Lupus & antiphospholipid syndrome

Factors associated with changes in self-efficacy in patients with systemic lupus erythematosus. Data from the almenara lupus cohort

LupusPublished Prospective cohort study

Authors' conclusion

Factors associated with general self-efficacy improvement were higher previous self-efficacy, White ethnicity, being currently employed and having a better HRQoL In contrast, Black ethnicity and higher daily prednisone dose predisposed to general self-efficacy worsening.

Study context

Population
Systemic lupus erythematosus (SLE) patients of the Almenara Lupus Cohort who entered it between 2018 and 2024
Participants
331 patients
Outcome
Changes in general self-efficacy and the five PROMIS self-efficacy domains for chronic condition management
Methodological detailsprevalent cohort, generalized estimating equations
  • Prevalent cohort
  • Generalized estimating equations

Main finding

As reported in the abstract

Factors associated with general self-efficacy (GEE)
White ethnicity: β = 7.09, SE = 1.14
p < 0.001
Currently employed: β = 1.09, SE = 0.53
p = 0.038
PCS: β = 0.08, SE = 0.02
p < 0.001
Previous general self-efficacy: β = 0.39, SE = 0.05
p < 0.001
Black ethnicity: β = −2.06, SE = 0.56
p < 0.001
Daily prednisone dose: β = −0.13, SE = 0.02
p < 0.001

Observational data: associations, not effects.

Original publication

Factors associated with changes in self-efficacy in patients with systemic lupus erythematosus. Data from the almenara lupus cohort. Lupus. Published 6 May 2026. doi:10.1177/09612033261449978

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