Self-efficacy Intervention Research Articles

The Effect of Self-efficacy-Enhancing Interventions on Quality of Life of Cancer Survivors: A Systematic Review.

The influence of self-efficacy-enhancing interventions on quality of life (QOL) is not clear with recent randomized controlled trials (RCTs) because current reviews only evaluated self-efficacy as an outcome. We conducted a systematic review to examine the effect of self-efficacy-enhancing interventions on QOL among patients with cancer and to summarize the effective determinants for designing self-efficacy-enhancing interventions. A systematic search was performed on studies published from January 2003 to May 2023 using PubMed, CINAHL, PsycINFO, and Web of Science. Included studies were RCTs, adults diagnosed with cancer, interventions with explicit self-efficacy components, and QOL as the outcome. Nineteen RCTs were included. Risk-of-bias assessment revealed 12 studies with some concerns and 7 with high risk of bias. The mean intervention adherence rate was 88.2%; the most frequently listed reason for dropout was medical conditions and mortality. Self-efficacy interventions were shown to significantly improve at least 1 subscale of QOL in 9 of 19 studies, of which 7 studies used Bandura's 4 sources of self-efficacy. The interventions with between-session intervals shorter than 2 weeks, of 12-week duration, and with an in-person delivery approach were the most effective. Self-efficacy-enhancing interventions show potential beneficial effects on QOL among cancer survivors. Interventions that use Bandura's 4 sources of self-efficacy strategies and have between-session intervals shorter than 2 weeks, an in-person approach, and 12-week intervention duration are recommended. Properly designed self-efficacy-enhancing interventions can facilitate behavioral change and improve QOL in cancer survivors.

Application of intelligent nursing system based on big data in maintenance hemodialysis patients

Maintenance hemodialysis (MHD) is one of the most important renal replacement therapies for patients with end-stage renal disease. However, long-term and frequent treatment not only damages the physiological functions of patients but also leads to serious economic burdens and mental stress. This can easily cause a series of psychological disorders in patients, resulting in severe rejection and fear of MHD. To reduce patient resistance and improve the quality of life of MHD, this article built an intelligent nursing system based on big data and then used the constructed intelligent nursing system to research MHD. Through experiments, it has been found that compared to self-efficacy intervention, intelligent nursing systems can control the concurrent rate of MHD patients below 14 %, and self-efficacy intervention methods can control the concurrent rate of MHD patients above 13 %. Moreover, using intelligent nursing systems can improve the ability of MHD patients to self-care. At the same time, before the use of intelligent nursing systems, the nursing satisfaction of MHD patients also varied greatly, with the overall satisfaction rate after use being 70 % higher than before. Using intelligent nursing systems can improve the satisfaction of MHD patients with nursing outcomes.

Self-Efficacy Effects on Symptom Experiences in Daily Life and Early Treatment Success in Anxiety Patients

Self-efficacy is a key construct in behavioral science affecting mental health and psychopathology. Here, we expand on previously demonstrated between-persons self-efficacy effects. We prompted 66 patients five times daily for 14 days before starting cognitive behavioral therapy (CBT) to provide avoidance, hope, and perceived psychophysiological-arousal ratings. Multilevel logistic regression analyses confirmed self-efficacy’s significant effects on avoidance in daily life (odds ratio [ OR] = 0.53, 95% confidence interval [CI] = [0.34, 0.84], p = .008) and interaction effects with anxiety in predicting perceived psychophysiological arousal ( OR = 0.79, 95% CI = [0.62, 1.00], p = .046) and hope ( OR = 1.21, 95% CI = [1.03, 1.42], p = .02). More self-efficacious patients also reported greater anxiety-symptom reduction early in treatment. Our findings assign a key role to self-efficacy for daily anxiety-symptom experiences and for early CBT success. Self-efficacy interventions delivered in patients’ daily lives could help improve treatment outcome.

