Self-efficacy and its application in the treatment of knee osteoarthritis: a critical review


https://doi.org/10.4081/rr.2012.e10
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Authors

  • Ray Marks
    rm226@columbia.edu
    School of Health and Behavioral Sciences, The City University of New York, York College, and The Department of Health and Behavior Studies, Columbia University, Teachers College, New York, United States.
Symptomatic knee osteoarthritis, a prevalent progressively disabling disease affecting one or both knee joints requires extensive self-management. Self-efficacy, a psychological attribute generally denoting one’s perceived belief about their ability to successfully perform a particular behavior, including health behaviors, is a significant predictor of psychological well-being, adherence to prescribed treatments, and pain coping mechanisms in persons with various forms of chronic disease, including arthritis. This paper examines the available peer-reviewed research published over the last 35 years detailing: i) the concept of self-efficacy, ii) the relationship between self-efficacy and adjustment to arthritis, iii) the research concerning self-efficacy in the context of knee osteoarthritis disability, and iv) some promising approaches for promoting the wellbeing of adults with knee osteoarthritis through the application of self-efficacy theory and other approaches. Based on this data, directions for future research and practice are offered.