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 and Hein Raat ()
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Sophie A. Korenhof: Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
Ellen V. Rouwet: Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
Liset E. M. Elstgeest: Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
Siok Swan Tan: Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
Stefania Macchione: European Project Office Department, Istituto per Servizi di Ricovero e Assistenza agli Anziani (Institute for Hospitalization and Care for the Elderly), 31100 Treviso, Italy
Vanja Vasiljev: Department of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia
Tomislav Rukavina: Department of Social Medicine and Epidemiology, Faculty of Medicine, University of Rijeka, 51000 Rijeka, Croatia
Tamara Alhambra-Borrás: Polibienestar Research Institute, University of Valencia, 46022 Valencia, Spain
Irene N. Fierloos: Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands
Hein Raat: Department of Public Health, Erasmus University Medical Center, 3015 GD Rotterdam, The Netherlands

IJERPH, 2022, vol. 19, issue 20, 1-13

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.

Keywords: mindfulness; cardiovascular disease; risk factors; self management; chronic disease management (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2022
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