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FOTO Rehab Outcomes Blog

Increase Self-efficacy and Increase Rehabilitation Participation


More and more has been published on self-efficacy. This factor will impact rehabilitation outcomes. It's important enough that clinicians may need to figure out ways to know a patient's level of self-efficacy.  Once you know a person's level of self-efficacy, how can you interact to change that patient's beliefs?

As I researched this, I came upon Bandura who defined self-efficacy. You may find this blog post helpful in how you can interact with patients who have low self-efficacy. 

When you use FOTO, there are optional surveys that can be used to individualize the information you learn about your patients. The Self-Efficacy Scale is included as an optional survey within FOTO.

Below you will find a quick view of the abstract. 


A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy.



Patient adherence to rehabilitation programmes is frequently low - particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic-based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self-efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self-efficacy is defined as a person's confidence in their ability to perform a task. This theory examines the ability of a person to change through exerting control over inner processes of goal setting, self-monitoring, feedback, problem solving and self-evaluation. If clinicians are able to identify patients with low self-efficacy prior to the prescription of a home exercise programme, adjustments to individualized care can be implemented. Individualized care based on improving self-efficacy for home exercise programmes may improve patient adherence to these programmes. The purpose of this article was to use the theory of self-efficacy to direct clinicians in providing individualized programmes to patients with varying levels of self-efficacy.

2017 Apr 12. doi: 10.1002/msc.1194. [Epub ahead of print]