An Intervention into Imagery and Self-Efficacy: Enhancing Athletic Achievements of Alpine Skiers

Psychological preparation has taken on a crucial role in today’s sports practice. Effective resolutions to the challenges inherent in athletes’ psychological preparation require a comprehensive understanding of the key components that constitute the psychological preparation process. This quasi-experimental study aims to first, assess the interrelationships among imagery abilities, physical self-efficacy, and sport performance among a sample of alpine skiers. Secondly, this study sought to assess the effect of a psychological intervention on imagery and self-efficacy, and its impact on their task performance. The proposed hypothesis suggests that integrating imagery and self-efficacy interventions into the training process of alpine skiers will enhance athletes’ achievements on the slalom ski track. Seven leading Latvian youth alpine skiers with an average age of M = 17.14 (SD = 1.77) participated in a three-month psychological skill intervention targeting imagery and self-efficacy enhancement, alongside control training sessions on a slalom ski track to evaluate its effectiveness on sport performance. Pre- and post-intervention assessments were conducted using questionnaires, revealing significant improvements in imagery abilities and self-efficacy (p < 0.05). Notably, positive interrelationships between imagery abilities, self-efficacy, and sport performance were observed. These findings underscore the efficacy of integrating psychological interventions into the athlete training process and highlight the importance of psychological readiness in optimizing athletic achievements, particularly in dynamic sports like alpine skiing. The study results provide novel theoretical and practical psychological insights into the training process of athletes in sports.

Effect of virtual reality on perceptions of usability, suitability, satisfaction, and self-efficacy among architecture and design university students

Few empirical studies have explored the effect of using VR technology in educational institutions in Jordan. Therefore, this study aimed to evaluate the effect of using the VR gravity sketch tool on Architecture and Design university students’ perceptions of usability, suitability, satisfaction, and self-efficacy in Jordan. A pre–post-test control group was used and 161 students (81 in the intervention group and 80 in the control group) from Al-Zaytoonah University of Jordan enrolled in the Free Drawing course were recruited. Findings showed a significant difference between the intervention and control groups post-VR simulation for usability, suitability satisfaction, and self-efficacy among students in the intervention group and there was a significant difference in the aforementioned variables between both groups. Thus, this study suggested that VR simulation was effective in training architecture and design students. Therefore, it is necessary to integrate VR into the educational curriculum as a learning strategy for students.

Interest in Lung Screening among a Sample of Adult Muslims in the United States

Objectives. Muslims in the United States exhibit high rates of tobacco use, which make them highly vulnerable to lung cancer. Lung cancer could be avoided by regularly undergoing preventive lung screening. This study investigated the associations between Social Cognitive Theory factors and being interested in preventive lung screening in a sample of adult US Muslims. Methods. We examined a convenience sample of adult US Muslims. A cross-sectional online survey was used to collect data. Binomial logistic regression analyses were conducted to identify the factors related to interest in preventive lung screening. Key Findings. Two hundred seventy-one eligible participants (≥18 years old Muslim individuals who live in the US) from 30 states completed the questionnaire. Individuals were more likely to express an interest in lung cancer screening if they had 1) more positive attitudes about lung screening, 2) a higher perceived value of screening, and 3) greater self-efficacy regarding the ability to undergo lung screening. Conclusion. Addressing attitudes, perceived value, and self-efficacy in future interventions could increase interest in preventive lung screening amongst adult US Muslims.

A Walking Intervention for Enhancing Self-efficacy, Physical Activity, and Cardiovascular Endurance in Overweight Children: A Randomized Controlled Trial

A Walking Intervention for Enhancing Self-efficacy, Physical Activity, and Cardiovascular Endurance in Overweight Children: A Randomized Controlled Trial

Physical activity self-efficacy online intervention for adults with obesity: protocol for a feasibility study

BackgroundEven without weight loss, adults with obesity can greatly benefit from regular physical activity. The Physical Activity Self-efficacy (PAS) intervention is an online behavioral intervention newly developed to promote physical activity in adults with obesity by providing capability-enhancing learning opportunities. The objective of this manuscript is to describe the protocol for a feasibility study designed to investigate the feasibility and acceptability of implementing the PAS online intervention for adults with obesity recruited from a local weight management center in the United States of America (USA).MethodsThe study design is a prospective, double-blind, parallel-group individual randomized pilot trial. Thirty participants will be randomly assigned to the PAS group or usual care group to achieve a 1:1 group assignment. Recruitment of participants is scheduled to begin on 1 March 2024 at a local weight management center within a private healthcare system in the USA. There are six eligibility criteria for participation in this study (e.g., a body mass index ≥ 25.00 kg/m2). Eligibility verification and data collection will be conducted online. Three waves of data collection will take up to 14 weeks depending on participants’ progress in the study. The primary feasibility outcomes in the study will be: (a) participation rate, (b) engagement behavior, and (c) a preliminary effect size estimate for the effect of the PAS intervention on physical activity. Instruments designed to measure demographic information, anthropometric characteristics, self-efficacy, and acceptability will be included in the survey battery. A research-grade accelerometer will be used to measure free-living physical activity objectively. Data will be analyzed using descriptive statistics and inferential statistical models under an intention-to-treat approach.DiscussionResults are intended to inform the preparation of a future definitive randomized controlled trial.Trial registrationClinicalTrials.gov, NCT05935111, registered 7 July 2023.

