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General and Specific Self-efficacy Reports of Patients with Chronic Low Back Pain: Are They Related to Performances in a Functional Capacity Evaluation?

By Michiel F. Reneman, Jan H. B. Geertzen, Johan W. Groothoff and Sandra Brouwer

Abstract

Introduction The objective of this study was to analyze the relationship of general and specific self-efficacy (SE) beliefs with functional capacity evaluation (FCE) performances in patients with chronic non-specific low back pain (CLBP), while controlling for influence of gender, age, and self-reported pain intensity, self-esteem, disability, psychosocial distress and health status. Methods Included were 92 patients with CLBP referred to an outpatient university based multidisciplinary pain rehabilitation program in The Netherlands. All patients underwent an FCE. General SE was measured with the ALCOS questionnaire prior to the FCE, specific SE was measured with a self-constructed standardized question during the FCE. Paired samples t-tests were used to tests differences between predicted and actual performances. Pearson and Spearman rank correlation coefficients were used to express the strength of the relationships between SE and performances. Multivariate analyses were used to test the influence of control variables on the relationships between SE (general or specific) and performances. Results Performances were consistently higher than patients’ self-predictions. Differences between predictions and performances were significant in male lifting low, male carrying, and female carrying. With exception of the association between specific SE and lifting in males (r = 0.55, P < 0.05), all other correlations between general and specific SE and FCE performances were non-significant. Multivariable regression analyses showed that the relative contribution of SE measures over gender was little or none. Conclusions The contribution of specific SE to the prediction of FCE performances is moderate in one instance, and insignificant in most instances (both specific and general SE). Because of the consistency of the differences between prediction (specific SE) and performances, and depending on the level of accuracy needed, future research may deliberate the use of predicted material handling capacities at group level and correct for a systematic underprediction

Topics: Article
Publisher: Springer US
OAI identifier: oai:pubmedcentral.nih.gov:2668547
Provided by: PubMed Central

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Citations

  1. A study of the natural history of back pain. Part 1: development of a reliable and sensitive measure of disability in low-back pain.
  2. A theory of reasoned action: some application and implications.
  3. (2007). Are pain and pain related fear related to performances in a functional capacity evaluation in patients with chronic low back pain? J Occup Rehab.
  4. (1975). attitude, intention and behavior: an introduction to theory and research. Conference Proceeding.
  5. (1995). Biobehavioral factors affecting pain and disability in low back pain: mechanisms and assessment. Phys Ther.
  6. (1998). Extending the theory of planned behavior: a review and avenues for further research.
  7. (2000). Foundations of clinical research. Applications to practice. 2nd ed. Upper Saddle River,
  8. (1985). From intentions to action: a theory of planned behavior.
  9. Functional self-efficacy beliefs influence functional capacity evaluation.
  10. (2006). Material handling performance of patients with chronic low back pain during functional capacity evaluation; a comparison between three countries. Disabil Rehabil.
  11. (1993). Measures of self-esteem. In:
  12. (2008). Measuring maximum holding times and perception of static elevated work and forward bending in healthy young adults.
  13. (1995). Measuring the functional status of patients with low back pain.
  14. Multidimensional health locus of control: comments on the construct and its measurement.
  15. (1994). On the utility of the SCL-90-R with low back pain patients.
  16. (1996). Pain expectancies, pain, and functional self-efficacy expectancies as determinants of disability in patients with chronic low back disorders. J Consult Clin Psychol.
  17. physical function, and estimates of aerobic capacity: what are the relationships among methods and measures?
  18. Physical functioning: self-report and performance measures are related but distinct.
  19. (2008). Physical performance and physical self-efficacy in the elderly. A pilot study.
  20. Prediction of sickness absence in patients with chronic low back pain: a systematic review.
  21. (2003). Psychosocial predictors of physical performance in disabled individuals with chronic pain.
  22. (2004). Reliability and stability of the Roland Morris Disability Questionnaire: intra class correlation and limits of agreement. Disabil Rehabil.
  23. (2002). Reliability of safe maximum lifting determinations of a functional capacity evaluation. Phys Ther.
  24. (1977). Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev.
  25. (2003). Symptom checklist. Handleiding bij een multidimensionale psychopathologie indicator. [SCL-90. Handbook of a multidimensional psychopathology indicator].
  26. Symptom increase following a functional capacity evaluation in patients with chronic low back pain: an explorative study of safety.
  27. Test-retest reliability of lifting and carrying in a 2-day functional capacity evaluation.
  28. Test-retest reliability of the Isernhagen Work Systems Functional Capacity Evaluation in healthy adults.
  29. Test-retest reliability of the Isernhagen Work Systems Functional Capacity Evaluation in patients with chronic low back pain.
  30. (2005). Testing lifting capacity: validity of determining effort level by means of observation.
  31. (1999). The relative influence of perceived pain control, anxiety, and functional self efficacy on spinal function among patients with chronic low back pain.
  32. The reliability of determining effort level of lifting and carrying in a functional capacity evaluation.
  33. (1995). The theory of planned behavior: how well are we doing? Br J Soc Psych.

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