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Sensitivity to change of the Rheumatoid Arthritis Self-Efficacy scale (RASE) and predictors of change in self-efficacy

Cockshott, Zo�; Richards, Pam; Benjamin, Sue; Board, Kirsty; Campbell, Anne; Cox, Maureen; Cushnaghan, Janet; Hehir, Maggie; Jolly, Maggie; Maggs, Fiona; McEachern, Claire; Read, Elizabeth; Seaman, Nikki; Spicer, Jill; Unsworth, Heather; Cockshott, Zoe; Richards, Pamela; Hewlett, Sarah; Almeida, Celia; Lowe, Rob; Greenwood, Rosemary; Kirwan, John

Authors

Zo� Cockshott

Pam Richards

Sue Benjamin

Kirsty Board

Anne Campbell

Maureen Cox

Janet Cushnaghan

Maggie Hehir

Maggie Jolly

Fiona Maggs

Claire McEachern

Elizabeth Read

Nikki Seaman

Jill Spicer

Heather Unsworth

Zoe Cockshott

Pamela Richards

Celia Almeida

Rob Lowe

Rosemary Greenwood

John Kirwan



Abstract

Objectives: Patient education in rheumatoid arthritis (RA) aims to improve health outcomes by prompting people to adopt self-management behaviours. One precursor for initiating behaviour change is self-efficacy (SE), a belief that you can do a task. This study tested the sensitivity to change of a new scale to measure SE for self-management in people with RA, the Rheumatoid Arthritis Self-Efficacy scale (RASE). Exploratory analysis examined potential predictors of change in SE. Methods: People with RA at 11 rheumatology centres, who had accepted an education programme as part of clinical care, completed questionnaires at baseline, and two and eight weeks after their programme end. Programmes were not standardized, as this was a pragmatic study in clinical practice. Results: A total of 128 patients participated. After controlling for baseline scores, the RASE showed small but signifi cant improvements in SE from baseline (RASE 107.57, CI 105.42-109.72) to two weeks after programme end (RASE 110.80, CI 108.60-112.99), and eight weeks (RASE 110.62, CI 108.40-112.85, p < 0.001). Standardized response means, calculated both by absolute and percentage change, were 0.339 and 0.371 at two weeks after programme end, and 0.321 and 0.352 at eight weeks. Changes in the RASE were associated with behaviour initiation at two and eight weeks (r = 0.419, r = 0.342, p < 0.001). No substantial predictors of change in SE could be identified. Conclusions: The RASE is sensitive to change in a cohort of people with RA in the UK receiving education programmes as routine clinical care. Exploratory analysis did not identify clinical or psychological factors that predict change in SE, suggesting that programmes should not be restricted to particular patients. Copyright © 2007 John Wiley & Sons, Ltd.

Citation

Unsworth, H., Spicer, J., Seaman, N., Read, E., McEachern, C., Maggs, F., …Kirwan, J. (2008). Sensitivity to change of the Rheumatoid Arthritis Self-Efficacy scale (RASE) and predictors of change in self-efficacy. Musculoskeletal Care, 6(1), 49-67. https://doi.org/10.1002/msc.125

Journal Article Type Article
Publication Date Dec 11, 2008
Journal Musculoskeletal Care
Print ISSN 1478-2189
Electronic ISSN 1557-0681
Publisher Wiley
Peer Reviewed Peer Reviewed
Volume 6
Issue 1
Pages 49-67
DOI https://doi.org/10.1002/msc.125
Keywords rheumatoid arthritis, self-efficacy, RASE, scale, sensitivity, validation, predictors
Public URL https://uwe-repository.worktribe.com/output/1014556
Publisher URL http://dx.doi.org/10.1002/msc.125
Additional Information Corporate Creators : the RASE Study Group