Self-efficacy and music performance: A meta-analysis

While self-efficacy is known to play an important role in music performance, the magnitudes of reported effect sizes are inconsistent. The purpose of this meta-analysis was to estimate the population effect size for (a) the relationship between self-efficacy and achievement, (b) the relationship between self-efficacy and music performance anxiety (MPA), and (c) the influence of self-efficacy interventions. A literature search identified 220 self-efficacy studies with 46 meeting the inclusion criteria. Heterogeneity among findings required the use of a random-effects model. The results revealed a medium positive effect size between self-efficacy and achievement. Moderator analysis based on age identified a significant difference between secondary school and collegiate participants, while a comparison of instrumentalists and vocalists failed to reject the null. The relationship between self-efficacy and MPA exhibited a medium negative effect size with a significant difference between secondary school and collegiate participants. Self-efficacy interventions demonstrated a substantial impact on self-efficacy beliefs. Multiple contrasts identified differences in intervention effectiveness between K-12, collegiate, and older adult participants. The absence of vocal studies limited comparisons between instrumentalists and vocalists. This study establishes benchmarks for understanding self-efficacy’s role in music performance and makes recommendations for future research to improve achievement and the well-being of musicians.

We Can Help! A School-Based Intervention: The outcomes of multifaced academic self-efficacy intervention among Turkish high school students

In this research, an intervention programme was applied to increase students’ academic and university exam self-efficacy and decrease exam anxiety. Further, the relationship between self-efficacy beliefs, exam anxiety and sense of school belongingness (SSB) was investigated. For this purpose, high-school students (N = 129) completed an 11-weeks intervention programme applied and a questionnaire including demographic information (gender, socio-economic level), academic and university exam self-efficacy, exam anxiety, and SBC was distributed before and after the intervention. The results revealed that while students’ academic and university exam self-efficacy significantly increased, their exam anxiety significantly decreased after the intervention. Further, SSB and exam anxiety found to be predictors of self-efficacy beliefs. Limitations are discussed, and suggestions for future research were offered.

Nutrition self-efficacy intervention to improve nutritional status of Iranian older adults

ObjectivesOlder adults are a vulnerable group that is at risk of poor nutritional status, which can lead to disease and increase their healthcare costs. Our study aimed to investigate the impact of a self-efficacy intervention on the nutritional status of older adults.MethodsA controlled before and after study was conducted on 110 older adults in the Mashhad, Iran, from 2020 to 2022. Participants were randomly allocated to the intervention (n = 55) and control groups (n = 55). Participants in the intervention group received educational training that was based on the self-efficacy theory. The control group received the routine care. Data collection tools included demographic information questionnaire, Mini Nutritional Assessment Questionnaire, and standard self-efficacy questionnaire. The questionnaires were completed at baseline (before intervention), instantly after the intervention, and at 3-months follow-up by participants in both groups. Data were analyzed using SPSS version 25 and the significance level was considered less than 0.05.ResultsThe Mean of nutritional status in the intervention group, at the baseline, immediately after intervention and 3 months of follow-up were 25.1 ± 2.3, 28.3 ± 5.2 and 27.6 ± 6., respectively. This increase was significant (p < 0.001). Our findings revealed that self-efficacy among participants in the intervention group significantly changed (P < 0.001) across time from baseline through follow-up. There was no significant difference in the mean of self-efficacy and nutritional status in the control group during the study period (P > 0.05).ConclusionThis current study provided a basis to examine in the effectiveness of such intervention using a properly powered randomized controlled study. Therefore, it can be concluded that self-efficacy interventions are a promising approach to improving the nutritional behaviors of the older adults.Trial registration: IRCT20160619028529N9.

