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 Healthjournal_title
Psychology & healthauthors
Bonsaksen T,Fagermoen MS,Lerdal Adoi
10.1080/08870446.2013.856432subject
Has Abstractpub_date
2014-01-01 00:00:00pages
350-64issue
3eissn
0887-0446issn
1476-8321journal_volume
29pub_type
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