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Volume 9, Pages 924-933
Review Article

Self-Efficacy and the Sense of Coherence: Narrative Review and a Conceptual Synthesis

1School of Medicine, Health Policy, and Practice, University of East Anglia, Norwich NR4 7TJ, UK
2ACU National/St. Vincent's and Mercy Private Hospital, Easthill House, 71 Victoria Parade, Fitzroy, VIC 3065, Australia

Received 3 March 2009; Revised 27 August 2009; Accepted 27 August 2009

Academic Editor: Verity J. Brown

Copyright © 2009 Paul Posadzki and Nel Glass.


In this study, the authors develop an exploratory synthesis of two major health concepts: Antonovsky's sense of coherence and Bandura's beliefs in one's own efficacy. Reinterpretation of each study in the light of the other can lead to greater conceptual development and expand existing knowledge. The mutual themes are presented with an explanation of their contribution to broader conceptual discussions. The existence of some similarities between the two concepts is suggested. Researchers can obtain valuable and additional arguments through cross-fertilization of ideas across presented studies united by shared assumptions. Further research is recommended among various age groups and social backgrounds in order to verify the possible benefits of such theoretical development. Theoretical and practical implications of such a synthesis are presented.