Translation and validation into Spanish of the oral health self-efficacy scale in Chilean older adults

BackgroundPopulation ageing poses a challenge to improving the well-being of older adults, particularly in terms of oral health. Promoting self-efficacy in oral health behaviours is crucial for maintaining this population’s health and quality of life. The Oral Health Self-Efficacy Scale (OHSES) has been widely used to assess dental self-efficacy and is considered comprehensive and reliable. However, there is a need to validate OHSES for Spanish-speaking older adults. This study aimed to assess the reliability and validity of the translated questionnaire for use in the older Chilean population.MethodsA sample of 188 older adults, aged 60 years and above residing independently in the community, were recruited by accessing databases from the National Senior Citizen Service and various community organisations within the region of La Araucanía. The participants underwent comprehensive oral examinations and oral health interviews, focusing on variables such as OHSES, Oral health-related quality of life (OHIP-14Sp), assessment of remaining teeth, knowledge and attitudes toward oral health, and sociodemographic characteristics. The validity of the translated questionnaire was assessed through translation and cross-cultural adaptation, cognitive debriefing, and face and content validation. The psychometric properties of the questionnaire were evaluated through measures of internal consistency (Cronbach’s alpha), content validity (Content validity index), construct validity (factor analysis and Pearson correlation analysis), and test-retest reliability (intraclass correlation).ResultsThe Spanish version of OHSES demonstrated adequate face and content validity. The confirmatory factor analysis confirmed a two-factor scale with 7 items for a better fit. The scale demonstrated high internal consistency (Cronbach’s alpha = 0.821) and acceptable test–retest reliability (ICC = 0.411). Correlations were found between the OHSES score, the number of remaining teeth, knowledge and attitudes towards oral health, and the OHIP-14Sp (p < 0.01).ConclusionsThis study confirms the validity of the Spanish version of the Oral Health Self-Efficacy Scale for older adults in Chile. The scale is expected to be helpful in assessing self-efficacy in dental interventions and collecting data for international comparisons. This research opens new dimensions in patient-reported assessment of oral health.

Assessing a Community-Based Maternal Self-Efficacy Intervention in Rural India using a Quasi-Experimental Design

More than 175 million people in India live below the poverty line and are concentrated in rural areas. Families in rural Indian communities may benefit from interventions that support long-term well-being. Maternal self-efficacy (MSE) may be an important target for interventions given prior associations with positive maternal and child outcomes. The present study examined MSE in a pilot community-based group intervention delivered in rural North India. Using convenience sampling recruitment and a quasi-experimental design, 97 mothers (79 self-identified as low-caste) with at least one child between 0–24 months who engaged in the intervention were compared with a matched control group ( n = 219; 114 low-caste). Findings suggest that participation in the intervention was associated with higher MSE (ß = .294, p = .020) and the positive association was stronger amongst mothers from low-caste groups who participated in the intervention (ß = .390, p = .008). MSE may be malleable with the right approach and could be an important target for public health interventions, particularly for low-caste groups in rural India.

Effects of a Pre-Conception Care Program in Women with Inflammatory Bowel Disease: A Mixed-Methods Study Including a Randomized Controlled Trial.

The purpose of this study was to conduct a pre-conception care program for women of childbearing age with inflammatory bowel disease (IBD) in Korea and verify its effects on self-efficacy for IBD management, IBD-related pregnancy knowledge, and IBD-related pregnancy anxiety. It also aimed to explore the changes in participants through the program. A convergent mixed-methods study design was adopted. In the quantitative phase, 35 women (17 and 18 in the intervention and control group, respectively) participated. The intervention group attended a program that included small-group sessions and individual tele-coaching. To confirm the effects, data were collected before and one and four weeks after the intervention. In the qualitative stage, focus group interviews and tele-coaching were conducted with the intervention group. After the program ended, significant differences were observed over time between the intervention and control groups for self-efficacy for IBD management (Wald χ² = 4.41, p = .036), IBD-related pregnancy knowledge (Wald χ² = 13.80, p < .001) and IBD-related pregnancy anxiety (Wald χ² = 8.61, p = .003). Qualitative data analysis revealed the following themes: (1) improving confidence in IBD management and awareness for planned pregnancy; (2) improving IBD awareness related to pregnancy and childbirth; and (3) relieving anxiety about and actively facing pregnancy. This study is meaningful in that, to the best of our knowledge, it is the first to develop a pre-conception care program for women diagnosed with IBD and confirm its effectiveness. Furthermore, this program is expected to be suitable for patient counseling and education in clinical practice.

