Shared efficacy

Coronary heart disease is the biggest killer in the country. South Asians carry the burden of increased incidence and prevalence and have poorer outcomes after a heart attack than the general UK population. Reviews have shown lifestyle modification including physical activity, healthy diet and smoking cessation, alters the course of heart disease and reduces recurrences crystallising its significance as a cost-effective public health strategy to reduce the rising burden of this disease. There are lacunae of knowledge as to what constitutes to guarantee a therapeutic lifestyle modification for better health outcomes. One way to conceptualise the necessary knowledge and their reflective application for effective lifestyle change was to explore self-management experience of South Asians after a heart attack. Novel of its kind, this study used a grounded theory approach to elucidate how South Asians navigate these lifestyle changes. Two phase interviews were conducted with 14 participants who were newly diagnosed with heart attack- from 2015 till July 2016. A harmony model to deal with diagnosis of heart attack and subsequent lifestyle changes is proposed. The model homes in a family centred approach, with an appreciation of the cardiac patient's religious beliefs and cultural priorities, in selfmanagement programmes. The emphasis is on choice being a shared act and not an individual act. The final set of conclusions which make an original contribution to knowledge in the area of self-management of myocardial infarction ,highlighting the role and significance of shared rather than self-efficacy