months, and had disappeared by the 18-month final evaluation. Evaluation over more than 18 months may be needed to accurately assess the pattern of change associated with a programme of this type. Separate interventions for older men and women with heart disease appear warranted, as do follow-up activities at strategic points in time to sustain programme effects.
Accession Number	CPA-971113219 A
Classmark	CQH: LK: CC: D: 4C: 7T
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...from the Ageinfo database published by Centre for Policy on Ageing.