The differential influence of self-construal on the effect of self-efficacy on the help-seeking process: A quasi-experimental online study among people with untreated depressive symptoms

BackgroundDespite available professional healthcare, people often delay or avoid help-seeking. Understanding the underlying reasons is crucial and research has explored the role of self-efficacy in this context. Additionally, studies have highlighted the significance of culturally influenced self-construals in individuals' health behaviour. There seems to be a relationship between self-efficacy and self-construal.The aim of the study is to explore the influence of self-efficacy on help-seeking, considering self-construal as a moderator. Differential experiences of self-efficacy and varying associations among help-seeking variables based on self-construal are posited. MethodsA quasi-experimental online study is conducted with a baseline assessment, including self-efficacy interventions, and follow-ups at three and six months. Self-construal groups are compared, i.e., independent vs. interdependent individuals. A series of multi-group path analyses are conducted to examine potential variations in the interventional effects and among the help-seeking variables respective of help-seeking instance, i.e. professional mental health care or informal care. Self-construal functions as the global moderator. ResultsThe study included N = 1′368 participants, 65.6 % identifying as female and an average age of 42.38 (SD = 15.22). More independent compared to more interdependent individuals were older, more frequently identified as male, had higher socioeconomic status, fewer depressive symptoms, and greater self-efficacy. Multi-group path analyses for professional mental health care (CFI = 0.992, RMSEA = 0.018, SRMR = 0.004) and informal help (CFI = 0.999, RMSEA = 0.004, SRMR = 0.006) demonstrated excellent model fits. The analysis for informal help was interpretable, as the unconstrained model had a significantly better fit than the constrained model. There were varying associations among help-seeking variables based on self-construals. The intervention effect was differential, with independent participants benefiting significantly (β = 0.203), while the effect was non-significant for interdependent participants. DiscussionThe study's findings, strengths, and limitations are discussed in relation to current research. Results indicate differential experiences of self-efficacy interventions based on individuals' self-construal. Moreover, varying associations among help-seeking variables suggest self-construal-based differences in their interrelationships. These findings highlight the importance of considering self-construal in health related research.

Impact of Self-Efficacy Intervention Program on Caregivers Adherence toward Home-based Care Children with Type I Diabetes Mellitus

Background and aims: Diabetes is a metabolic disorder associated with many complications; caregivers’ self-efficacy is essential for sustained home management. The study aimed to find out the effects of nursing intervention programs on caregivers’ self-efficacy regarding adhering to home-based management of child to type1 diabetes mellitus. Methods: A quasi‐experimental study design on home-based nursing intervention was conducted and recruited 60 caregivers who took homecare for their diabetes type 1. The systematic sampling method was used to select the participants Who were divided into two groups (30 in an intervention group and 30 in a control group) and who were registered at the Gulan General Hospital in Akre / Duhok city of Iraqi Kurdistan region. Verbal consent was obtained. starting from 3rd of January to the end of 5th September 2022.The home-based lesions were adopted for 5 months, Mann-Whitney U test, and T-Test ware used to identify the comparison between the variables. A p-value of ≤ 0.05, considered statistically significant. Results: There is no significant association between the control and study groups at the pretest before conducting the intervention program, while after conducting a home-based program for the intervention group, the results show that there was a highly significant difference between the pre and post test, the result reflects and successful program to change the self-efficacy of the caregivers from intervention, and it means a provided compared with the control group ( non-intervention group), at a p-value of ≤ 0.05. Conclusion: The results show that the caregivers who participated in the program (Intervention group), were successfully adapted to the self-efficacy program. Applying the program to a wider range of caregivers, to adhere to the caregivers and improve their self -efficacy toward home-based management of type 1 diabetes mellitus.

Self-efficacy, motivation, and habits: psychological correlates of exercise among women with breast cancer

PurposeThe purpose of this analysis was to explore associations between exercise behaviour among breast cancer survivors and three behavioural constructs from distinct theories: self-efficacy from social cognitive theory, motivation from self-determination theory, and habits from habit theory.MethodsBreast cancer survivors (n = 204) completed a cross-sectional survey that collected demographic and disease characteristics, exercise levels, and self-efficacy, motivation, and habits. Multivariable linear regression models were used to identify constructs associated with total activity and resistance training.ResultsParticipants were a mean (SD) age of 57.3 (10.8) years and most were diagnosed with early-stage disease (72%) and engaged in sufficient levels of total activity (94%), though only 45% completed ≥ 2 resistance training sessions/week. Identified motivation (ꞵ[95% CI] = 7.6 [3.9–11.3]) and habits (ꞵ[95% CI] = 4.4 [1.4–7.4]) were significantly associated with total activity (as were body mass index and disease stage), whilst identified motivation (ꞵ[95% CI] = 0.6 [0.3–0.9]) and coping self-efficacy (ꞵ[95% CI] = 0.02 [< 0.01–0.03]) were significantly associated with resistance training. The models explained 27% and 16% of variance in total activity and resistance training behaviour, respectively.ConclusionResults suggest that incorporating strategies that support identified motivation, habits, and coping self-efficacy in future interventions could promote increased exercise behaviour among breast cancer populations. Future longitudinal research should examine associations with exercise in a more representative, population-based sample.

