Self-efficacy and health-related quality of life in chronic obstructive pulmonary disease: A meta-analysis

Selzler, Anne-Marie; Habash, Razanne; Robson, Lisa; Nekolaichuk, Erica; Goldstein, Roger; Brooks, Dina

doi:10.1016/j.pec.2019.12.003

Cited by 70 publications

(52 citation statements)

References 45 publications

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“…However, exercise has also been demonstrated to improve mood associated with reduction in depression-associated inflammation in COPD [39] and in health [40]. A similar pattern has been seen with QoL where exercise specific self-efficacy has been shown to correlate with health related QoL in COPD [41]. Therefore, our results which show that a higher barrier to exercise correlates with a lower QoL score are not unexpected.…”

Section: Perceived Symptom Burden Impacts Perceived Barriers To Exercisesupporting

confidence: 82%

Patient perceived barriers to exercise and their clinical associations in difficult asthma

Freeman

Hill

Newell

et al. 2020

asthma res and pract

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Background: Exercise is recommended in guidelines for asthma management and has beneficial effects on symptom control, inflammation and lung function in patients with sub-optimally controlled asthma. Despite this, physical activity levels in patients with difficult asthma are often impaired. Understanding the barriers to exercise in people with difficult asthma is crucial for increasing their activity, and in implementing successful, disease modifying, and holistic approaches to improve their health. Methods: 62 Patients within the WATCH Difficult Asthma Cohort (Southampton, UK) completed an Exercise Therapy Burden Questionnaire (ETBQ). The results were analyzed with contemporaneous asthma-related data to determine relationships between perceived exercise barriers and asthma and comorbidity characteristics Results: Patients were reflective of a difficult asthma cohort, 66% were female, and 63% were atopic. They had a high BMI (median [inter-quartile range]) of 29.3 [25.5-36.2], age of 53.5 [38.75, 65.25], impaired spirometry with FEV1 73% predicted [59.5, 86.6%] and FEV/FVC ratio of 72 [56.5, 78.0] and poor symptom control, as defined by an Asthma Control Questionnaire (ACQ6) result of 2.4 [1.28, 3.2]. A high perceived barriers to exercise score was significantly correlated with increased asthma symptoms (r = 0.452, p < 0.0001), anxiety (r = 0.375, p = 0.005) and depression (r = 0.363, p = 0.008), poor quality of life (r = 0.345, p = 0.015) and number of rescue oral steroid courses in the past 12 months (r = 0.257, p = 0.048). Lung function, blood eosinophil count, FeNO, Njimegen and SNOT22 scores, BMI and hospitalisations in the previous year were not related to exercise perceptions. Conclusion: In difficult asthma, perceived barriers to exercise are related to symptom burden and psychological morbidity. Therefore, exercise interventions combined with psychological input such as CBT to restructure thought processes around these perceived barriers may be useful in facilitating adoption of exercise.

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Section: Perceived Symptom Burden Impacts Perceived Barriers To Exercisesupporting

confidence: 82%

Patient perceived barriers to exercise and their clinical associations in difficult asthma

Freeman

Hill

Newell

et al. 2020

asthma res and pract

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“…On the one hand, self-e cacy can predict HRQoL, and low self-e cacy usually leads to low HRQoL [31] . On the other hand, as a mediating variable, self-e cacy can promote the improvement of self-management level, and ultimately better the HRQoL in people suffering from chronic disease [32] . Evidence suggests that patients with high selfe cacy had better blood pressure control [33] .…”

Section: Mollaoglu Found That a Signi Cant Positive Correlation Betwementioning

confidence: 99%

The Effect of Health Literacy, Self-management Behavior, Self-efficacy and Social Support on the Health-related Quality of Life of Kazakh Hypertension Patients in a Low-income Rural Area of China: a structural Equation Model

