Author(s)

Kimberly Sell¹, Elaine Amella¹, Martina Mueller¹, Jeannette Andrews², Joy Wachs³

¹Medical University of South Carolina, Charleston, USA.
²University of South Carolina, Columbia, USA.
³East Tennessee State University, Johnson City, USA.

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.

Social Cognitive Theory, Self-Management, Chronic Disease, and Older Adults, Integrative Review, Social Determinants of Health

Sell, K. , Amella, E. , Mueller, M. , Andrews, J. and Wachs, J. (2016) Use of Social Cognitive Theory to Assess Salient Clinical Research in Chronic Disease Self-Management for Older Adults: An Integrative Review. Open Journal of Nursing, 6, 213-228. doi: 10.4236/ojn.2016.63022.