Self-Efficacy and Self-Care Behavior in Patients with Unruptured Intracranial Aneurysm after Treatment with Coil Embolization

This study aimed to identify the self-efficacy and self-care behaviors in patients with an unruptured intracranial aneurysm who have undergone coil embolization.A cross-sectional study was conducted to 143 patients who were diagnosed with unruptured intracranial aneurysm and visited the outpatient department of radiology for follow-up management after performing coil embolization at a tertiary hospital, Seoul. The self-efficacy and self-care behaviors were measured using self-reported questionnaire. The collected data were analyzed with independent t-test, one-way analysis of variance, Pearson's correlation using the SPSS/win 26.0 statistical programs (IBM Corp, Armonk, NY, USA).The mean score of self-efficacy in patients with an unruptured intracranial aneurysm was 3.49±0.55 out of 5. The mean score of self-care behaviors was 3.69±0.66 out of 5. The self-efficacy exhibited statistically significant differences depending on the size and number of the cerebral aneurysms and the presence of such aneurysms remaining after treatment. There was a positive correlation between self-efficacy and self-care behaviors (r=0.37, P=0.001). Regression analysis revealed that the patient's self-care behaviors of the patients was explained by self-efficacy (β=0.37, P&lt;0.001) and these variables explained 13.3% of the variance in self-care behaviors (F=22.86, P&lt;0.001).In order to increase self-care behaviors, it is necessary to develop self-efficacy interventions so that an unruptured intracranial aneurysm who have undergone coil embolization can effectively cope with various difficulties during treatment course.

Knowledge, Attitude and Self-efficacy Towards Blood Donation Among University Students: An Online Intervention Study

Long-term shortages in the blood supply perpetuate increased morbidity and mortality from treatable diseases. However, how much people are motivated to donate blood was less studied, especially among university students. This study aimed to determine the effectiveness of online intervention for knowledge, attitude, and self-efficacy towards blood donation among undergraduate university students. A pre-and post-test study was conducted among undergraduate students. Four hundred students were invited to the study. Knowledge, positive and negative attitudes, and self-efficacy towards blood donation were measured using a structured questionnaire. Two digital infographics for blood donation and one 10-minute video were used as intervention materials. Following the intervention, statistical and practical significance was reported. Multivariate analysis was done to determine the differences in invention effect across age, gender, and study discipline. Following the intervention, 29.1% and 5.1% increased knowledge and self-efficacy from the base, respectively. The positive attitude towards blood donation increased by 2.8%, while the negative attitude decreased by 2.1%. Multivariate analysis of variance showed that online health education on blood donation is effective irrespective of age, gender, and discipline of study. Due to the Covid-19 pandemic, the intervention was integrated into a remote health intervention model based on the internet or mobile communication network. This study has provided a scientific conclusion on whether the intervention could motivate people to donate blood.&#x0D;

중학생의 학업적 자기효능감, 학업무기력, 학업성취의 종단적 관계

This study empirically analyzed the longitudinal interrelationships among academic self-efficacy, academic helplessness, and academic achievement of middle school students using data from the 1st-3rd wave of the Korean Children and Youth Panel Survey. By applying the autoregressive cross-lagged model, academic self-efficacy, academic helplessness, and academic achievement are seen to be stable over time, and the level of academic self-efficacy, academic helplessness, and academic achievement at the previous time point are verified to affect each variable at the later time point. As a result, first, academic self-efficacy, academic helplessness, and academic achievement at the time of the first year remained stable until the second and third year of middle school. Second, academic self-efficacy at the previous time negatively predicted academic helplessness at the later time and positively predicted academic achievement. Third, academic helplessness at the previous time predicted academic self-efficacy and academic achievement at the later time negatively. Fourth, while academic achievement at a previous time point positively predicted academic self-efficacy at a later time point, it was found that academic helplessness did not significantly predict academic self-efficacy. Based on the results, it was suggested that the academic self-efficacy intervention program is needed as a preventive measure to resolve academic helplessness in middle school students.