In a revolutionary step towards improving patient outcomes, a recent study conducted by Silva et al. brings to light the critical importance of self-efficacy in individuals recovering from myocardial infarction, commonly known as a heart attack. This innovative research meticulously adapts a person-centred care intervention specifically tailored to fortify the self-efficacy of these patients, a crucial element for enhancing their ability to manage their health post-event. The contextual framework of this study is set against the backdrop of Portugal’s healthcare system, where the need for effective recovery strategies is paramount.
At the heart of this study lies the recognition that myocardial infarction remains one of the leading causes of morbidity and mortality worldwide. The repercussions of heart attacks extend beyond the immediate medical crisis, profoundly impacting patients’ mental and emotional well-being. The adaptation of the person-centred care intervention stems from qualitative research aiming to understand the myriad needs and preferences of key stakeholders involved in patient care following such a critical health event.
To appreciate the significance of self-efficacy, one must delve deeper into what it entails. Self-efficacy, a psychological construct defined by Bandura, refers to an individual’s belief in their capability to execute behaviors necessary to produce specific performance attainments. In the context of recovering from a myocardial infarction, enhanced self-efficacy can dramatically influence patients’ engagement in their treatment regimens, lifestyle changes, and adherence to medication, ultimately leading to improved health outcomes.
The authors of the study engaged with various stakeholders, including healthcare professionals, patients, family members, and community leaders, to gather insights that would inform the intervention’s adaptation. This qualitative approach allowed them to unearth rich data reflecting the real-world experiences and challenges faced by those directly affected by myocardial infarction. Such stakeholder engagement is vital as it fosters a more holistic understanding of patient care and emphasizes the human experience in healthcare.
The findings revealed critical gaps in current care practices, notably a lack of personalized support for patients as they transition from hospital to home. Many patients reported feeling overwhelmed by the lifestyle modifications required post-myocardial infarction, highlighting the need for tailored education and resources that resonate with their unique circumstances. This gap became the foundation upon which the person-centred care intervention was reshaped.
Through iterative discussions and feedback loops with stakeholders, the research team began to craft a comprehensive intervention framework. This included practical tools and resources enabling patients to cultivate their self-confidence and competence in managing their health. The design of the intervention embraces the principles of empowerment, encouraging patients to take an active role in their recovery process rather than remaining passive recipients of care.
Moreover, the study emphasizes the role of healthcare providers as facilitators of this empowerment. By adopting a person-centred approach, providers can form stronger relationships with patients, thereby enhancing communication, understanding, and trust. This collaborative dynamic is pivotal in fostering an environment where patients feel supported in their journey towards recovery and health management.
Furthermore, the adaptation process also considered the diverse cultural and socio-economic backgrounds of patients in the Portuguese healthcare system. The research team acknowledged that a one-size-fits-all approach is ineffective in addressing the varied needs of different patient demographics. Therefore, the intervention is designed to be flexible and culturally sensitive, ensuring its relevance across the board.
Another key aspect of this study is its emphasis on the role of technology in facilitating health management and enhancing self-efficacy. The integration of digital tools and platforms can provide patients with easy access to information, peer support networks, and reminders for medication and routine check-ups. By harnessing technology, the intervention seeks to create a seamless experience for patients as they navigate the complexities of post-myocardial infarction care.
In synthesizing the insights gained from this qualitative study, Silva et al. have laid the groundwork for future research and practical applications. The implications of their work extend beyond Portugal, potentially offering valuable lessons for global healthcare systems grappling with similar challenges in chronic disease management. The focus on self-efficacy as a vital component of patient care reinforces the need for healthcare systems worldwide to prioritize personalized solutions that resonate with individual patient journeys.
Importantly, this study serves as a call to action for healthcare policymakers and practitioners alike. It highlights the pressing need for a paradigm shift in how care is delivered to patients recovering from critical health events. By prioritizing person-centred approaches and integrating stakeholder feedback into care designs, healthcare systems can better support patients in achieving sustainable recovery outcomes.
In conclusion, the adaptation of a person-centred care intervention aimed at enhancing self-efficacy in patients following a myocardial infarction marks a significant step towards redefining recovery processes in healthcare. As this research demonstrates, the collaboration between patients, caregivers, and healthcare providers is essential for crafting effective interventions that not only address medical needs but also empower individuals to take charge of their health. This study is indeed a beacon of hope, illuminating pathways towards a more sustainable and effective recovery journey for myocardial infarction patients.
Subject of Research: Myocardial infarction recovery and self-efficacy through person-centred care.
Article Title: Adaptation of a person-centred care intervention to enhance self-efficacy in patients following a myocardial infarction (P2MIR): a qualitative study exploring the needs and preferences of key stakeholders within a Portuguese healthcare context.
Article References: Silva, C., Henriques, A., Ventura, F. et al. Adaptation of a person-centred care intervention to enhance self-efficacy in patients following a myocardial infarction (P2MIR): a qualitative study exploring the needs and preferences of key stakeholders within a Portuguese healthcare context. BMC Health Serv Res 25, 1476 (2025). https://doi.org/10.1186/s12913-025-13640-6
Image Credits: AI Generated
DOI: https://doi.org/10.1186/s12913-025-13640-6
Keywords: myocardial infarction, self-efficacy, person-centred care, qualitative study, patient empowerment, healthcare adaptation, stakeholder engagement, digital health tools, recovery strategies.

