Self-efficacy and the progression of functional limitations and self-reported disability in older adults with knee pain
Self-efficacy and the progression of functional limitations and self-reported disability in older adults with knee pain
复制标题
DOI：
10.1093/geronb/56.5.s261
复制
发表时间：
2001-09-01
影响因子：
6.2
通讯作者：
Rapp, S
中科院分区：
文献类型：
--
作者：
Rejeski, WJ;Miller, ME;Rapp, S
目标.自我效能信念之间的前瞻性关系，结合膝关节疼痛和膝关节力量的措施，随后下降的身体表现和自我报告的残疾老年人膝关节疼痛进行了检查。在这项前瞻性流行病学试验中，对480名65岁及以上的男性和女性进行了为期30个月的随访，这些人在一周的大部分时间里都有膝关节疼痛和日常活动困难。基线自我效能与基线膝关节力量在预测自我报告的残疾和爬楼梯表现方面存在显著的相互作用。基线时自我效能和力量较低的参与者在30个月内这些结局的下降幅度最大。这些数据强调了自我效能信念在理解慢性疾病和衰老的功能下降方面的重要作用。自我效能信念似乎是最重要的功能下降的老年人，当他们受到挑战的下肢肌肉无力。
Objectives. The prospective relationships between self-efficacy beliefs, in conjunction with measures of knee pain and knee strength, and subsequent decline in both physical performance and self-reported disability among older adults with knee pain were examined.Methods. In this prospective epidemiological trial, 480 men and women aged 65 years and older who had knee pain on most days of the week and difficulty with daily activity were followed for 30 months.Results. There was a significant interaction of baseline self-efficacy with baseline knee strength in predicting both self-reported disability and stair climb performance. Participants who had low self-efficacy and low strength at baseline had the largest 30-month decline in these outcomes.Discussion. These data underscore the important role that self-efficacy beliefs play in understanding functional decline with chronic disease and aging. Self-efficacy beliefs appear to be most important to functional decline in older adults when they are challenged by muscular weakness in the lower extremities.