High Self-efficacy Predicts Adherence to Surveillance Colonoscopy in Inflammatory Bowel Disease

Friedman, Sonia; Cheifetz, Adam S.; Farraye, Francis A.; Banks, Peter A.; Makrauer, Frederick L.; Burakoff, Robert; Farmer, Barbara; Torgersen, Leanne N.; Wahl, Kelly

doi:10.1097/mib.0000000000000125

Cited by 12 publications

(6 citation statements)

References 21 publications

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“…Our group recently reported that low self-efficacy to manage IBD predicted subsequent difficulties with anxiety, depressed mood, and stress one year and two years later, even when controlling for IBD symptoms in the intervening months 42 . Self-efficacy has also been found to predict adherence to recommended schedules of surveillance colonoscopy for individuals with IBD 43 .…”

Section: Discussionmentioning

confidence: 99%

Validating a Measure of Patient Self-efficacy in Disease Self-management Using a Population-based IBD Cohort

Graff

Sexton

Walker

et al. 2016

Inflammatory Bowel Diseases

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Section: Discussionmentioning

confidence: 99%

Validating a Measure of Patient Self-efficacy in Disease Self-management Using a Population-based IBD Cohort

Graff

Sexton

Walker

et al. 2016

Inflammatory Bowel Diseases

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“…Similarly, self-efficacy was highly predictive of adherence to surveillance colonoscopy program in patients with IBD. [31] This construct was also associated with transition readiness for adult services in adolescents with IBD. [32] Perceived self-efficacy is influenced by external experiences and self-perception, and therefore it could potentially be modified according to the social cognition theory of behavioral change.…”

Section: Discussionmentioning

confidence: 99%

Maladaptive coping, low self-efficacy and disease activity are associated with poorer patient-reported outcomes in inflammatory bowel disease

Chen

Lemieux

Restellini

et al. 2019

Saudi J Gastroenterol

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Background/Aims: Patient-reported outcomes (PRO) are key aspects in the management of inflammatory bowel disease (IBD). This study aims to evaluate factors associated with adverse PRO, including modifiable social constructs of maladaptive coping and self-efficacy as well as physician–patient concordance on PRO. Patients and Methods: This cross-sectional study was performed in patients with Crohn's disease (CD) or ulcerative colitis (UC) from September 2015 to March 2016. Validated questionnaires were used to assess quality of life (Short IBD Questionnaire), disability (IBD disability index), productivity (work productivity and activity impairment questionnaire), anxiety/depression (Hospital Anxiety and Depression Scale), coping strategies [Brief Coping Operations Preference Enquiry (Brief COPE)], and self-efficacy (General Self-Efficacy Scale). Independent physician assessment was used to compare concordance with patients. Results: In all, 207 (CD: 144 and UC: 63) patients, with median age of 39 years, were included, with 42.5% males. Significant proportion of patients reported moderate/severe impairment of disability (30.5%), quality of life (29.4%), productivity (52.4%), anxiety (32.9%) and depression (23.3%). Disease activity and maladaptive coping were independently associated with unfavourable PRO, whereas self-efficacy had a positive effect in multivariate analysis. Physicians could accurately identify the magnitude of PRO impairment in standard clinical settings ( r = 0.59–0.65, P < 0.001). Conclusion: Disease activity and modifiable psychological constructs are associated with unfavorable PRO in patients with IBD. These factors could assist with identifying high-risk patients, many of whom may benefit from targeted interventions to improve health outcomes.

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“…This may reflect a higher perception of risk. Friedman et al [20] found that high self-efficacy among symptomatic patients with irritable bowel disease was associated with higher adherence to surveillance colonoscopy, but perception of risk was not. This is similar to findings by Bronner et al [22] who showed that self-efficacy was associated with adherence, whereas patients who did not have screening colonoscopies tended to emphasize the reasons to abstain, such as fear and anxiety or embarrassment.…”

Section: Discussionmentioning

confidence: 99%

“…Patient health status, knowledge, attitudes and health behavior have also been examined as factors in patient adherence to CRC recommendations. In a cross-sectional study of 378 patients with Inflammatory Bowel Disease [20], high self-efficacy was strongly correlated with colonoscopy adherence (OR 1.2. adjusted for health status and patient knowledge, p < 0.001). Hay et al [21] examined the role of risk perception in promoting colorectal cancer (CRC) screening behavior in a diverse, inner city, primary care population.…”

Section: Introductionmentioning

confidence: 99%

Is the patient activation measure associated with adherence to colonoscopy after a positive fecal occult blood test result?

Azulay

Valinsky

Sikron

et al. 2018

Isr J Health Policy Res

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BackgroundColorectal cancer (CRC) is a major cause of morbidity and mortality worldwide, but these can be reduced significantly with population screening using annual fecal occult blood tests (FOBT)A positive FOBT requires timely follow-up with colonoscopy to maximize screening benefits.. Several barriers to follow-up have been identified, with patient health behaviors and choices comprising a significant part of these. The Patient Activation Measure (PAM) assesses knowledge, skills, beliefs, and confidence in managing health. Increased patient activation is related to positive health outcomes. The aim of this study is to examine the association between patient empowerment, as reflected in the PAM, and follow-up colonoscopy within 90 days of a positive FOBT result.MethodsThis case-control study included 429 patients with a positive FOBT, 174 who had a colonoscopy within 90 days, and 255 who did not.. Participants completed a PAM telephone questionnaire (Cronbach’s α = 0.785). We used both univariate and multivariate analyses to examine the effect of the PAM score as on the likelihood of undergoing colonoscopy, after adjusting for the independent variables.ResultsIn this study we did not find a significant association between PAM and adherence to colonoscopy, using both univariate and multivariate analyses (p = .334 and p = .697, whether PAM was defined as a continuous or as categorical, respectively).ConclusionsThis study was the first to examine the association between patient empowerment, as reflected in the patient activation measure, and adherence to colonoscopy after a positive FOBT. The findings did not support such an association. Further examination is required to clarify the relation between patient empowerment and activation and personal healthcare in general, and in the Israeli population in particular. Future policy should include specific, technical interventions to improve FOBT follow-up among all groups, until the patient-related barriers are better understood.Trial registrationClinicalTrials.gov Identifier: NCT02534142 https://clinicaltrials.gov/ct2/show/NCT02534142

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High Self-efficacy Predicts Adherence to Surveillance Colonoscopy in Inflammatory Bowel Disease

Cited by 12 publications

References 21 publications

Validating a Measure of Patient Self-efficacy in Disease Self-management Using a Population-based IBD Cohort

Validating a Measure of Patient Self-efficacy in Disease Self-management Using a Population-based IBD Cohort

Maladaptive coping, low self-efficacy and disease activity are associated with poorer patient-reported outcomes in inflammatory bowel disease

Is the patient activation measure associated with adherence to colonoscopy after a positive fecal occult blood test result?

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