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 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).

Long-term combined “new sports” and resistance exercise improves the physical and mental health of elderly people with stroke-associated hemiplegia: a randomized controlled trial

“…People affected by chronic stroke often exhibit poor self-esteem, and active participation in rehabilitation can improve self-esteem and QOL [52]. Additionally, self-e cacy plays a crucial role in the rehabilitation and recovery of elderly people affected by chronic stroke because higher levels of self-e cacy are linked to setting and achieving more ambitious self-goals [53]. A study showed that intensive nursing care improved the RSES by 14% in elderly people with depression [54], while another study reported that 8 weeks of exercise increased RSES in stroke patients by 15% [55].…”