Relationships Between Socioecological Factors and Self-Efficacy to Participate in Physical Activity for Adults With Chronic Musculoskeletal Pain: An Integrative Review.
Mark Vorensky, Stephanie L Orstad, Allison Squires and 3 others
PMID 39214075WHAT IT FOUND
Self-efficacy to exercise in chronic pain is shaped by more than just the patient's mindset.
Social support, a trusting provider relationship, telehealth access, and community program availability all significantly influence whether patients feel capable of being active.
Key findings
01Positive social relations and supportive provider interactions are associated with higher self-efficacy to engage in physical activity.
02Institutional resources like telehealth and remote coaching, along with community accessibility, support self-efficacy by reducing logistical barriers.
03Social strain, such as pressure from family or poor provider support, is negatively associated with self-efficacy to participate in physical activity.
STILL TO COME
How it was doneWhat they foundWhat it means for PTsWhat it means for OTs
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What it does not show
The review included a wide range of chronic musculoskeletal pain conditions without examining nuances between them. Most included studies used theoretical models focused on intrapersonal factors, potentially missing broader socioecological influences. Race and ethnicity were underreported in the included studies, limiting insights into health disparities. The quality of included studies varied, with many rated as 'fair' or 'poor'.
Declared interests
The funders did not participate in the design, conduct, or reporting of this study.
The easy way to misread this
Do not assume that increasing self-efficacy will automatically lead to increased physical activity or improved pain outcomes. This review identifies factors associated with self-efficacy but does not prove that targeting these socioecological factors directly reduces pain or disability.