Association between participation self-efficacy and participation in stroke survivors
Abstract Background Most stroke survivors face restrictions in functional disability and social participation, which can impede their recovery and community reintegration. Participation self-efficacy refers to survivors’ confidence in using strategies to manage participation in areas including commu...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2022-09-01
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| Series: | BMC Neurology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12883-022-02883-z |
| _version_ | 1828235511128391680 |
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| author | Suzanne H S Lo Janita P C Chau Simon K Y Lam Ravneet Saran Kai Chow Choi Jie Zhao David R. Thompson |
| author_facet | Suzanne H S Lo Janita P C Chau Simon K Y Lam Ravneet Saran Kai Chow Choi Jie Zhao David R. Thompson |
| author_sort | Suzanne H S Lo |
| collection | DOAJ |
| description | Abstract Background Most stroke survivors face restrictions in functional disability and social participation, which can impede their recovery and community reintegration. Participation self-efficacy refers to survivors’ confidence in using strategies to manage participation in areas including community living and work engagement. This study aimed to assess the association between participation self-efficacy and participation among stroke survivors. Methods This study adopted a cross-sectional correlational design with a convenience sample of 336 stroke survivors recruited from five hospitals in China. Participation self-efficacy was measured using the Chinese version of the Participation Strategies Self-Efficacy Scale (PS-SES-C) and participation measured using the Chinese version of the Reintegration to Normal Living Index (RNLI-C). The association between participation self-efficacy and participation was examined using multiple regression analysis with adjustment for potential confounders. Results Participants had a mean age of 69.9 ± 11.5 years, with most (81.6%) having an ischaemic stroke, and more than half (61.6%) a first-ever stroke. After adjustment for potential confounders, every 10-point increase in the PS-SES-C total score was significantly associated with an average 1.3-point increase in the RNLI-C total score (B = 1.313, SE = 0.196, p < 0.001). Conclusions This study demonstrates that participation self-efficacy is significantly associated with participation among Chinese community-dwelling survivors of a mild or moderate stroke. This suggests that rehabilitation programmes for stroke survivors may be more effective if they incorporate participation-focused strategies designed to enhance self-efficacy. (229 words). |
| first_indexed | 2024-04-12T20:16:00Z |
| format | Article |
| id | doaj.art-6299df2e19e6412a92657db1ea30c6dd |
| institution | Directory Open Access Journal |
| issn | 1471-2377 |
| language | English |
| last_indexed | 2024-04-12T20:16:00Z |
| publishDate | 2022-09-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Neurology |
| spelling | doaj.art-6299df2e19e6412a92657db1ea30c6dd2022-12-22T03:18:08ZengBMCBMC Neurology1471-23772022-09-012211910.1186/s12883-022-02883-zAssociation between participation self-efficacy and participation in stroke survivorsSuzanne H S Lo0Janita P C Chau1Simon K Y Lam2Ravneet Saran3Kai Chow Choi4Jie Zhao5David R. Thompson6Nethersole School of Nursing, Faculty of Medicine, Chinese University of Hong KongNethersole School of Nursing, Faculty of Medicine, Chinese University of Hong KongNethersole School of Nursing, Faculty of Medicine, Chinese University of Hong KongNethersole School of Nursing, Faculty of Medicine, Chinese University of Hong KongNethersole School of Nursing, Faculty of Medicine, Chinese University of Hong KongNethersole School of Nursing, Faculty of Medicine, Chinese University of Hong KongSchool of Nursing and Midwifery, Queen’s University BelfastAbstract Background Most stroke survivors face restrictions in functional disability and social participation, which can impede their recovery and community reintegration. Participation self-efficacy refers to survivors’ confidence in using strategies to manage participation in areas including community living and work engagement. This study aimed to assess the association between participation self-efficacy and participation among stroke survivors. Methods This study adopted a cross-sectional correlational design with a convenience sample of 336 stroke survivors recruited from five hospitals in China. Participation self-efficacy was measured using the Chinese version of the Participation Strategies Self-Efficacy Scale (PS-SES-C) and participation measured using the Chinese version of the Reintegration to Normal Living Index (RNLI-C). The association between participation self-efficacy and participation was examined using multiple regression analysis with adjustment for potential confounders. Results Participants had a mean age of 69.9 ± 11.5 years, with most (81.6%) having an ischaemic stroke, and more than half (61.6%) a first-ever stroke. After adjustment for potential confounders, every 10-point increase in the PS-SES-C total score was significantly associated with an average 1.3-point increase in the RNLI-C total score (B = 1.313, SE = 0.196, p < 0.001). Conclusions This study demonstrates that participation self-efficacy is significantly associated with participation among Chinese community-dwelling survivors of a mild or moderate stroke. This suggests that rehabilitation programmes for stroke survivors may be more effective if they incorporate participation-focused strategies designed to enhance self-efficacy. (229 words).https://doi.org/10.1186/s12883-022-02883-zSocial participation, Self-efficacyStrokeStroke rehabilitation |
| spellingShingle | Suzanne H S Lo Janita P C Chau Simon K Y Lam Ravneet Saran Kai Chow Choi Jie Zhao David R. Thompson Association between participation self-efficacy and participation in stroke survivors BMC Neurology Social participation, Self-efficacy Stroke Stroke rehabilitation |
| title | Association between participation self-efficacy and participation in stroke survivors |
| title_full | Association between participation self-efficacy and participation in stroke survivors |
| title_fullStr | Association between participation self-efficacy and participation in stroke survivors |
| title_full_unstemmed | Association between participation self-efficacy and participation in stroke survivors |
| title_short | Association between participation self-efficacy and participation in stroke survivors |
| title_sort | association between participation self efficacy and participation in stroke survivors |
| topic | Social participation, Self-efficacy Stroke Stroke rehabilitation |
| url | https://doi.org/10.1186/s12883-022-02883-z |
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