ReviewNursing open2025
Self-Efficacy in People With Chronic Disease: An Evolutionary Concept Analysis.
Review in Nursing open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
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.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
10 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The current status and influencing factors of medication literacy among patients with cardiovascular diseases: a systematic review and meta-analysis.Frontiers in pharmacology · 2026Pooled it
- Self-Efficacy as a Mediator Between Medication Adherence and Self-Care in Inflammatory Bowel Disease: A Multicenter Cross-Sectional Study.Journal of clinical nursing · 2026Article
- Article
- Hypertension among incarcerated individuals in the Ashanti Region of Ghana: examining prevalence and correlates based on the Social Cognitive Theory.BMC public health · 2026Article
- Self-Efficacy and Caregiving Competence in Family Caregivers of Patients Undergoing Renal Replacement Therapy: A Correlational Study.Nursing reports (Pavia, Italy) · 2026Article
- Health-related quality of life and demographic profiling of patients with selected noncommunicable diseases.Health SA = SA Gesondheid · 2026Article
- Decision self-efficacy and its determinants among Chinese adults with pneumoconiosis: a cross-sectional study.Frontiers in public health · 2026Article
- The Mediating Role of Treatment Adherence in the Relationship Between Health Literacy and Health Maintenance Efficacy Among Adults with Type 1 Diabetes.Patient preference and adherence · 2026Article
- Review
- A Multidimensional Perspective on COPD: How Coping Styles and Self-Esteem Relate to Psychological Distress and Functional Capacity.International journal of chronic obstructive pulmonary disease · 2025Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
aimTo clarify the meaning of the concept of self-efficacy for people with chronic disease, I will use the existing literature.
designConcept analysis.
methodsSystematic search in Pubmed, Scopus, and OVID databases (January 2018 to November 2023). 30 peer-reviewed articles were included in the study and analysed using Rodgers' Evolutionary Method of Concept Analysis.
resultsFive attributes were identified: motivation, individual perception, judgement, direct experience, and self-regulation. The most relevant antecedents were: educational level, social modelling, verbal persuasion, physiological and emotional states, coping styles, and health literacy. The consequences found corresponded to the influence on quality of life by enabling people to face life's challenges with confidence in their ability to handle stressful situations and overcome obstacles. Self-efficacy is thus a consistent predictor of self-care and treatment adherence.
conclusionNurses will be enabled to recognise attributes and antecedents to be enhanced in educational interventions to guide the target population in decision-making and problem-solving. Theoretical basis has been provided for future research on intervention approaches to enhance self-efficacy, and to develop a scale that reflects all of the defining attributes. IMPLICATIONS: Nurses using this knowledge to design educational interventions focused on identified attributes and antecedents of self-efficacy may improve treatment adherence and self-care in patients with chronic diseases, leading to improved quality of life. The development of a scale based on these attributes would provide a more accurate assessment and personalised interventions. IMPACT: The need for a clarified concept of self-efficacy was addressed. Five attributes of the concept were identified. This research will have an impact on: First, researchers intending to dig deeper into this; second, healthcare measurement scale developers as the need for a scale based on the attributes of the concept has been identified; third, healthcare professionals who assist chronic patients; and finally, chronic patients who will benefit from improved interventions. REPORTING
methodN/A. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.