Zhang

Huang

Zhang

et al. 2020

Preprint

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Background Considering the High Blood Pressure-Health Literacy (HBP-HL) has not been included in the study of Health-Related Quality of Life (HRQoL). The synergistic effects and the potential mechanism HBP-HL, self-management behavior, medication adherence, self-efficacy, social support on HRQoL remain unclear. This study aimed to introduce the conception of HBP-HL, and develop a structural equation model to identify the factors influencing of the HRQoL among Kazakh hypertensive patients. Methods A cross-sectional investigation study was conducted to collect data. Patients with hypertension were recruited through random cluster sampling in Kazakh settlements in Urumqi County, Xinjiang. The one-on-one household interviews were conducted by Kazakh investigators. The questionnaires regarding HBP-HL, HRQoL, self-management behavior, medication adherence, self-efficacy, and social support were collected. In addition, the results of physical examination were also included. A structural equation model was used to assess the association between the measured factors and HRQoL. Results 516 Kazakh patients were recruited, and 94.4% of them had a relatively low HBP-HL score. The mean standardized scores of HRQoL, self-management, medication adherence were poor; they were 63.5, 66.2, and 64.4, respectively. But 96.1% and 98.3% of the participants had high levels of self-efficacy and social support. The structural equation model of the HRQoL had a good overall fit (χ2/df = 2.078, AGFI = 0.944, GFI = 0.968, CFI = 0.947, IFI = 0.949, RMSEA = 0.046). The model indicated that the HBP-HL has the highest correlation with HRQoL, following with self-management behavior, social support, and self-efficacy. Conclusions Evidence from this study demonstrates that low HBP-HL is a major influenced factor of HRQoL among Kazakh hypertensive patients. Future programs should consider HBP-HL as the breakthrough point when designing targeting intervention strategies for Kazakh hypertension patients. Firstly, researchers should give a priority to evaluate patient’s HBP-HL before intervention. Next, tailored interventions are implemented for patients, and and ultimately it will contribute to control blood pressure and improve patients’ HRQoL.

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“…Previous studies showed that perceived self-e cacy associated with improvement in different health behaviors in both short-and long-term which lead to better control of several chronic diseases [40]. Higher self-e cacy also related with more sustainable health behaviors [41]. As the lifestyle change and maintain by self-e cacy, the possibility of management of disease may increase [42,43].…”

Section: Discussionmentioning

confidence: 99%

The effectiveness of a mobile phone education-based on self-efficacy and DASH diet among patient with high blood pressure: a randomized controlled trial

Darabi

Araban

Azizi

et al. 2020

Preprint

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Background: Hypertension HTN is a global public health problem with an increasing incidence worldwide. On one hand the imperative role of self-efficacy in controlling of chronic disease has been reported; on the other hand, dietary approach to stop hypertension (DASH) diet reported as one of most appropriate dietary approaches for controlling HTN. Here in present study we aimed to investigate the efficiency of mobile app for improving self-efficacy on adherence of DASH diet in HTN patients. Methods: the present randomized controlled trial conducted on 88 patients with hypertension who referring to public health care centers between Novomber2019 to March 2020. The subjects were randomly assigned to receive mobile app for DASH-related recommendation +usual care; or control group to follow their habitual diets and given usual health care in public health care centers for twelve weeks. Self-efficacy, SBP and DBP, body mass index, physical activity and dietary intakes were assessed at the baseline and the end of trial. The ANCOVA was used to show the differences between the two groups and adjusting for baseline and covariates. Results: Results showed that whilst there were no significant differences in DBP and SBP at the baseline, but intervention lead to significant decrease in both SBP and DBP. Results from self-efficacy showed that baseline values were not significantly different between two groups; however, all five components improved significantly at the end of trial. Conclusion: Here we showed that using mobile apps for educating DASH diet and improving self-efficacy lead to better control of BP among patients whilst their self-efficacy improved simultaneously.Trial registration: Iran Clinical Trials Registry: IRCT20190930044933N1.Date of registration:31.10.2019URL of trial registry record: https://www.irct.ir/trial/42612

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Self-efficacy and health-related quality of life in chronic obstructive pulmonary disease: A meta-analysis

Cited by 70 publications

References 45 publications

Patient perceived barriers to exercise and their clinical associations in difficult asthma

Patient perceived barriers to exercise and their clinical associations in difficult asthma

The Effect of Health Literacy, Self-management Behavior, Self-efficacy and Social Support on the Health-related Quality of Life of Kazakh Hypertension Patients in a Low-income Rural Area of China: a structural Equation Model

The effectiveness of a mobile phone education-based on self-efficacy and DASH diet among patient with high blood pressure: a randomized controlled trial

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