Using user-friendly telecommunications to improve cardiac and diabetes self-management program: A pilot study
Wu, Chiung-Jung, Chang, Anne M., Courtney, Mary D., & Ramis, Mary-Anne (2011) Using user-friendly telecommunications to improve cardiac and diabetes self-management program: A pilot study. Journal of Evaluation in Clinical Practice, pp. 1-3. (In Press)
Previous studies exploring the incidence and readmission rates of cardiac patients admitted to a coronary care unit (CCU) with type 2 diabetes  have been undertaken by the first author. Interviews of these patients regarding their experiences in managing their everyday conditions  provided the basis for developing the initial cardiac–diabetes self-management programme (CDSMP) .
Findings from each of these previous studies highlighted the complexity of self-management for patients with both conditions and contributed to the creation of a new self-management programme, the CDSMP, based on Bandura’s (2004) self-efficacy theory .
From patient and staff feedback received for the CDSMP , it became evident that further revision of the programme was needed to improve self-management levels of patients and possibility of incorporating methods of information technology (IT). Little is known about the applicability of different methods of technology for delivering self-management programmes for patients with chronic diseases such as those with type 2 diabetes and cardiac conditions. Although there is some evidence supporting
the benefits and the great potential of using IT in supporting self-management programmes, it is not strong, and further research on the use of IT in such programmes is recommended [5–7]. Therefore, this study was designed to pilot test feasibility of the CDSMP incorporating telephone and text-messaging as follow-up approaches.
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