ArticleACR open rheumatology2020
The Impact of Self-Efficacy on Activity Limitations in Patients With Hip Osteoarthritis: Results From a Cross-Sectional Study.
Article in ACR open rheumatology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Effectiveness of self-efficacy-enhancing interventions on rehabilitation following total hip replacement: a randomized controlled trial with six-month follow-up.Journal of orthopaedic surgery and research · 2022Trial
- Enhancing psychological wellbeing in hip surgery patients through psychological interventions: a scoping review.BMC musculoskeletal disorders · 2025Article
- Mapping the extent of the literature and psychometric properties for the Physical Activity Scale for the Elderly (PASE) in community-dwelling older adults: a scoping review.BMC geriatrics · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
objectivePain and activity limitations are the main health complaints in osteoarthritis. We explored pathways between pain and activity limitations in a chain mediation model that involved self-efficacy, physical activity behavior, and muscle function in patients with hip osteoarthritis not awaiting hip replacement.
methodsWe used cross-sectional, baseline data from a randomized controlled trial on 152 patients with clinical hip osteoarthritis according to the American College of Rheumatology not awaiting hip replacement. The associations between pain, self-efficacy, self-reported physical activity, muscle function (leg extensor power), and activity limitations (performance-based and self-reported activity limitation outcomes) were modeled using structural equation models.
resultsThe effect of pain on performance-based activity limitation was fully mediated by self-efficacy, physical activity, and muscle function. Of the total effect of self-efficacy on performance-based activity limitation, the direct effect accounted for 63% (95% CI: 45%-82%), whereas the indirect effect via physical activity constituted 16% (95% CI: 1%-30%) and the indirect effect via muscle function constituted 21% (95% CI: 9%-32%). In contrast, physical activity and muscle function had no effect on self-reported activity limitations, whereas pain had a direct effect and an indirect effect mediated by self-efficacy.
conclusionOur results suggest that self-efficacy should be taken into consideration in prevention and treatment of activity limitations in patients with hip osteoarthritis not awaiting hip replacement. Coupling exercise with programs of self-efficacy enhancement could potentially increase the positive effects of exercise.
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Registered trials
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