TITLE:
Assessment of a portfolio as an effective tool to promote self-management among patients with ischemic heart diseases: A preliminary trial
AUTHORS:
Haruka Otsu, Michiko Moriyama, Yuasa Yuka, Toyonori Omori
KEYWORDS:
Portfolio; Ischemic Heart Diseases; Self-Learning; Self-Management; Self-Efficacy
JOURNAL NAME:
Health,
Vol.6 No.5,
February
24,
2014
ABSTRACT: Portfolio has been used as an
approach to promoting
self-learning in the field of education and its effectiveness was reported in
school education. The purpose of this study was to assess effectiveness of
portfolio as a tool for educating patients with ischemic heart diseases as
self-management behavior in terms of applicability and efficacy. Subjects of
this study were seventeen patients who had myocardial infarction or angina.
They were assigned to collect information about their themes chosen from
diet, exercise, alcohol intake, smoking cessation, and stress management and
gathered in files. Thirty minutes face-to-face educational interviews were
conducted by a nurse for once per month over
three months. Self-management, self-efficacy, and physiological data
were evaluated for baseline and 3 months. Two participants dropped within two
months (completion rate is 88.2%). The results showed that portfolio was
effective as a self-management education tool on patients who were willing to
participate, but did not improve physiological data if they did not continuously
implement lifestyle change. Moreover it was dangerous when the patients acquired
incorrect information on diseases. For these patients, health education by
health professionals is required prior to conducting portfolio. Attributes fit
for portfolio were assessed. Effectiveness of portfolio related to high
self-efficacy and high self-management, but did not relate to living status, having job, educational background,
and health locus of control.