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Associations of Health Self-efficacy With Engagement in Health-Promoting Behaviors and Treatment Adherence in Rural Patients

Roncoroni, Julia, PhD; Tucker, Carolyn M., PhD; Wall, Whitney, PhD; Wippold, Guillermo, PhD; Ratchford, Julia, MA

doi: 10.1097/FCH.0000000000000219
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Rural residents have lower levels of engagement in health-promoting behaviors and treatment adherence than their urban counterparts. This cross-sectional study sought to understand the role of health self-efficacy as a precursor to engagement in health-promoting behaviors and treatment adherence in 273 rural patients. Structural equation model was used to examine whether health self-efficacy predicted engagement in health-promoting behaviors and treatment adherence. Results show that health self-efficacy predicts engagement in health-promoting behaviors and treatment adherence. Boosting patients' health self-efficacy could be a way of increasing their engagement in health-promoting behaviors and treatment adherence and thus of improving their health outcomes.

Department of Counseling Psychology, Morgridge College of Education, University of Denver, Denver, Colorado (Dr Roncoroni and Ms Ratchford); Department of Psychology, University of Florida, Gainesville (Dr Tucker); Department of Psychology, Fayetteville State University, Fayetteville, North Carolina (Dr Wall); and Department of Psychology, University of South Carolina, Columbia (Dr Wippold).

Correspondence: Julia Roncoroni, PhD, Department of Counseling Psychology, Morgridge College of Education, University of Denver, 1999 E Evans Ave, Denver, CO 80210 (juliaroncoroni@gmail.com).

The authors declare no conflict of interest.

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