Self-efficacy predicts self-reported health status in multiple sclerosis

2004 ◽  
Vol 10 (1) ◽  
pp. 61-66 ◽  
Author(s):  
A Riazi ◽  
A J Thompson ◽  
J C Hobart
Keyword(s):  
Multiple Sclerosis ◽  
Health Status ◽  
Self Efficacy ◽  
Psychological Impact ◽  
Inpatient Rehabilitation ◽  
Walking Ability ◽  
Rehabilitation Programs ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Challenging Situation

Self-efficacy is a belief that one can competently cope with a challenging situation. If self-efficacy is a strong predicto r of health status in multiple sclerosis (MS), it may be an important area to target in clinical practice, as such beliefs may be modifiable. The aim of this study was to examine the predictive value of self-efficacy on self-reported health status in MS. Eighty-nine people with MS completed the Multiple Sclerosis Self-efficacy Scale (MSSE function and control scales), the Multiple Sclerosis Impact Scale (MSIS-29), and the Multiple Sclerosis Walking Scale (MSWS-12) at two time points: 1) admission to an inpatient rehabilitation unit (n=43) or for steroid treatment for relapses (n=46); and 2) discharge (rehabilitation group) or six weeks later (steroid group). Multiple regression analyses examined whether baseline and changes in self-efficacy predict changes in self-reported health status. Both baseline and changes in self-efficacy were strong and independent predictors of changes in health status (P-values ranged from 0.025 to B-0.001). That is, pretreatment self-efficacy scores and increases in self-efficacy scores from baseline to follow-up (improvement), were significantly associated with decreases (improvement) in perceived walking ability and physical and psychological impact of MS. The findings suggest that self-efficacy predicts improvement in health status and that self-efficacy would be an important domain to measure and manage actively in education and rehabilitation programs.

scholarly journals Long-term recovery of upper limb motor function and self-reported health: results from a multicenter observational study 1 year after discharge from rehabilitation

2021 ◽  
Vol 3 (1) ◽  
Author(s):  
Thies Ingwersen ◽  
Silke Wolf ◽  
Gunnar Birke ◽  
Eckhard Schlemm ◽  
Christian Bartling ◽  
...  
Keyword(s):  
Health Status ◽  
Motor Function ◽  
Stroke Rehabilitation ◽  
Inpatient Rehabilitation ◽  
Pinch Strength ◽  
Mixed Effect ◽  
Patient Reported ◽  
Reported Health ◽  
Self Reported Health Status

Abstract Background Impaired motor functions after stroke are common and negatively affect patients' activities of daily living and quality of life. In particular, hand motor function is essential for daily activities, but often returns slowly and incompletely after stroke. However, few data are available on the long-term dynamics of motor recovery and self-reported health status after stroke. The Interdisciplinary Platform for Rehabilitation Research and Innovative Care of Stroke Patients (IMPROVE) project aims to address this knowledge gap by studying the clinical course of recovery after inpatient rehabilitation. Methods In this prospective observational longitudinal multicenter study, patients were included towards the end of inpatient rehabilitation after ischemic or hemorrhagic stroke. Follow-up examination was performed at three, six, and twelve months after enrollment. Motor function was assessed by the Upper Extremity Fugl-Meyer Assessment (FMA), grip and pinch strength, and the nine-hole peg test. In addition, Patient-Reported Outcomes Measurement Information System 10-Question Short Form (PROMIS-10) was included. Linear mixed effect models were fitted to analyze change over time. To study determinants of hand motor function, patients with impaired hand function at baseline were grouped into improvers and non-improvers according to hand motor function after twelve months. Results A total of 176 patients were included in the analysis. Improvement in all motor function scores and PROMIS-10 was shown up to 1 year after inpatient rehabilitation. FMA scores improved by an estimate of 5.0 (3.7–6.4) points per year. In addition, patient-reported outcome measures increased by 2.5 (1.4–3.6) and 2.4 (1.4–3.4) per year in the physical and mental domain of PROMIS-10. In the subgroup analysis non-improvers showed to be more often female (15% vs. 55%, p = 0.0155) and scored lower in the Montreal Cognitive Assessment (25 [23–27] vs. 22 [20.5–24], p = 0.0252). Conclusions Continuous improvement in motor function and self-reported health status is observed up to 1 year after inpatient stroke rehabilitation. Demographic and clinical parameters associated with these improvements need further investigation. These results may contribute to the further development of the post-inpatient phase of stroke rehabilitation. Trial registration: The trial is registered at ClinicalTrials.gov (NCT04119479).

