Relationship Of Self-Efficacy And Disability In Patients With Rheumatoid Arthritis

Shaikh, Hajra Ameer; Khan, Muhammad Saad; Hussain, Fouzia; Karishma, .

doi:10.36570/jduhs.2019.3.700

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“…In comparing longitudinal outcomes between the groups, the low empowerment group had worse pain and physical function at all follow-ups over 15 years. Various studies have reported associations between self-efficacy, pain, and physical function in which those with low self-efficacy reported more pain and worse physical function (46,47).…”

Section: Discussionmentioning

confidence: 99%

Patient Empowerment and Associations with Disease Activity and Pain‐Related and Lifestyle Factors in Patients With Rheumatoid Arthritis

Larsson

Bremander

Andersson

2021

ACR Open Rheumatology

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Background. Empowerment is important to patients with rheumatoid arthritis (RA) because most care is in the form of self-management. The aim was to study levels of empowerment and associated variables in patients with RA and to investigate longitudinal clinical data in patients with low and high empowerment.Methods. A postal survey was sent in 2017 to patients with RA from the BARFOT (Better Anti-Rheumatic Pharmacotherapy) cohort that included questions about disease activity, pain-related factors, lifestyle habits, and contained the Swedish Rheumatic Disease Empowerment Scale (SWE-RES-23). The 844 patients who answered the SWE-RES-23 made up the cohort of the present study. Differences in level of empowerment between groups (low, moderate, and high empowerment) were analyzed with ANOVA. Logistic regression analysis was used to study variables associated with low empowerment. Thirdly, we performed comparisons in longitudinal data (15 years) of disease activity, pain, and physical function between the three empowerment groups (low, moderate, and high empowerment).Results. Patients with low empowerment (n = 282) were significantly older, more often women, and reported worse pain-related factors and physical function and lower moderate and vigorous physical activity compared with those with high empowerment (n = 270). An analysis of longitudinal data found that patients with low empowerment had worse pain and physical function at all time points. Conclusion.Patients with low empowerment have more pain-related symptoms, poorer physical function, and are less physically active. To promote patient empowerment in rehabilitation interventions it is important to identify and support self-management.Health Organization states that empowerment is a process to gain greater control over decisions and actions influencing health and to obtain the ability to control one's life. The empowerment process entails involving patients to understand their role, receive adequate individual patient education, and receive encouragement to become co-actors in shared decisionmaking and make informed decisions regarding their health and life (5). For patients with RA, being empowered means that patients have a belief in their own capacity to manage everyday life, which could cover managing fatigue, pain, and physical functioning. Managing a chronic disease, such as RA, entails patients being able to make informed decisions and change their priorities, with a view to optimizing their quality of life (6). Among patients with RA, it has been seen that the focus on No funding was received for this article.

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Section: Discussionmentioning

confidence: 99%