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Copyright: ©Author(s) 2026. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution-NonCommercial (CC BY-NC 4.0) license. No commercial re-use. See permissions. Published by Baishideng Publishing Group Inc.
World J Psychiatry. Jun 19, 2026; 16(6): 117930
Published online Jun 19, 2026. doi: 10.5498/wjp.v16.i6.117930
Self-efficacy system interventions in cardiovascular disease management: An integrative perspective and future outlook
Ling-Yan Zhu, Li-Min Yu
Ling-Yan Zhu, Department of Cardiovascular Medicine, Haiyan County People’s Hospital, Jiaxing 314300, Zhejiang Province, China
Li-Min Yu, Department of Cardiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, Hangzhou 310009, Zhejiang Province, China
Author contributions: Zhu LY and Yu LM wrote and edited the manuscript; Zhu LY conceptualized the research topic and submitted the revised manuscript with all the related documents. Both authors thoroughly reviewed and endorsed the final manuscript.
AI contribution statement: The language has been polished using Deepseek-R1. The entire content of the main text (abstract, introduction, materials and methods, results, discussion and conclusion) of this manuscript was not generated by AI.
Supported by Haiyan County Health Research Project, No. 2021-YJ-12A.
Conflict-of-interest statement: All the authors report no relevant conflicts of interest for this article.
Corresponding author: Li-Min Yu, MD, Chief Nurse, Department of Cardiology, The Second Affiliated Hospital of Zhejiang University School of Medicine, No. 88 Jiefang Road, Shangcheng District, Hangzhou 310009, Zhejiang Province, China. yylm535@163.com
Received: January 9, 2026
Revised: January 27, 2026
Accepted: February 14, 2026
Published online: June 19, 2026
Processing time: 139 Days and 0.1 Hours
Abstract

This minireview provides an in-depth analysis of the application of self-efficacy system interventions (SESIs) in the management of cardiovascular disease (CVD), encompassing foundational theories, clinical practices, technological advancements, future prospects, and contentious issues. The discussion includes the application of self-efficacy theory in CVD management as well as patients’ psychological and behavioral characteristics and principles of intervention design. Furthermore, this minireview explores the impact of SESIs on patients’ quality of life, implementation strategies, and rehabilitation outcomes. The introduction of digital tools, personalized intervention designs, and remote monitoring technologies are also addressed. Future prospects are examined in terms of developmental directions, potential challenges, and innovative applications, while controversial issues are considered in relation to intervention effectiveness, ethical concerns, and cost-benefit analyses. This minireview aims to provide a comprehensive theoretical and practical reference for SESIs in CVD management and to promote further advancements in this field.

Keywords: Self-efficacy system intervention; Cardiovascular disease management; Digital tools; Personalized intervention design; Ethical issues; Cost-benefit analysis

Core Tip: Self-efficacy system interventions (SESIs) integrate digital tools and personalized strategies to enhance self-management and outcomes in cardiovascular disease. This minireview synthesizes evidence on SESI’s theoretical foundations, clinical effectiveness, technological advancements, and implementation challenges. It highlights innovative approaches, such as teach-back methods, mobile health applications, and remote monitoring, while addressing controversies regarding efficacy variability, ethical considerations, and cost-effectiveness. By bridging theory, practice, and emerging technologies, SESI offers a scalable framework for optimizing patient-centered care and guiding future research in chronic disease management.

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