PMID- 28399883
OWN - NLM
STAT- MEDLINE
DCOM- 20170529
LR  - 20181202
IS  - 1477-7525 (Electronic)
IS  - 1477-7525 (Linking)
VI  - 15
IP  - 1
DP  - 2017 Apr 11
TI  - Role of self-efficacy and social support in short-term recovery after total hip 
      replacement: a prospective cohort study.
PG  - 68
LID - 10.1186/s12955-017-0649-1 [doi]
LID - 68
AB  - BACKGROUND: Despite the overall success of total hip replacement (THR) in 
      patients with symptomatic osteoarthritis (OA), up to one-quarter of patients 
      report suboptimal recovery. The aim of this study was to determine whether social 
      support and general self-efficacy predict variability in short-term recovery in a 
      Norwegian cohort. METHODS: We performed secondary analysis of a prospective 
      multicenter study of 223 patients who underwent THR for OA in 2003-2004. The 
      total score of the Western Ontario and McMaster Universities Osteoarthritis Index 
      (WOMAC) at 3 months after surgery was used as the recovery variable. We measured 
      self-efficacy using the General Self-Efficacy Scale (GSES) and social support 
      with the Social Provisions Scale (SPS). Preoperative and postoperative scores 
      were compared using Wilcoxon tests. The Mann-Whitney U test compared scores 
      between groups that differed in gender and age. Spearman's rho correlation 
      coefficients were used to evaluate associations between selected predictor 
      variables and the recovery variable. We performed univariate and multiple linear 
      regression analyses to identify independent variables and their ability to 
      predict short-term recovery after THR. RESULTS: The median preoperative WOMAC 
      score was 58.3 before and 23.9 after surgery. The mean absolute change was 31.9 
      (standard deviation [SD] 17.0) and the mean relative change was 54.8% (SD 26.6). 
      Older age, female gender, higher educational level, number of comorbidities, 
      baseline WOMAC score, self-efficacy, and three of six individual provisions 
      correlated significantly with short-term recovery after THR and predicted the 
      variability in recovery in the univariate regression model. In multiple 
      regression models, baseline WOMAC was the most consistent predictor of short-term 
      recovery: a higher preoperative WOMAC score predicted worse short-term recovery 
      (beta = 0.44 [0.29, 0.59]). Higher self-efficacy predicted better recovery 
      (beta = -0.44 [-0.87, -0.02]). Reliable alliance was a significant predictor of 
      improved recovery (beta = -1.40 [-2.81, 0.01]). CONCLUSIONS: OA patients' general 
      self-efficacy and the expectation of others' tangible assistance predict recovery 
      after THR. Researchers and clinicians should target these psychosocial factors 
      together with the patients and their families to improve the quality of care and 
      surgical outcomes.
FAU - Brembo, Espen Andreas
AU  - Brembo EA
AD  - Faculty of Health and Social Sciences, University College of Southeast Norway, 
      P.O Box 7053, 3007, Papirbredden - Drammen kunnskapspark Gronland 58, Drammen, 
      3045, Norway. espenab@usn.no.
AD  - Department of Behavioral Sciences in Medicine, Institute of Basic Medical 
      Sciences, Faculty of Medicine, University of Oslo, Sognsvannsveien 9, Oslo, 0372, 
      Norway. espenab@usn.no.
FAU - Kapstad, Heidi
AU  - Kapstad H
AD  - Faculty of Health and Social Sciences, University College of Southeast Norway, 
      P.O Box 7053, 3007, Papirbredden - Drammen kunnskapspark Gronland 58, Drammen, 
      3045, Norway.
FAU - Van Dulmen, Sandra
AU  - Van Dulmen S
AD  - Faculty of Health and Social Sciences, University College of Southeast Norway, 
      P.O Box 7053, 3007, Papirbredden - Drammen kunnskapspark Gronland 58, Drammen, 
      3045, Norway.
AD  - NIVEL (Netherlands institute for health services research), Otterstraat 118-124, 
      Utrecht, 3513 CR, The Netherlands.
AD  - Department of Primary and Community Care, Radboud University Medical Center, 
      Geert Grooteplein noord 21, Nijmegen, 6525 EZ, The Netherlands.
FAU - Eide, Hilde
AU  - Eide H
AD  - Faculty of Health and Social Sciences, University College of Southeast Norway, 
      P.O Box 7053, 3007, Papirbredden - Drammen kunnskapspark Gronland 58, Drammen, 
      3045, Norway.
LA  - eng
PT  - Journal Article
DEP - 20170411
PL  - England
TA  - Health Qual Life Outcomes
JT  - Health and quality of life outcomes
JID - 101153626
SB  - IM
MH  - Aged
MH  - Arthroplasty, Replacement, Hip/*psychology/rehabilitation
MH  - Female
MH  - Health Services
MH  - Humans
MH  - Male
MH  - Middle Aged
MH  - Osteoarthritis, Hip/surgery
MH  - *Patient Satisfaction
MH  - Prospective Studies
MH  - Quality of Life/*psychology
MH  - Recovery of Function
MH  - *Social Support
MH  - Treatment Outcome
PMC - PMC5387328
OTO - NOTNLM
OT  - Osteoarthritis
OT  - Psychosocial predictors
OT  - Self-efficacy
OT  - Social support
OT  - Total hip replacement
OT  - WOMAC
EDAT- 2017/04/13 06:00
MHDA- 2017/05/30 06:00
PMCR- 2017/04/11
CRDT- 2017/04/13 06:00
PHST- 2016/09/28 00:00 [received]
PHST- 2017/04/05 00:00 [accepted]
PHST- 2017/04/13 06:00 [entrez]
PHST- 2017/04/13 06:00 [pubmed]
PHST- 2017/05/30 06:00 [medline]
PHST- 2017/04/11 00:00 [pmc-release]
AID - 10.1186/s12955-017-0649-1 [pii]
AID - 649 [pii]
AID - 10.1186/s12955-017-0649-1 [doi]
PST - epublish
SO  - Health Qual Life Outcomes. 2017 Apr 11;15(1):68. doi: 10.1186/s12955-017-0649-1.