Full text

Turn on search term navigation

© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

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.

Details

Title
Evaluation of an Intervention to Promote Self-Management Regarding Cardiovascular Disease: The Social Engagement Framework for Addressing the Chronic-Disease-Challenge (SEFAC)
Author
Korenhof, Sophie A 1   VIAFID ORCID Logo  ; Rouwet, Ellen V 1   VIAFID ORCID Logo  ; Elstgeest, Liset E M 2   VIAFID ORCID Logo  ; Siok Swan Tan 3   VIAFID ORCID Logo  ; Macchione, Stefania 4   VIAFID ORCID Logo  ; Vasiljev, Vanja 5   VIAFID ORCID Logo  ; Rukavina, Tomislav 5   VIAFID ORCID Logo  ; Alhambra-Borrás, Tamara 6   VIAFID ORCID Logo  ; Fierloos, Irene N 1   VIAFID ORCID Logo  ; Raat, Hein 1   VIAFID ORCID Logo 

 Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands 
 Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands; Reinier Academy, Reinier de Graaf Hospital, 2625 AD Delft, The Netherlands 
 Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands; Research Group City Dynamics, InHolland University of Applied Sciences, 3072 AG Rotterdam, The Netherlands 
 European Project Office Department, Istituto per Servizi di Ricovero e Assistenza agli Anziani (Institute for Hospitalization and Care for the Elderly), 31100 Treviso, Italy 
 Department of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia 
 Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain 
First page
13145
Publication year
2022
Publication date
2022
Publisher
MDPI AG
ISSN
1661-7827
e-ISSN
1660-4601
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2728480452
Copyright
© 2022 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.