The purpose of this integrative review is to evaluate research pertaining to self-management programs for older adults with chronic diseases using Albert Bandura’s Social Cognitive Theory (SCT) for behavior change. T...The purpose of this integrative review is to evaluate research pertaining to self-management programs for older adults with chronic diseases using Albert Bandura’s Social Cognitive Theory (SCT) for behavior change. The focus is application of the SCT domains to self-management programs. The exploration of the current chronic disease self-management research provides an understanding of the Social Cognitive Theory concepts studied in interventional self-management research. The integrative review explicated two areas related to the theory in need of further research. First, social support has not been thoroughly explored as a mechanism for enhancing self-management interventions. Second, moral disengagement was not identified as a focus within chronic disease research raising the question about the impact of moral disengagement on long-term adherence and behavior change.展开更多
With the older adult population projected to increase substantially in the next 10 years, the incidence of chronic disease will become a significant factor in the burden of disease both globally and within the United ...With the older adult population projected to increase substantially in the next 10 years, the incidence of chronic disease will become a significant factor in the burden of disease both globally and within the United States. The chronic disease state has been shown to decrease quality of life and the life expectancy of those individuals. In Tennessee the incidence of chronic disease, lower incomes, and education levels increases the risk of decreased quality of life and increased mortality in the older adult population. A review of literature by the researcher reveals that scant research has focused upon the older adult’s perspective toward chronic illness and making changes to their health routine. As part of a mixed-method correlational study, focus groups used a descriptive qualitative approach to increase understanding of the phenomenon of chronic illness. The purpose of this qualitative study was to determine the attitudes and perceptions of older adults in East Tennessee towards behavior change and health maintenance in chronic disease.展开更多
文摘The purpose of this integrative review is to evaluate research pertaining to self-management programs for older adults with chronic diseases using Albert Bandura’s Social Cognitive Theory (SCT) for behavior change. The focus is application of the SCT domains to self-management programs. The exploration of the current chronic disease self-management research provides an understanding of the Social Cognitive Theory concepts studied in interventional self-management research. The integrative review explicated two areas related to the theory in need of further research. First, social support has not been thoroughly explored as a mechanism for enhancing self-management interventions. Second, moral disengagement was not identified as a focus within chronic disease research raising the question about the impact of moral disengagement on long-term adherence and behavior change.
文摘With the older adult population projected to increase substantially in the next 10 years, the incidence of chronic disease will become a significant factor in the burden of disease both globally and within the United States. The chronic disease state has been shown to decrease quality of life and the life expectancy of those individuals. In Tennessee the incidence of chronic disease, lower incomes, and education levels increases the risk of decreased quality of life and increased mortality in the older adult population. A review of literature by the researcher reveals that scant research has focused upon the older adult’s perspective toward chronic illness and making changes to their health routine. As part of a mixed-method correlational study, focus groups used a descriptive qualitative approach to increase understanding of the phenomenon of chronic illness. The purpose of this qualitative study was to determine the attitudes and perceptions of older adults in East Tennessee towards behavior change and health maintenance in chronic disease.
