Relationships Between Socioecological Factors and Self-Efficacy to Participate in Physical Activity for Adults With Chronic Musculoskeletal Pain: An Integrative Review.

Autor:	Vorensky M; Department of Rehabilitation and Movement Sciences, School of Health Professions, Rutgers University, Newark, New Jersey, USA.; Rusk Rehabilitation, NYU Langone Health, New York, New York, USA., Orstad SL; Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA., Squires A; NYU Rory Meyers College of Nursing, New York, New York, USA., Parraga S; Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA.; Tufts University School of Medicine, Boston, Massachusetts, USA., Byrne K; Department of Physical Therapy, NYU Steinhardt School of Culture, Education, and Human Development, New York, New York, USA., Merriwether EN; Department of Medicine, NYU Grossman School of Medicine, New York, New York, USA.; Department of Physical Therapy, NYU Steinhardt School of Culture, Education, and Human Development, New York, New York, USA.
Jazyk:	angličtina
Zdroj:	Physical therapy [Phys Ther] 2024 Oct 02; Vol. 104 (10).
DOI:	10.1093/ptj/pzae120
Abstrakt:	Objective: Self-efficacy for leisure-time or health-promoting physical activity (SEPA) is a psychosocial determinant of physical activity. The socioecological model can provide a robust perspective of SEPA. The objective of this study was to synthesize the evidence on multilevel correlates of SEPA among individuals with chronic musculoskeletal pain. The second aim examined the extent to which socioecological disparities are associated with SEPA among individuals with chronic musculoskeletal pain. Methods: An integrative review was conducted. Included studies needed to investigate the relationship between SEPA and socioecological factors at the interpersonal, institutional, community, and/or macrosystem level among adults with chronic musculoskeletal pain (≥3 months). Searches in PubMed, EMBASE, PsycINFO, and CINAHL were performed (December 30, 2020, and October 12, 2022), yielding 4047 records after duplicates were removed. Two independent reviewers completed screening, full-text reviews, and data extraction. After title and abstract screening and full-text reviews, 17 studies were included. The constant comparison method included: data reduction, data display, data comparison, and conclusion drawing/verification. Quality of evidence was assessed using the Joanna Briggs Institute appraisal tools. Results: Five themes emerged with respect to relationships between SEPA and socioecological factors: social relations, social comparisons, patient-provider relationship, organizational resources, and accessibility to physical activity. Relationships between interpersonal factors and SEPA were most prominently studied. One study examined and addressed potential disparities in SEPA at the macrosystem level. Conclusion: A spectrum of relationships from supporting to straining SEPA were found at the interpersonal level. Relationships between institutional, community, and macrosystem factors and SEPA were comparably sparse. Gaps in the literature were identified regarding how health disparities present across the socioecological model with respect to SEPA. Impact: Clinicians can use this review to evaluate how SEPA can be supported or threatened by factors across the socioecological model. This may be a preliminary step towards examining and addressing health disparities in SEPA. (© The Author(s) 2024. Published by Oxford University Press on behalf of the American Physical Therapy Association.)
Databáze:	MEDLINE
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