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Changes in functional health status of older women with heart disease : Evaluation of a program based on self-regulation

This study involving 570 women aged 60 years or older with heart disease, assessed the effects of a disease management program on physical functioning, symptom experience, and psychosocial status. Women were randomly assigned to control or program groups. Six to eight women met weekly with a health...

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Published in:The journals of gerontology. Series B, Psychological sciences and social sciences Psychological sciences and social sciences, 2000-03, Vol.55 (2), p.S117-S126
Main Authors: CLARK, N. M, JANZ, N. K, DODGE, J. A, SCHORK, M. A, FINGERLIN, T. E, WHEELER, J. R. C, LIANG, J, KETEYIAN, S. J, SANTINGA, J. T
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cited_by cdi_FETCH-LOGICAL-c452t-c7630f1da861d12864bc6ca85d8e2c8682375703f8106cb709407ab7465408843
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creator CLARK, N. M
JANZ, N. K
DODGE, J. A
SCHORK, M. A
FINGERLIN, T. E
WHEELER, J. R. C
LIANG, J
KETEYIAN, S. J
SANTINGA, J. T
description This study involving 570 women aged 60 years or older with heart disease, assessed the effects of a disease management program on physical functioning, symptom experience, and psychosocial status. Women were randomly assigned to control or program groups. Six to eight women met weekly with a health educator and peer leader over 4 weeks to learn self-regulation skills with physical activity as the focus. Evaluative data were collected through telephone interviews, physical assessments, and medical records at baseline and 4 and 12 months post baseline. At 12 months, compared with controls, program women were less symptomatic (p < .01), scored better on the physical dimension of the Sickness Impact Profile (SIP; p < 0.05), had improved ambulation as measured by the 6-minute walk (p < 0.01), and lost more body weight (p < .001). No differences related to psychosocial factors as measured by the SIP were noted. A self-regulation-based program that was provided to older women with heart disease and that focused on physical activity and disease management problems salient to them, improved their physical functioning and symptom experience. Psychosocial benefit was not evident and may be a result of measurement error or due to insufficient program time spent on psychosocial aspects of functioning.
doi_str_mv 10.1093/geronb/55.2.S117
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M ; JANZ, N. K ; DODGE, J. A ; SCHORK, M. A ; FINGERLIN, T. E ; WHEELER, J. R. C ; LIANG, J ; KETEYIAN, S. J ; SANTINGA, J. T</creator><creatorcontrib>CLARK, N. M ; JANZ, N. K ; DODGE, J. A ; SCHORK, M. A ; FINGERLIN, T. E ; WHEELER, J. R. C ; LIANG, J ; KETEYIAN, S. J ; SANTINGA, J. T</creatorcontrib><description>This study involving 570 women aged 60 years or older with heart disease, assessed the effects of a disease management program on physical functioning, symptom experience, and psychosocial status. Women were randomly assigned to control or program groups. Six to eight women met weekly with a health educator and peer leader over 4 weeks to learn self-regulation skills with physical activity as the focus. Evaluative data were collected through telephone interviews, physical assessments, and medical records at baseline and 4 and 12 months post baseline. 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At 12 months, compared with controls, program women were less symptomatic (p &lt; .01), scored better on the physical dimension of the Sickness Impact Profile (SIP; p &lt; 0.05), had improved ambulation as measured by the 6-minute walk (p &lt; 0.01), and lost more body weight (p &lt; .001). No differences related to psychosocial factors as measured by the SIP were noted. A self-regulation-based program that was provided to older women with heart disease and that focused on physical activity and disease management problems salient to them, improved their physical functioning and symptom experience. Psychosocial benefit was not evident and may be a result of measurement error or due to insufficient program time spent on psychosocial aspects of functioning.</abstract><cop>Washington, DC</cop><pub>Gerontological Society of America</pub><pmid>10794196</pmid><doi>10.1093/geronb/55.2.S117</doi><oa>free_for_read</oa></addata></record>
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identifier ISSN: 1079-5014
ispartof The journals of gerontology. Series B, Psychological sciences and social sciences, 2000-03, Vol.55 (2), p.S117-S126
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source Applied Social Sciences Index & Abstracts (ASSIA); Oxford Journals Online; Sociological Abstracts
subjects Adult. Elderly
Aged
Biological and medical sciences
Cardiovascular disease
Depression - diagnosis
Depression - psychology
Developmental psychology
Elderly
Female
Females
Fundamental and applied biological sciences. Psychology
Health
Health Education
Health Status
Heart Diseases
Heart Diseases - diagnosis
Humans
Older people
Physical Fitness
Program Evaluation
Psychology. Psychoanalysis. Psychiatry
Psychology. Psychophysiology
Self Care
Self regulation
Social Adjustment
Social Control, Informal
Women
Womens Health Care
title Changes in functional health status of older women with heart disease : Evaluation of a program based on self-regulation
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