Pain Self-efficacy Is Associated With Patient-Reported Function in Individuals With Chronic Hip Pain.
Nicholas C Coyne, Shelby Baez, Millissia Murro and 3 others
PMID 39659487WHAT IT FOUND
In people with chronic hip pain, higher confidence in coping with pain and more moderate-to-vigorous physical activity were linked to better self-reported hip function.
These factors explained 38% of the variation in function scores, suggesting psychological and activity factors matter alongside diagnosis.
Key findings
01Pain self-efficacy, moderate-to-vigorous physical activity, and kinesiophobia together explained 38% of the variance in patient-reported hip function.
02Pain self-efficacy was the strongest individual predictor, explaining 22% of the variance in hip function scores.
03Sedentary time was not related to patient-reported hip function.
STILL TO COME
How it was doneWhat they foundWhat it means for PTs
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What it does not show
The study design was cross-sectional, so it cannot prove that improving self-efficacy or activity causes better function; it only shows an association. The sample was small (41 participants) and 70% were female, limiting generalizability. Participants were recruited from a university clinic serving faculty and staff, which may skew physical activity levels toward hospital-based demands. The study included various hip pathologies together, so findings may not apply to specific diagnoses in isolation.
The easy way to misread this
Do not interpret these associations as evidence that interventions targeting self-efficacy or activity will improve function. The study was cross-sectional, so it cannot determine causation, and the authors note that current evidence for interventions to improve self-efficacy in chronic pain is of low quality.