In clients with arthritis, which aspect of the overall occupational therapy intervention plan is the MOST crucial?

• A. Self-efficacy
• B. Splinting
• C. Compliance with the independent home exercise program
• D. Instruction in compensatory strategies for ADL management

Answer: (A)

Self-efficacy—the client’s belief in their ability to manage tasks and control symptoms—is the key driver of successful outcomes in arthritis OT. When a person feels confident they can perform the necessary exercises, use prescribed splints, and apply strategies to daily activities, they are more likely to engage consistently, persist through pain or fatigue, and adapt as needed. This belief influences adherence to a home exercise program, willingness to wear a splint, and adoption of compensatory techniques for ADLs. Without sufficient self-efficacy, even well-designed interventions may be underutilized, limiting functional gains. Therefore, fostering and sustaining self-efficacy through achievable progress, positive reinforcement, and visible improvements is central to the intervention plan.