title: Perceived self-efficacy gained from, and health effects of, a rehabilitation program after hip joint replacement.
abstract: OBJECTIVE
  To examine whether a routine multidisciplinary inpatient rehabilitation program can increase patient self-efficacy, and to investigate the effects of high self-efficacy at admission, and increases in self-efficacy, on health changes in patients who undergo such rehabilitation after hip joint replacement.
  
  
  METHODS
  Participants in this longitudinal study were 1,065 patients who underwent inpatient rehabilitation after hip joint replacement. Questionnaires were administered at admission, discharge, and 6-month followup. The main outcome variables were disability, pain, depressive symptomatology, and self-efficacy to cope with disability and pain.
  
  
  RESULTS
  Significant improvements from admission to discharge from the inpatient rehabilitation program in disability, pain, depressive symptoms, and self-efficacy were found. In addition, higher levels of self-efficacy at admission and larger increases in self-efficacy over the course of the program predicted larger health changes (i.e., greater decreases in disability, pain, and depressive symptoms). Results were generally similar for health changes from discharge to 6-month followup.
  
  
  CONCLUSIONS
  A routine multidisciplinary inpatient rehabilitation program after hip joint replacement can result in enhanced self-efficacy.
authors.affiliation: Charité-Universitätsmedizin Berlin, Berlin, Germany. birte.dohnke@charite.de
authors.forename: Birte
authors.initials: B
authors.lastname: Dohnke
authors.forename: Bärbel
authors.initials: B
authors.lastname: Knäuper
authors.forename: Werner
authors.initials: W
authors.lastname: Müller-Fahrnow
mesh_terms: D000223:Adaptation, Psychological; D019644:Arthroplasty, Replacement, Hip / Q000534:rehabilitation*; D003863:Depression / Q000523:psychology; D005260:Female; D005500:Follow-Up Studies; D006304:Health Status; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D008875:Middle Aged; D015207:Osteoarthritis, Hip / Q000534:rehabilitation / Q000601:surgery; D010146:Pain; D010348:Patient Care Team; D020377:Self Efficacy; D011795:Surveys and Questionnaires