Related Experiment Video
Updated: Mar 30, 2026

A Novel Digital Platform for a Monitored Home-based Cardiac Rehabilitation Program
Published on: April 19, 2019
Self-Management of Heart Disease in Older Adults
Anh-Luu T Huynh-Hohnbaum1, Lia Marshall2, Valentine M Villa3
1a School of Social Work , California State University , Los Angeles, Los Angeles , California , USA.
Insights
Self-management strategies, including a medical plan and confidence, can reduce negative health behaviors like poor diet and inactivity in older adults. This approach is key for preventing heart disease in seniors.
Area of Science:
- Cardiovascular Health
- Gerontology
- Behavioral Science
Background:
- Coronary heart disease disproportionately affects older adults (81% of deaths).
- Key risk factors include physical inactivity, poor diet, smoking, and binge drinking.
- Effective self-management is crucial for mitigating these risks in aging populations.
Purpose of the Study:
- To investigate the impact of self-management on negative health behaviors in older adults.
- To determine if a medical plan and self-efficacy influence risk behaviors.
- To inform strategies for heart disease prevention and management in seniors.
Main Methods:
- Utilized data from the 2011-2012 California Health Interview Survey (CHIS).
- Analyzed the relationship between self-management components (plan, self-efficacy) and risk behaviors.
- Focused on older adult populations within the survey data.
Main Results:
- The presence of a self-management plan was associated with reduced negative behaviors.
- Increased self-efficacy significantly decreased engagement in poor dietary habits.
- Higher self-efficacy also correlated with decreased physical inactivity.
Conclusions:
- Self-management interventions can effectively decrease detrimental health behaviors in older adults.
- Integrating medical plans and enhancing self-efficacy are vital components for heart disease prevention.
- Findings support the development of targeted strategies for improving cardiovascular health in seniors.
Abstract:
The American Heart Association estimates that 81% of people who die of coronary heart disease are 65 years old or older. The leading risk health behaviors include physical inactivity, poor diet, smoking, and binge drinking. Using the 2011-2012 California Health Interview Survey (CHIS), this study looked at how self-management, which includes a plan developed by a medical professional and the confidence to manage one's disease, may decrease negative risk behaviors in older adults. The presence of a plan and increased self-efficacy decreased engagement in negative dietary behaviors and low physical activity. Implications for strategies that address heart disease and self-management are discussed.
Related Concept Videos
Atherosclerosis III: Management
Cardiomyopathy VI: Nursing Management
Heart Failure VII: Nursing Interventions
Atherosclerosis IV: Nursing Management
Heart Failure V: Medical Management
Mitral Regurgitation IV: Nursing Management
