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 life 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.
Cite this paper
Otsu, H. , Moriyama, M. , Yuka, Y. and Omori, T. (2014) Assessment of a portfolio as an effective tool to promote self-management among patients with ischemic heart diseases: A preliminary trial. Health
, 364-373. doi: 10.4236/health.2014.65053
 Jointly conducted with the Japanese Circulation Society in 2010 (2011) Guidelines for Secondary Prevention of Myocardial Infarction. http://www.j-circ.or.jp/guideline/pdf/JCS2006_ishikawa_h.pdf
 Scottish Intercollegiate Guidelines Network (2002) Cardiac rehabilitation: A national clinical guideline. http://www.sign.ac.uk/pdf/sign57.pdf
 Whitman, N.I., Graham, B.A., Gleit, C.J. and Boyd, M.D. (1992) Teaching in nursing practice: A professional Model. Connecticut: Appleton & Lange, Norwalk.
 Diabetes Prevention Program Research Group (2002) Reduction in the incidence of type 2 diabetes with life-style intervention or metformin. New England Journal of Medicine, 346, 393-403. http://dx.doi.org/10.1056/NEJMoa012512
 Bandura, A. (1997) Self-efficacy: The exercise of control. W. H. Freeman and Company, New York.
 Howe, R. (2005) The disease manager’s handbook. Jones and Bartlett Publishers, Mississauga.
 Harada, K., Moriyama, M., Hyakuta, T., Nagatsuka, I. and Omori, T. (2011) The current situation of community collaboration on patient education towards prevention of recurrence of myocardial infarction. The Journal of Japan Society for Health Care Management, 12, 156-160.
 Matsushima, M., Honda, Y., Uchiyama, N. and Kishita, M. (2003) Actual conditions of guidance using pamphletsfor patients with myocardial infarction—Cognition and teaching methods. Nihon kangogakkaironbunshu Adult Nursing, 34, 305-307.
 Nishioka, K. (2003) Evaluation method of portfolio for enhancement and generalization—For new creative evaluation criteria. Tosho Bunka, Tokyo.
 Lewis, K.O. and Baker, R.C. (2007) The development of an electronic educational portfolio: An outline for medical education professionals. Teaching & Learning in Medicine, 19, 139-147. http://dx.doi.org/10.1080/10401330701332219
 McColgan, K. and Blackwood, B. (2009) A systematic review protocol on the use of teaching portfolios for educators in further and higher education. Journal of Advanced Nursing, 65, 2500-2507. http://dx.doi.org/10.1111/j.1365-2648.2009.05189.x
 Kishida, A. (2008) Assistance for goal achievement in patients with type 2 diabetes who were hospitalized for the purpose of reduction in weight: Application of portfolio. Nursing Journal of Nara Prefectural Mimuro Hospital, 24, 56-58.
 Ishimoto, N., Shibano, T., Yoshisaka A., Takahashi, M. and Takigawa, C. (2010) Effects of portfolio aiming for self-management in chronic disease. Document of Nursing Researchat Saiseikai Shimonoseki General Hospital, 21-24.
 Ozoe, Y., Abe, T., Takeshita, H. and Matsumoto H. (2007) Effects of portfolio to develop ability of management of money in patients with integration dysfunction syndrome. The Japanese Psychiatric Nursing Society, 50, 380-381.
 Kolb, D.A. (1984) Experiential Learning experience as a source of learning and development. Prentice Hall, New Jersey.
 Moriyama, M., Nakano, M., Furui, Y. and Nakaya, T. (2008) A study of the efficacy of a comprehensive cardiac rehabilitation program with a focus on acquisition of self-management skills. Journal of Japan Academy of Nursing Science, 28, 17-26. http://dx.doi.org/10.5630/jans.28.4_17
 Ohmura, Y., Moriyama, M., Nakano, M. and Niitani, M. (2011) Development of a questionnaire to evaluate the self-management behavior of patients with ischemic heart disease. The Journal of Japanese Association of Cardiovascular Nursing, 16, 19-27.
 Kim, W., Shimada, H. and Sakano, Y. (1996) The relationship between self-efficacy on health behavior and stress responses in chronic disease patients. Japanese Journal of Psychosomatic Medicine, 36, 500-505.
 Horige Y. (1991) A Japanese version of the Health Locus of Control Scales. The Japanese Journal of Health Psychology, 4, 1-7.
 Wallston, K.A., Wallston, B.S. and DeVellis, R. (1978) Development of the multidimensional health locus of control (MHLC). Health Education & Behavior, 6, 160-170. http://dx.doi.org/10.1177/109019817800600107
 Rotter, J.B. (1966) Generalized expectancies for internal versus external control of reinforcement. Journal of Clinical Psychology, 43, 56-67．
 Funnell, M.M., Brown, T.L., Childs, B.P., Haas, L.B., Hosey, G.M., Jensen, B., Maryniuk, M., Peyrot, M., Piette, J.D., Reader, D., Siminerio, L.M., Weinger, K. and Weiss, M.A. (2011) National standards for diabetes self-management education. Diabetes Care, 34, S89-S96. http://dx.doi.org/10.2337/dc11-S089