scholarly journals Perceptions of Health and Relationships to Disability Measures Among People with Multiple Sclerosis

2009 ◽  
Vol 11 (2) ◽  
pp. 57-65 ◽  
Author(s):  
Heather Becker ◽  
Alexa Stuifbergen
Keyword(s):  
Multiple Sclerosis ◽  
Health Status ◽  
Functional Limitations ◽  
Reliability And Validity ◽  
Time Frame ◽  
Population Based ◽  
Physical And Mental Health ◽  
Health Related ◽  
Reported Health ◽  
Self Reported Health Status

Researchers use various measures to assess health status, impairment, functional limitations, and disability among people with multiple sclerosis (MS). Conceptual and empirical associations among measures are not always clear, however. The purpose of this study was to examine the relationships among measures of impairment, disability, functional status, and health-related outcomes in a sample of 443 individuals with MS. A secondary purpose was to compare the self-reported health status of this sample with that of a population-based sample of individuals with and without disabilities. Although both the MS sample and a population-based sample of individuals with activity limitations indicated poorer health than did their nondisabled counterparts, the MS sample reported more days in the preceding month when their physical and mental health were not good and more days when poor health kept them from usual activities than the population-based sample of individuals with disabilities. Most measures were moderately intercorrelated, but the pattern suggests that issues such as the time frame specified may affect the relationships. Researchers should carefully consider operational as well as conceptual definitions, length of proposed measures, and appropriate time frame, in addition to the more traditional criteria of reliability and validity, when selecting study measures.

Insights From a Developing Country: Self-Reported Health Status of Elderly Men (60 Years and Over) in Jamaica

2013 ◽  
Vol 12 (2) ◽  
pp. 106-120 ◽  
Author(s):  
Chloe Morris ◽  
Kenneth James ◽  
Desmale Holder-Nevins ◽  
Denise Eldemire-Shearer
Keyword(s):  
Health Status ◽  
Developing Country ◽  
Elderly Men ◽  
Reported Health ◽  
Self Reported Health Status

scholarly journals Use of Complementary and Alternative Medical Services by HMO Members, 1995-1996

2001 ◽  
Vol 7 (2) ◽  
pp. 85-98 ◽  
Author(s):  
Evelyn P. Whitlock
Keyword(s):  
Multivariate Analysis ◽  
Patient Satisfaction ◽  
Health Status ◽  
Service Users ◽  
Improve Patient Satisfaction ◽  
Kaiser Permanente ◽  
Reported Health ◽  
Self Reported Health Status ◽  
Improve Patient ◽  
Complementary And Alternative

We investigated HMO members' use of complementary and alternative medicine (CAM) providers outside the HMO in 1995-1996. A random 2% survey of Kaiser Permanente Northwest members addressed HMO service satisfaction, self-reported health status and behaviors, and HMO utilization. Among respondents, 15.7% (n = 380) used CAM providers (chiropractors, naturopaths, acupuncturists, others) in the prior 12 months, while 35% were ever users. Multivariate analysis found that those more likely to consult CAM providers were females, more educated, and more dissatisfied with the HMO. These results suggest that HMOs may wish to focus efforts to improve patient satisfaction among CAM service users.

Sign in / Sign up

Export Citation Format

Share Document