Application of a theoretical framework to foster a cardiac-diabetes self-management programme

Wu, C.-J. (Jo) & Chang, A.M. (2014) Application of a theoretical framework to foster a cardiac-diabetes self-management programme. International Nursing Review, 61(3), pp. 336-343.

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This paper analyses and illustrates the application of Bandura's self-efficacy construct to an innovative self-management programme for patients with both type 2 diabetes and coronary heart disease.


Using theory as a framework for any health intervention provides a solid and valid foundation for aspects of planning and delivering such an intervention; however, it is reported that many health behaviour intervention programmes are not based upon theory and are consequently limited in their applicability to different populations. The cardiac-diabetes self-management programme has been specifically developed for patients with dual conditions with the strategies for delivering the programme based upon Bandura's self-efficacy theory. This patient group is at greater risk of negative health outcomes than that with a single chronic condition and therefore requires appropriate intervention programmes with solid theoretical foundations that can address the complexity of care required.


The cardiac-diabetes self-management programme has been developed incorporating theory, evidence and practical strategies.


This paper provides explicit knowledge of the theoretical basis and components of a cardiac-diabetes self-management programme. Such detail enhances the ability to replicate or adopt the intervention in similar or differing populations and/or cultural contexts as it provides in-depth understanding of each element within the intervention.


Knowledge of the concepts alone is not sufficient to deliver a successful health programme. Supporting patients to master skills of self-care is essential in order for patients to successfully manage two complex, chronic illnesses.


Valuable information has been provided to close the theory-practice gap for more consistent health outcomes, engaging with patients for promoting holistic care within organizational and cultural contexts.

Impact and interest:

1 citations in Scopus
1 citations in Web of Science®
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ID Code: 77799
Item Type: Journal Article
Refereed: Yes
Keywords: Cardiac-Diabetes Self-Management Programme, Theory, Theoretical Framework, Self-Management, Intervention Programme, Cardiovascular Disease, Coronary Heart Disease, Diabetes
DOI: 10.1111/inr.12104
ISSN: 0020-8132
Subjects: Australian and New Zealand Standard Research Classification > MEDICAL AND HEALTH SCIENCES (110000) > NURSING (111000) > Nursing not elsewhere classified (111099)
Divisions: Current > QUT Faculties and Divisions > Faculty of Health
Current > Institutes > Institute of Health and Biomedical Innovation
Copyright Owner: Copyright 2014 International Council of Nurses
Deposited On: 17 Oct 2014 04:08
Last Modified: 26 Jun 2017 11:06

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