Tóm tắt
Background: Arthritis self-efficacy is an important component of knee osteoarthritis management. However, evidence regarding the associations of arthritis self-efficacy with pain, stiffness, and physical function among patients with knee osteoarthritis in Vietnam remains limited.
Materials and Methods: An analytical cross-sectional study was conducted among 120 patients with knee osteoarthritis at Hue University of Medicine and Pharmacy Hospital. Arthritis self-efficacy was assessed using the 8-item Arthritis Self-Efficacy Scale (ASES-8); pain, stiffness, and physical function were assessed using the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). Associations were examined using Spearman’s rank correlation and multivariable linear regression. Multivariable models were adjusted for age, sex, body mass index, education, living arrangement, osteoarthritis duration, knee involvement, and chronic comorbidity.
Results: The mean ASES-8 score was 6.37 ± 0.73. Median (Q1–Q3) WOMAC Pain, Stiffness, and Physical scores were negatively correlated with WOMAC Pain (rₛ = −0.758; p < 0.001), Stiffness (rₛ = −0.224; p = 0.014), Function scores were 10.00 (7.00 – 12.75), 2.00 (0.00 – 5.00), and 39.00 (27.50 – 50.00), respectively. ASES-8 and Physical Function (rₛ = −0.641; p < 0.001). After adjustment, higher ASES-8 scores remained associated with lower Pain (B = −3.917; 95% CI: −4.642 to −3.192; p < 0.001) and Physical Function scores (B = −10.972; 95% CI: −13.660 to −8.284; p < 0.001), whereas the association with Stiffness was no longer statistically significant (B = −0.587; 95% CI: −1.214 to 0.040; p = 0.066).
Conclusion: Higher arthritis self-efficacy was associated with lower pain and better physical function among patients with knee osteoarthritis after adjustment for sociodemographic and clinical factors, whereas no significant adjusted association was observed with stiffness.
| Đã xuất bản | 15-11-2026 | |
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| Số tạp chí | Tập 16 Số S-3 (2026) | |
| Phân mục | Nghiên cứu | |
| DOI | 10.34071/jmp.2026.S-3.21 | |
| Từ khóa | knee osteoarthritis, arthritis self-efficacy, ASES-8, WOMAC, pain, physical function |
công trình này được cấp phép theo Creative Commons Attribution-phi thương mại-NoDerivatives 4.0 License International .
Bản quyền (c) 2026 Hue Journal of Medicine and Pharmacy
World Health Organization. Osteoarthritis [Internet]. Geneva: World Health Organization; 2023 Jul 14 [cited 2026 Sep 12]. Available from: https://www.who.int/news-room/fact-sheets/detail/osteoarthritis.
Uritani D, Koda H, Sugita S. Effects of self-management education programmes on self-efficacy for osteoarthritis of the knee: a systematic review of randomised controlled trials. BMC Musculoskelet Disord. 2021;22(1):515. doi:10.1186/s12891-021-04399-y.
Wu Z, Zhou R, Zhu Y, Zeng Z, Ye Z, Wang Z, et al. Self-management for knee osteoarthritis: a systematic review and meta-analysis of randomized controlled trials. Pain Res Manag. 2022;2022:2681240. doi:10.1155/2022/2681240.
Doğan N, Göriş S, Demir H. Levels of pain and self-efficacy of individuals with osteoarthritis. Agri. 2016;28(1):25–31. doi:10.5505/agri.2015.30085.
Marconcin P, Yázigi F, Teles J, Campos P, Espanha M. The effectiveness of a randomised clinical trial of PLE²NO self-management and exercise programme for knee osteoarthritis to improve self-efficacy. Musculoskeletal Care. 2022;20(1):137–144. doi:10.1002/msc.1573.
Altman R, Asch E, Bloch D, Bole G, Borenstein D, Brandt K, et al. Development of criteria for the classification and reporting of osteoarthritis: classification of osteoarthritis of the knee. Arthritis Rheum. 1986;29(8):1039–1049.
Faul F, Erdfelder E, Buchner A, Lang AG. Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods. 2009;41(4):1149-1160. doi:10.3758/BRM.41.4.1149.
Lorig K, Chastain RL, Ung E, Shoor S, Holman HR. Development and evaluation of a scale to measure perceived self-efficacy in people with arthritis. Arthritis Rheum. 1989;32(1):37–44. doi:10.1002/anr.1780320107.
Wilcox S, Schoffman DE, Dowda M, Sharpe PA. Psychometric properties of the 8-item English Arthritis Self-Efficacy Scale in a diverse sample. Arthritis. 2014;2014:385256. doi:10.1155/2014/385256.
Xuyen TTN, Puwarawuttipanit W, Chanruangvanich W. Factors related to functional status in patients with rheumatoid arthritis. J Nurs Sci. 2017;35(Suppl 2):48–56.
Bellamy N, Buchanan WW, Goldsmith CH, Campbell J, Stitt LW. Validation study of WOMAC: a health status instrument for measuring clinically important patient relevant outcomes to antirheumatic drug therapy in patients with osteoarthritis of the hip or knee. J Rheumatol. 1988;15(12):1833–1840.
Gandek B. Measurement properties of the Western Ontario and McMaster Universities Osteoarthritis Index: a systematic review. Arthritis Care Res (Hoboken). 2015;67(2):216–229. doi:10.1002/acr.22415.
World Health Organization. Process of translation and adaptation of instruments. Geneva: World Health Organization; 2016.
Uritani D, Kubo T, Yasuura Y, Fujii T. Reliability and validity of the Japanese short-form Arthritis Self-Efficacy Scale in patients with knee osteoarthritis: a cross-sectional study. PLoS One. 2023;18(10):e0292426. doi:10.1371/journal.pone.0292426.
Degerstedt Å, Alinaghizadeh H, Thorstensson CA, Olsson CB. High self-efficacy – a predictor of reduced pain and higher levels of physical activity among patients with osteoarthritis: an observational study. BMC Musculoskelet Disord. 2020;21(1):380. doi:10.1186/s12891-020-03407-x.
Brisson NM, Gatti AA, Stratford PW, Maly MR. Self-efficacy, pain, and quadriceps capacity at baseline predict changes in mobility performance over 2 years in women with knee osteoarthritis. Clin Rheumatol. 2018;37(2):495–504. doi:10.1007/s10067-017-3903-3.
Egerton T, Bennell KL, McManus F, Lamb KE, Hinman RS. Comparative effect of two educational videos on self-efficacy and kinesiophobia in people with knee osteoarthritis: an online randomised controlled trial. Osteoarthritis Cartilage. 2022;30(10):1398–1410. doi:10.1016/j.joca.2022.05.010.