Social cognitive or learning theory use to improve self-efficacy in musculoskeletal rehabilitation: A systematic review and meta-analysis.

<italic>Objective</italic>: To review the rehabilitation research methodological quality and intervention effectiveness of studies that used social cognitive or learning theory principles to improve self-efficacy in patients with orthopedic or musculoskeletal conditions. <italic>Design</italic>: A s...

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Publicado en:Physiotherapy Theory & Practice Vol. 34; no. 7; pp. 495 - 505
Autores principales: Ghazi, Cameron, Nyland, John, Whaley, Rumeal, Rogers, Thomas, Wera, Jeff, Henzman, Cameron
Formato: meta analysis research systematic review tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jul2018
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Jul2018
      vid: 34
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/09593985.2017.1422204
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        atl: Social cognitive or learning theory use to improve self-efficacy in musculoskeletal rehabilitation: A systematic review and meta-analysis.
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        au:
          Ghazi, Cameron
          Nyland, John
          Whaley, Rumeal
          Rogers, Thomas
          Wera, Jeff
          Henzman, Cameron
        affil: Department of Orthopaedic Surgery, University of Louisville, Louisville, KY, USA
      sug:
        subj:
          Social Learning Theory
          Self-Efficacy Education
          Musculoskeletal Diseases Rehabilitation
          Patient Education
          Human
          Meta Analysis
          Systematic Review
          SportDiscus
          Male
          Female
          Middle Age
          Aged
          Aged, 80 and Over
          Athletic Injuries
          Descriptive Statistics
          Data Analysis Software
          Confidence Intervals
          Therapeutic Exercise
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab: <italic>Objective</italic>: To review the rehabilitation research methodological quality and intervention effectiveness of studies that used social cognitive or learning theory principles to improve self-efficacy in patients with orthopedic or musculoskeletal conditions. <italic>Design</italic>: A systematic literature review and meta-analysis of peer reviewed studies published in English was performed using the OVID and SPORTDiscus databases. Initial search terms were “social cognitive theory” or “social learning theory” combined with “rehabilitation”. <italic>Results</italic>: From the 25 total studies that contributed to this review, 23 contributed patient outcome information and 20 contributed to effect size determination. Of 1947 total study participants, most (<italic>n</italic> = 1537, 78.9%) were women. Participants were primarily late middle-age (64.8 ± 17 years). Studies included participants with hip or knee osteoarthritis (OA) or who were post-hip or knee arthroplasty (11/25, 44%), post-femur or tibia fracture (6/25, 24%), adults in assisted living or inpatient rehabilitation facilities (2/25, 8%), independent community dwelling older adults (2/25, 8%), college-age recreational athletes post-sports injury (2/25, 8%), older women with osteoporosis risk (1/25, 4%) or middle-aged adults post-traumatic hand injury (1/25, 4%). For the 20 studies that contributed to effect size determination, a large overall mean effect size (Cohen’s <italic>d</italic> = 0.98, 95% CI 0.42-1.86) was observed. <italic>Conclusions</italic>: Studies that used social cognitive or learning theory principles to improve self-efficacy in patients with orthopedic or musculoskeletal conditions generally displayed moderate to large effect sizes supporting this intervention. Sound research methodological quality and low risk of intervention-related injury or other adverse events were also generally observed. Findings suggest that these interventions may also benefit individuals with conditions that have not progressed to end-stage salvage surgery such as younger, more athletically active individuals for knee OA prevention.
      pubtype: Academic Journal
      doctype:
        meta analysis
        research
        systematic review
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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