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

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Sensitivity to change of the Rheumatoid Arthritis Self-Efficacy scale (RASE) and predictors of change in self-efficacy. / Hewlett, Sarah; Cockshott, Zoë; Almeida, Celia; Richards, Pam; Lowe, Rob; Greenwood, Rosemary; Kirwan, John; RASE Study Group.

In: Musculoskeletal Care, Vol. 6, No. 1, 03.2008, p. 49-67.

Research output: Contribution to journalJournal article

Harvard

Hewlett, S, Cockshott, Z, Almeida, C, Richards, P, Lowe, R, Greenwood, R, Kirwan, J & RASE Study Group 2008, 'Sensitivity to change of the Rheumatoid Arthritis Self-Efficacy scale (RASE) and predictors of change in self-efficacy', Musculoskeletal Care, vol. 6, no. 1, pp. 49-67. https://doi.org/10.1002/msc.125

APA

Hewlett, S., Cockshott, Z., Almeida, C., Richards, P., Lowe, R., Greenwood, R., Kirwan, J., & RASE Study Group (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

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Author

Hewlett, Sarah ; Cockshott, Zoë ; Almeida, Celia ; Richards, Pam ; Lowe, Rob ; Greenwood, Rosemary ; Kirwan, John ; RASE Study Group. / Sensitivity to change of the Rheumatoid Arthritis Self-Efficacy scale (RASE) and predictors of change in self-efficacy. In: Musculoskeletal Care. 2008 ; Vol. 6, No. 1. pp. 49-67.

Bibtex

@article{f385ca4f491445c6a17b9e4d4772d70c,
title = "Sensitivity to change of the Rheumatoid Arthritis Self-Efficacy scale (RASE) and predictors of change in self-efficacy",
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 significant 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.",
keywords = "Analysis of Variance, Arthritis, Rheumatoid, Disability Evaluation, Female, Humans, Linear Models, Male, Middle Aged, Predictive Value of Tests, Reproducibility of Results, Self Care, Self Efficacy, Sensitivity and Specificity, Surveys and Questionnaires, United Kingdom, Journal Article, Research Support, Non-U.S. Gov't",
author = "Sarah Hewlett and Zo{\"e} Cockshott and Celia Almeida and Pam Richards and Rob Lowe and Rosemary Greenwood and John Kirwan and {RASE Study Group}",
year = "2008",
month = mar,
doi = "10.1002/msc.125",
language = "English",
volume = "6",
pages = "49--67",
journal = "Musculoskeletal Care",
issn = "1478-2189",
publisher = "John Wiley and Sons Ltd",
number = "1",

}

RIS

TY - JOUR

T1 - Sensitivity to change of the Rheumatoid Arthritis Self-Efficacy scale (RASE) and predictors of change in self-efficacy

AU - Hewlett, Sarah

AU - Cockshott, Zoë

AU - Almeida, Celia

AU - Richards, Pam

AU - Lowe, Rob

AU - Greenwood, Rosemary

AU - Kirwan, John

AU - RASE Study Group

PY - 2008/3

Y1 - 2008/3

N2 - 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 significant 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.

AB - 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 significant 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.

KW - Analysis of Variance

KW - Arthritis, Rheumatoid

KW - Disability Evaluation

KW - Female

KW - Humans

KW - Linear Models

KW - Male

KW - Middle Aged

KW - Predictive Value of Tests

KW - Reproducibility of Results

KW - Self Care

KW - Self Efficacy

KW - Sensitivity and Specificity

KW - Surveys and Questionnaires

KW - United Kingdom

KW - Journal Article

KW - Research Support, Non-U.S. Gov't

U2 - 10.1002/msc.125

DO - 10.1002/msc.125

M3 - Journal article

C2 - 18228530

VL - 6

SP - 49

EP - 67

JO - Musculoskeletal Care

JF - Musculoskeletal Care

SN - 1478-2189

IS - 1

ER -