Ck. Ewart et St. Fitzgerald, CHANGING BEHAVIOR AND PROMOTING WELL-BEING AFTER HEART-ATTACK - A SOCIAL-ACTION THEORY APPROACH, Irish journal of psychology, 15(1), 1994, pp. 219-241
Heart attack survivors face a number of behavioural and psychological
difficulties that often go undetected during routine care. Chief among
these are unrealistic fears about resuming normal work and recreation
al activities, and problems adhering to guidelines concerning physical
exercise, diet, and other lifestyle changes. Clinical assessment and
intervention methods developed for psychiatric populations are ill-sui
ted to problems experienced by the vast majority of cardiac patients.
A social action theory of health behaviour change suggests specific te
chniques for enhancing well-being and altering behavioural risk factor
s in persons with heart disease. Methods to measure and modify patient
self-efficacy appraisals, and a conjoint approach involving members o
f the patient's family, are central features of the social action mode
l. These methods can be applied in the course of routine medical care
at clinic visits and via follow-up telephone contacts.