Swipe om te navigeren naar een ander artikel
The online version of this article (https://doi.org/10.1007/s11136-019-02164-2) contains supplementary material, which is available to authorized users.
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Self-efficacy (SE) for managing chronic conditions is the belief that one can carry out behaviors to reach health goals. The study objective is to investigate (1) SE for managing chronic conditions across diverse neurologic conditions, (2) demographic and disease determinants of SE, and (3) SE as a predictor of health and disability.
Patients with chronic neurologic conditions (epilepsy, multiple sclerosis, neuropathy, Parkinson disease, stroke; n = 834) completed five SE for Managing Chronic Conditions instruments (Patient-Reported Outcomes Measurement Information System®; PROMIS®). Other assessments included PROMIS depression, fatigue, physical function, and global health.
Two of the five SE domains showed differences across the five disorders (ANOVA; SE for Managing Daily Activities p < .001 and Managing Symptoms p < .01). The three domains with no differences were Managing Medications/Treatments, Emotions, and Social Interactions. Lowest SE was in neuropathy, and highest in epilepsy (Managing Activities) and stroke (Managing Symptoms). Multivariate regression showed SE measures to be better predictors of mental health, global health, and disability than either disease severity or diagnosis.
SE for managing chronic conditions differs across neurologic disorders, with lowest SE for managing activities and symptoms in neuropathy, and highest in patients with epilepsy and stroke. PROMIS SE measures are better predictors of mental health, disability, and quality of life than disease severity or diagnosis.
Log in om toegang te krijgen
Met onderstaand(e) abonnement(en) heeft u direct toegang:
Bandura, A. (1989). Human agency in social cognitive theory. American Psychologist, 44(9), 1175. CrossRef
Clark, N. M., & Dodge, J. A. (1999). Exploring self-efficacy as a predictor of disease management. Health Education & Behavior, 26(1), 72–89. CrossRef
Lorig, K., Lubeck, D., Kraines, R. G., Seleznick, M., & Holman, H. R. (1985). Outcomes of self-help education for patients with arthritis. Arthritis & Rheumatology, 28(6), 680–685. CrossRef
Bandura, A. (1977). Self-efficacy: Toward a unifying theory of behavioral change. Psychological Review, 84(2), 191–215. CrossRef
Institute of Medicine (US). Committee on Quality of Health Care in America. (2001) Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press.
Holman, H., & Lorig, K. (1992). Perceived self-efficacy in self-management of chronic disease. Self-efficacy: Thought control of action, 1, 305–324.
Shulman, L. M. (2001). The prescription for long-term care. Improving the care of chronic conditions will have the single greatest effect on the long-term care crisis. Health Progress, 82(6), 48–51. PubMed
Lorig, K. R., Sobel, D. S., Ritter, P. L., Laurent, D., & Hobbs, M. (2001). Effect of a self-management program on patients with chronic disease. Effective clinical practice, 4(6), 256–262. PubMed
Lorig, K.. (1996) Outcome measures for health education and other health care interventions. Sage: Thousand Oaks.
Kuijer, R. G., & De Ridder, D. T. (2003). Discrepancy in illness-related goals and quality of life in chronically ill patients: The role of self-efficacy. Psychology and Health, 18(3), 313–330. CrossRef
Mystakidou, K., Tsilika, E., Parpa, E., Panagiotou, I., Galanos, A., & Gouliamos, A. (2012). Differences in levels of self-efficacy and anxiety between cancer and chronically-ill patients attending a palliative care unit. Journal of BUON, 17(4), 785–790. PubMed
Anderson, K., Gruber-Baldini, A., Mullins, J., et al. (2008). Self-efficacy-a marker for psychogenic movement disorders. Movement Disorders, 23(1), S253–S253.
de M. Vieira, de Góes Salvetti, ÉricaB., Damiani, M., & L. P., de M. Pimenta, Cibele Andrucioli (2014). Self-efficacy and fear avoidance beliefs in chronic low back pain patients: Coexistence and associated factors. Pain Management Nursing, 15(3), 593–602. CrossRef
Rahman, A., Ambler, G., Underwood, M. R., & Shipley, M. E. (2004). Important determinants of self-efficacy in patients with chronic musculoskeletal pain. The Journal of Rheumatology, 31(6), 1187–1192. PubMed
Bonsaksen, T., Fagermoen, M. S., & Lerdal, A. (2014). Trajectories of self-efficacy in persons with chronic illness: An explorative longitudinal study. Psychology & Health, 29(3), 350–364. CrossRef
DiIorio, C., Shafer, P. O., Letz, R., et al. (2006). Behavioral, social, and affective factors associated with self-efficacy for self-management among people with epilepsy. Epilepsy & Behavior, 9(1), 158–163. CrossRef
Torrance, N., Ferguson, J. A., Afolabi, E., et al. (2013). Neuropathic pain in the community: More under-treated than refractory? PAIN®, 154(5), 690–699. CrossRef
Russell, C. L., Ashbaugh, C., Peace, L., et al. (2013). Time-in-a-bottle (TIAB): A longitudinal, correlational study of patterns, potential predictors, and outcomes of immunosuppressive medication adherence in adult kidney transplant recipients. Clinical Transplantation, 27(5), E580–E590. CrossRefPubMed
- Comparative study of PROMISⓇ self-efficacy for managing chronic conditions across chronic neurologic disorders
Lisa M. Shulman
Ann L. Gruber-Baldini
- Springer International Publishing