- Library Home /
- Search Collections /
- Open Collections /
- Browse Collections /
- UBC Theses and Dissertations /
- The relationship of self-efficacy with depression,...
Open Collections
UBC Theses and Dissertations
UBC Theses and Dissertations
The relationship of self-efficacy with depression, pain, and health status in the arthritis self-management program McGowan, Patrick Thomas
Abstract
Over the past decade results from a series of research studies have contributed to the development and evaluation of the Arthritis Self-Management Program (ASMP), a volunteer-led patient education program for persons with arthritis. To date, these studies have primarily focussed on program effectiveness, process, implementation, and dissemination. In these studies self-efficacy was identified as an important construct contributing to the program's effectiveness, however, the exact relationship between self-efficacy and health outcomes has not been determined. In this dissertation research I investigate the evidence of a causal relationship between self-efficacy and three program outcomes (a decrease in depression, less pain, and a higher self-rating of overall health status), and attempt to determine the nature of that relationship. The research methodology involved the use of structural equation modeling (SEM) with two longitudinal samples, one (n=122) of 1991 ASMP participants in British Columbia, the other (n=189) of 1992 ASMP participants in Ontario. In the analysis self-efficacy was paired separately with depression, pain and perceived health status. The results of the SEM failed to confirm a dominant causal relationship from self-efficacy to depression, or to pain. This may indicate that these variables have a reciprocal or "spiral" relationship or that both sets of variables may be caused by factors not considered in the analysis. The results of the SEM between self-efficacy and perceived health status did, however, show that higher self-rated health status leads to higher self-efficacy at a later time. The data did not show statistical significance for other causal patterns among these variables. The findings suggest that self-efficacy may play a moderator role in the complex relationship involving individuals with arthritis, their behaviors, and health outcomes. As well, the findings have implications for health promotion planning and research in that they reinforce the complex interplay of psychological and behavioral variables (probably influenced by social variables) in programs which attempt to give individuals greater control over their health. The efficacy and effectiveness of the ASMP has been established in previous studies. This study in no way calls these into question. It does, however, suggest that the mechanism by which these effective outcomes are achieved warrants further investigation.
Item Metadata
Title |
The relationship of self-efficacy with depression, pain, and health status in the arthritis self-management program
|
Creator | |
Publisher |
University of British Columbia
|
Date Issued |
1996
|
Description |
Over the past decade results from a series of research studies have contributed to the
development and evaluation of the Arthritis Self-Management Program (ASMP), a volunteer-led
patient education program for persons with arthritis. To date, these studies have primarily
focussed on program effectiveness, process, implementation, and dissemination. In these studies
self-efficacy was identified as an important construct contributing to the program's effectiveness,
however, the exact relationship between self-efficacy and health outcomes has not been
determined. In this dissertation research I investigate the evidence of a causal relationship
between self-efficacy and three program outcomes (a decrease in depression, less pain, and a
higher self-rating of overall health status), and attempt to determine the nature of that
relationship.
The research methodology involved the use of structural equation modeling (SEM) with
two longitudinal samples, one (n=122) of 1991 ASMP participants in British Columbia, the other
(n=189) of 1992 ASMP participants in Ontario. In the analysis self-efficacy was paired
separately with depression, pain and perceived health status.
The results of the SEM failed to confirm a dominant causal relationship from self-efficacy
to depression, or to pain. This may indicate that these variables have a reciprocal or
"spiral" relationship or that both sets of variables may be caused by factors not considered in the analysis. The results of the SEM between self-efficacy and perceived health status did, however,
show that higher self-rated health status leads to higher self-efficacy at a later time. The data did
not show statistical significance for other causal patterns among these variables.
The findings suggest that self-efficacy may play a moderator role in the complex
relationship involving individuals with arthritis, their behaviors, and health outcomes. As well,
the findings have implications for health promotion planning and research in that they reinforce
the complex interplay of psychological and behavioral variables (probably influenced by social
variables) in programs which attempt to give individuals greater control over their health. The
efficacy and effectiveness of the ASMP has been established in previous studies. This study in no
way calls these into question. It does, however, suggest that the mechanism by which these
effective outcomes are achieved warrants further investigation.
|
Extent |
11009430 bytes
|
Genre | |
Type | |
File Format |
application/pdf
|
Language |
eng
|
Date Available |
2009-03-16
|
Provider |
Vancouver : University of British Columbia Library
|
Rights |
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.
|
DOI |
10.14288/1.0076940
|
URI | |
Degree | |
Program | |
Affiliation | |
Degree Grantor |
University of British Columbia
|
Graduation Date |
1996-11
|
Campus | |
Scholarly Level |
Graduate
|
Aggregated Source Repository |
DSpace
|
Item Media
Item Citations and Data
Rights
For non-commercial purposes only, such as research, private study and education. Additional conditions apply, see Terms of Use https://open.library.ubc.ca/terms_of_use.