Self-efficacy and Cystic Fibrosis: An Integrative Review

Written by Janet Brown, Leigh Ann Bray Dayton, & Sigrid Ladores

doi: https://doi.org/10.13178/jnparr.2023.13.02.1304

Abstract

Background: Cystic fibrosis (CF) requires a complex, daily care regimen. Although adherence to therapies is positively related to outcomes, adherence to therapies in CF remains low. Self-efficacy has been shown to be positively related to adherence to therapies in other chronic illness.

Objective: The purpose of this integrative review was to examine the state of the science related to self-efficacy in individuals with CF.

Methods: A literature search was conducted using the Moher et al. steps in the review of literature and reported utilizing the PRISMA schematic. PubMed, CINAHL, Scopus, and PsycINFO databases were searched. Articles were included if they: 1) were available in full text; 2) were available in the English language; and 3) included self-efficacy in CF.

Results: A total of 13 articles were included in the review. Analysis revealed that: 1) self-efficacy is related to CF outcomes; and 2) behavioral interventions have the potential to improve self-efficacy.

Conclusion: Although literature related to CF and self-efficacy is scarce and more research is needed on this topic, improving self-efficacy in those with CF has the potential to achieve better clinical outcomes through enhanced adherence to therapies.

Keywords: self-efficacy, cystic fibrosis, integrative review, adherence