Trajectories of self-efficacy in persons with chronic illness: an explorative longitudinal study.

Abstract:

BACKGROUND:Self-efficacy is important for changing health behaviour in persons with chronic illness. Longer term trajectories have not been previously explored. OBJECTIVE:This study's objective was to explore the trajectories of self-efficacy in two different groups with chronic illnesses attending a patient education course. DESIGN:The study design was a longitudinal, comparative cohort study with five time points during a one-year follow-up, using repeated measures analysis of variance. SETTING AND PARTICIPANTS:Persons with morbid obesity (n = 55) and persons with chronic obstructive pulmonary disease (COPD; n = 56) were recruited at the start of patient education courses in Norway and followed-up four times the following year. MAIN OUTCOME MEASURE:The General Self-Efficacy Scale was the main outcome. RESULTS:Obese persons showed a linear pattern of increasing self-efficacy during the follow-up period, whereas persons with COPD had an initial increase followed by a decrease in self-efficacy. Having paid work was associated with a more positive self-efficacy trajectory. CONCLUSION:The results provide support for the currently employed patient education course for morbidly obese persons. In contrast, persons with COPD may need more extensive and/or more frequent support in order to increase and maintain self-efficacy across time.

journal_name

Psychol Health

journal_title

Psychology & health

authors

Bonsaksen T,Fagermoen MS,Lerdal A

doi

10.1080/08870446.2013.856432

subject

Has Abstract

pub_date

2014-01-01 00:00:00

pages

350-64

issue

3

eissn

0887-0446

issn

1476-8321

journal_volume

29

pub_type

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