The Role of Self-Efficacy on the Prognosis of Chronic Musculoskeletal Pain: A Systematic Review

Martínez-Calderón, Javier; Zamora-Campos, Carmen; Navarro-Ledesma, Santiago; Luque-Suárez, Alejandro

doi:10.1016/j.jpain.2017.08.008

Cited by 170 publications

(114 citation statements)

References 83 publications

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“…Selfefficacy is considered a core outcome in chronic pain management as greater levels of self-efficacy have been associated with greater physical functioning, participation in physical activities, and performance satisfaction; enhanced health and work status; and decreased pain intensity in people with chronic pain. 28 Large treatment effects were also found for depression and ability to participate in social activities. This was supported by the interview data that indicate participants derived a lot of joy and support from group music-making with their peers.…”

Section: Discussionmentioning

confidence: 96%

Vocal Music Therapy for Chronic Pain: A Mixed Methods Feasibility Study

Low

Lacson

Zhang

et al. 2020

The Journal of Alternative and Complementary Medicine

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Objective: The purpose of this study was to determine the feasibility and preliminary effects of a vocal music therapy (VMT) program on chronic pain management. Design: A mixed methods intervention design was used in which qualitative data were embedded within a randomized controlled trial. Setting: An urban nurse-management health center on the East Coast of the United States. Subjects: Participants (N = 43) were predominantly Black (79%) and female (76.7%) with an average pain duration of 10 years. Intervention: Participants were randomly allocated to a 12-week VMT program or a waitlist control. Outcome measures: We tracked consent rate (percentage of participants enrolled out of total number screened), attrition rate, and treatment adherence. We used PROMIS Ò (Patient Reported Outcomes Measurement Information System) tools to measure pain interference, pain-related self-efficacy, pain intensity, depression, anxiety, positive effect, and well-being, ability to participate in social activities, and satisfaction with social roles at baseline and week 12. VMT participants also completed the Patient Global Impression of Change Scale. We conducted semistructured interviews to better understand participants' experience of the intervention. Results: The consent rate was 56%. The attrition rate was 23%. Large treatment effects (partial eta squared) were obtained for self-efficacy (0.20), depression (0.26), and ability to participate in social activities (0.24). Medium effects were found for pain intensity (0.10), anxiety (0.06), positive effect, and well-being (0.06), and small effects for pain interference (0.03) and satisfaction with social roles (0.03). On average, participants felt moderately better after completion of the VMT program (M = 4.93, standard deviation = 1.98). Qualitative findings suggest that VMT resulted in better self-management of pain, enhanced psychological well-being, and stronger social and spiritual connections. Conclusions: Recruitment into the 12-week program was challenging, but quantitative and qualitative findings suggest significant benefits of VMT for chronic pain management.

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Section: Discussionmentioning

confidence: 96%

Vocal Music Therapy for Chronic Pain: A Mixed Methods Feasibility Study

Low

Lacson

Zhang

et al. 2020

The Journal of Alternative and Complementary Medicine

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“…This finding can be considered positive as the level of self-efficacy mediates the relationship between disability and depression and predicts pain behavior and outcomes of patients with chronic conditions undergoing pain management interventions (Miles et al, 2011;Rahman, Reed, Underwood, Shipley, & Omar, 2008). Self-efficacy is also a strong predictor of adherence to home-based physical therapies involving exercise (Essery et al, 2017;Martinez-Calderon et al, 2018).…”

Section: Discussionmentioning

confidence: 99%

“…In the context of chronic musculoskeletal pain rehabilitation, self-efficacy is associated with adherence to home-based exercises (Abdulla et al, 2013;Essery et al, 2017) and is considered a predictor and mediator of results after self-management interventions. Higher self-efficacy levels were related to better pain outcomes (Miles, Pincus, Carnes, Taylor, & Underwood, 2011), functionality, and participation in physical activities (Martinez-Calderon, Zamora-Campos, Navarro-Ledesma, & Luque-Suarez, 2018). Further, selfmanagement interventions associated with self-efficacy strategies can increase confidence in managing their symptoms, increase the duration or frequency of exercise or physical activity, and reduce pain interference (Damush et al, 2016).…”

Section: Introductionmentioning

confidence: 99%

Self‐efficacy in patients with chronic musculoskeletal conditions discharged from physical therapy service: A cross‐sectional study

Souza

Martins

Libardoni

et al. 2020

Musculoskeletal Care

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Objectives This study aimed to investigate self‐efficacy levels of patients after finishing rehabilitation for chronic musculoskeletal conditions and identify factors related to self‐efficacy. Method Two hundred and eight patients aged >40 years with musculoskeletal disorders were included. Self‐efficacy was assessed by the Chronic Pain Self‐Efficacy Scale (CPSS), and regression analyses were used to test six predictors of self‐efficacy: age, symptom duration, number of physical therapy sessions, postdischarge pain intensity, perceived clinical improvement, and cognitive reassurance. Self‐efficacy was compared between patients who reported improvement and worsening of their clinical condition, and a cutoff value for self‐efficacy was established using receiver operating characteristic curve analyses to distinguish patients with severe pain from those with mild to moderate pain. Results Better perceived clinical improvement (Beta = −0.37, p = 0.000), lower pain intensity (Beta = −0.33, p = 0.000), and a lower number of physical therapy sessions (Beta = −0.12, p = 0.027) were related to greater self‐efficacy. No significant associations were observed between self‐efficacy and age, symptom duration, and cognitive reassurance. The patients who reported improvement had greater self‐efficacy (204.76 ± 52.80) than those who reported worsening of their clinical condition (145.45 ± 44.18; p = 0.000). A CPSS score of 172 points (sensitivity of 0.77; specificity of 0.72) may indicate low self‐efficacy. Conclusion A higher perception of self‐efficacy after discharge from physiotherapy is associated with better perceived clinical improvement, lower pain intensity, and a lower number of physical therapy sessions. Therefore, interventions to support patients' exercise‐based rehabilitation should include self‐efficacy, which may affect the prognosis of patients with chronic conditions.

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“…Ein höheres Maß an Selbstwirksamkeit korreliert u. a. mit einer gesteigerten körperlichen Funktionsfähigkeit und Aktivität, einem besseren Gesundheitszustand sowie einer niedrigeren Schmerzintensität, Behinderung, Krankheitsaktivität, Depression, Müdigkeit sowie einer geringeren Anzahl von Tenderpoints [67].…”

Section: Selbstwirksamkeitunclassified