scholarly journals Effect of self-efficacy and physical activity goal achievement on arthritis pain and quality of life in patients with rheumatoid arthritis

2011 ◽  
Vol 63 (11) ◽  
pp. 1613-1619 ◽  
Author(s):  
Keegan P. Knittle ◽  
Véronique De Gucht ◽  
Emalie J. Hurkmans ◽  
Thea P. M. Vliet Vlieland ◽  
André J. Peeters ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Self Efficacy ◽  
Goal Achievement ◽  
Physical Activity Goal

scholarly journals Web-based rehabilitation interventions for people with rheumatoid arthritis: A systematic review

2018 ◽  
Vol 25 (5) ◽  
pp. 263-275 ◽  
Author(s):  
Cynthia Srikesavan ◽  
Catherine Bryer ◽  
Usama Ali ◽  
Esther Williamson
Keyword(s):  
Quality Of Life ◽  
Rheumatoid Arthritis ◽  
Physical Activity ◽  
Adverse Effects ◽  
Self Efficacy ◽  
Self Management ◽  
Access To Health Services ◽  
Web Based ◽  
Quality Of Evidence

Background Rehabilitation approaches for people with rheumatoid arthritis include joint protection, exercises and self-management strategies. Health interventions delivered via the web have the potential to improve access to health services overcoming time constraints, physical limitations, and socioeconomic and geographic barriers. The objective of this review is to determine the effects of web-based rehabilitation interventions in adults with rheumatoid arthritis. Methods Randomised controlled trials that compared web-based rehabilitation interventions with usual care, waiting list, no treatment or another web-based intervention in adults with rheumatoid arthritis were included. The outcomes were pain, function, quality of life, self-efficacy, rheumatoid arthritis knowledge, physical activity and adverse effects. Methodological quality was assessed using the Cochrane Risk of Bias tool and quality of evidence with the Grading of Recommendations Assessment, Development and Evaluation approach. Results Six source documents from four trials ( n = 567) focusing on self-management, health information or physical activity were identified. The effects of web-based rehabilitation interventions on pain, function, quality of life, self-efficacy, rheumatoid arthritis knowledge and physical activity are uncertain because of the very low quality of evidence mostly from small single trials. Adverse effects were not reported. Conclusion Large, well-designed trials are needed to evaluate the clinical and cost-effectiveness of web-based rehabilitation interventions in rheumatoid arthritis.

Moderating Effects of Depression, Food Cravings, and Weight-Related Quality-of-Life on Associations of Treatment-Targeted Psychosocial Changes and Physical Activity in Adolescent Candidates for Bariatric Surgery

2018 ◽  
Vol 15 (12) ◽  
pp. 946-953 ◽  
Author(s):  
James Annesi
Keyword(s):  
Quality Of Life ◽  
Physical Activity ◽  
Bariatric Surgery ◽  
Self Efficacy ◽  
Strong Predictor ◽  
Negative Mood ◽  
Self Regulation ◽  
Physical Activity Change ◽  
Related Quality

Background: Physical activity is a strong predictor of sustaining weight loss. Yet physical activity has been challenging to maintain. Adolescent bariatric surgery is increasing, and there is typically an initial 6-month period when improving health behaviors such as physical activity are addressed by a clinic-based team. However, there is minimal understanding of how to target psychosocial factors relevant for behavioral changes. Methods: A group of 15 adolescent candidates for bariatric surgery (mean age = 15.1 y; mean body mass index = 55.9 kg/m2) were assessed on changes in 3 theory-based predictors of physical activity from baseline–month 3 and baseline–month 6. Results: Changes in physical activity-related self-regulation and self-efficacy over 3 months significantly predicted change in physical activity over 6 months. Reciprocal relationships were also significant, including the prediction of physical activity change by change in negative mood. The clinical psychology-based factor of weight-related quality-of-life significantly moderated the prediction of self-regulation via physical activity, and degree of depressive symptoms significantly moderated the prediction of changes in physical activity through self-efficacy changes. Conclusions: Because improvements in several theory-based psychosocial variables related to physical activity have demonstrated a carry-over to controlling eating, the improved understanding of those variables for treating adolescents with severe obesity was useful.

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