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Physical, Psychological, Social Support, Adherence, and Educational Factors Associated With Self-Efficacy in
Carla Moreira Lorentz Higa1, Aline Moraes da Silva2, Jhoniffer Lucas das Neves Matricardi2
1Postgraduate Program in Health and Development in the Central-West Region.
Summary
Patient commitment to managing rheumatoid arthritis (RA) is key for self-efficacy. Positive psychological factors, social support, and treatment adherence enhance RA self-efficacy, while educational programs show mixed results.
Area of Science:
- Rheumatology
- Health Psychology
- Evidence Synthesis
Background:
- Rheumatoid arthritis (RA) management necessitates significant patient commitment to control disease activity.
- Patient self-efficacy is a critical factor in managing RA.
- Understanding factors influencing self-efficacy is vital for effective RA care.
Purpose of the Study:
- To map variables associated with self-efficacy in rheumatoid arthritis patients.
- To investigate physical, psychological, social support, treatment adherence, and educational program links to self-efficacy.
- To synthesize evidence using validated RA-specific instruments.
Main Methods:
- A comprehensive scoping review of biomedical databases and gray literature was conducted.
- Inclusion criteria focused on full-text articles, theses, and dissertations published from 1977 onwards in English, Spanish, or Portuguese.
- A total of 43 studies were included from an initial search of 4737 records.
Main Results:
- Treatment adherence, positive psychological factors, and social support demonstrated positive associations with self-efficacy.
- Physical factors and negative psychological factors were negatively associated with self-efficacy.
- Educational and self-management programs showed varied impacts, with some positively associated and others not significantly associated with self-efficacy.
Conclusions:
- Addressing psychological, physical, treatment adherence, and social support factors is crucial for improving self-efficacy in RA patients.
- Promoting targeted educational and self-management interventions can enhance patient self-efficacy.
- While not establishing causality, findings highlight key areas for intervention in RA self-management.
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