ArticleHealth and quality of life outcomes2019
Self-efficacy and health-related quality of life: a cross-sectional study of primary care patients with multi-morbidity.
Article in Health and quality of life outcomes, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 73 papers.
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Who cites it
73 citing papers in PubMed.
- TRAK MSK: a randomised external feasibility trial and process evaluation of a digital physiotherapy supported self-management programme for people with musculoskeletal pain.BMC musculoskeletal disorders · 2026Trial
- The effect of telehealth-based medical nutrition therapy on cardiovascular disease risk factors in a rural population: a secondary analysis of outcomes related to nutrition, health and well-being from the healthy rural hearts randomised controlled trial.The international journal of behavioral nutrition and physical activity · 2025Trial
- Effects of self-management interventions based on the COM-B model on peri-implant condition in older adults with periodontitis: a randomized controlled trial.BMC oral health · 2024Trial
- Trial
- Effect of a transtheoretical model-based intervention and motivational interviewing on hyperphosphatemia management via telehealth (TMT program) among hemodialysis patients during the COVID-19 pandemic.Frontiers in public health · 2024Trial
- Self-efficacy in the managing late sequelae in long-term breast cancer survivors in Spain.Scientific reports · 2026Article
- Association between team functioning and self-efficacy and quality of life for primary care patients in British Columbia, Nova Scotia, and Ontario.Primary health care research & development · 2026Article
- Linking physical activity to health-related quality of life among middle-aged adults: the mediating roles of resilience and physical exercise self-efficacy.Frontiers in public health · 2026Article
- Decision self-efficacy and its determinants among Chinese adults with pneumoconiosis: a cross-sectional study.Frontiers in public health · 2026Article
- Beyond size and structure: how social network quality influences diabetes management self-efficacy in black/African American men.Journal of behavioral medicine · 2025Article
- Preoperative Clinical Phenotyping for Individualised Rehabilitation in End-Stage Knee Osteoarthritis.Journal of functional morphology and kinesiology · 2025Article
- The Effect of Pet Ownership on Quality of Life and Personality Traits in Individuals.Malawi medical journal : the journal of Medical Association of Malawi · 2025Article
- Bridging the digital divide for people with aphasia: a study protocol for codesigning web accessibility tools and guidelines.BMJ open · 2025Article
- Effect of Socioeconomic Status on Financial Toxicity: The Chain Mediating Roles of Social Support and Self-Efficacy.Cancer medicine · 2025Article
- More self-efficacy is associated with longitudinally higher health-related quality of life in mechanically ventilated COVID-19 ICU survivors: The prospective MaastrICCht cohort.Nursing in critical care · 2025Article
- Beyond the Unitary: Direct, Moderated, and Mediated Associations of Mindfulness Facets with Mental Health Literacy and Treatment-Seeking Attitudes.Healthcare (Basel, Switzerland) · 2025Article
- Stable Longitudinal Quality of Life in the SERVE Trial Among Adults With Transposition of the Great Arteries and a Systemic Right Ventricle.CJC pediatric and congenital heart disease · 2025Article
- Comparison of the Effect of Healthy Lifestyle Education Through Peer Groups and mHealth Application on the Self-Efficacy of Patients With Diabetes Mellitus: A Randomized Clinical Trial.Health science reports · 2025Article
- Health-related quality of life among multimorbid patients using the EQ-5D-5L value set for India.Frontiers in public health · 2025Observational
- Factors influencing chronic disease self-management behaviors: a national multilevel analysis in China.Frontiers in public health · 2025Article
13 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundMulti-morbidity in chronic long-term conditions is a major concern for health services. Self-management in concert with clinical care forms part of the effective management of multi-morbidity. Self-efficacy is a mechanism through which self-management can be achieved. Quality of life is adversely impacted by multi-morbidity but could be improved by effective self-management. This study examines the relationship between self-efficacy and quality of life in primary care patients with multi-morbidity.
methodsA cross-sectional survey was conducted with primary care patients in England. Potential participants were mailed a questionnaire containing quality of life measures (the EQ-5D-5L and the Long-Term Conditions Questionnaire (LTCQ)), the Disease Burden Impact Scale (DBIS) and the Self-efficacy for Managing Chronic Disease Scale. Descriptive statistics, analysis of variance and linear regression analyses were conducted to examine the relationship between quality of life (dependent variable), self-efficacy, and demographic and disease-related variables.
resultsThe 848 participants living with multi-morbidity reported a mean of 6.46 (SD 3.49) chronic long-term conditions, with the mean number of physical conditions 5.99 (SD 3.34) and mental health conditions 0.47 (SD 0.66). The mean scores were 15.45 (SD 12.00) for disease burden, 0.69 (SD 0.28) for the EQ-5D-5L, 65.44 (SD 23.66) for the EQ-VAS, and 69.31 (SD 21.77) for the LTCQ. The mean self-efficacy score was 6.69 (SD 2.53). The regression models were all significant at p < 0.001 (adjusted R
conclusionsMulti-morbid primary care patients with lower self-efficacy and higher disease burden have lower quality of life. Awareness of self-efficacy levels among patients with multi-morbidity may help health professionals identify patients who are in need of enhanced self-management support. Providing self-management support for chronic disease has been hailed as a hallmark of good care. Higher self-efficacy may lead to enhanced quality of life in multi-morbidity.
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