Interventions for improving self-efficacy in patients after stroke based on self-efficacy-related principles of Bandura’s cognition theory: a systematic review and meta-analysis

Ouyang, Rangge; Long, Yi; Zhang, Jack Jiaqi; Cao, Zeng

doi:10.1080/10749357.2023.2172832

Cited by 10 publications

(4 citation statements)

References 41 publications

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“…37 Given the critical role of self-efficacy in health-related behaviors of patients with CHD and its moderate level, effective interventions targeting improving patiens' self-efficacy are needed, including vicarious learning through observing and modeling the behavior of others who can adhere to the health-related behavior, and support of professionals or family members based on any one of four principles (Mastery, Modeling, Social persuasion, and Understanding) of Bandura's cognition theory. 38 Our research findings indicated that patients' disease-related knowledge affects one's attitudes towards health-related behaviors, and is crucial for inducing changes in individual's health-related behaviors. 39,40 Therefore, the significant impact of disease-related knowledge on patients' adherence to health behaviors must be considered.…”

Section: Discussionmentioning

confidence: 69%

“… 37 Given the critical role of self-efficacy in health-related behaviors of patients with CHD and its moderate level, effective interventions targeting improving patiens’ self-efficacy are needed, including vicarious learning through observing and modeling the behavior of others who can adhere to the health-related behavior, and support of professionals or family members based on any one of four principles (Mastery, Modeling, Social persuasion, and Understanding) of Bandura’s cognition theory. 38 …”

Section: Discussionmentioning

confidence: 99%

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Perceived Determinants of Health-Related Behaviors Among Patients with Coronary Heart Disease After Percutaneous Coronary Intervention: A Longitudinal Qualitative Study

Su,

Zhang,

Zhou

et al. 2024

PPA

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Purpose Studies had reported some influencing factors of health behavior among patients with coronary heart disease(CHD) after percutaneous coronary intervention(PCI). However, considering that human perceptions are complex, unrestricted and dynamically changing. A longitudinal qualitative study was conducted to explore the determinants of health-related behaviors of patients after PCI and dynamic changes of these determinants at the 1st, 3rd, and 6th months. Patients and Methods Using purposive sampling, 18 patients undergoing PCI were interviewed. The conventional content analysis method was used to identify categories and subcategories. Semi-structured, face-to-face or telephone in-depth interviews were conducted at the cardiology unit of a tertiary referral hospital in Yunnan Province, China from March 2022 to January 2023. Results Seven categories with some subcategories were constructed from the data, categorized into three domains. Firstly, individual factors include (i) Personal coping with healthy lifestyle requirements (tried but failed; I can do it), (ii) individual perception and feeling toward disease (knowing about the disease; belief of cure; fears of relapse), and (iii) personal benefits (improved health; meaning of life). Secondly, social factors include (i) social facilitators (family resources; healthcare support), (ii) social barriers (inconvenient medical care service; conflicting information). Finally, cultural factors include (i) way of living (dietary habits; key roles of yan (cigarette) and jiu (alcohol) in Chinese society), (ii) way of thinking (fatalism and Confucian familism). Conclusion The determinants of health-related behaviors of patients after PCI are multifaceted and dynamic. Different interventions should be formulated to promote patients’ adherence to health behaviors. Moreover, priority should be given to the impact of traditional Chinese philosophy on the health behaviors of patients after PCI, and the health promotion program for these patients should be culturally sensitive. In addition, future research should further explore the determinants of health behaviors among diverse ethnic minorities after PCI, which has not been fully inquired in this study.

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Section: Discussionmentioning

confidence: 69%

Section: Discussionmentioning

confidence: 99%

Perceived Determinants of Health-Related Behaviors Among Patients with Coronary Heart Disease After Percutaneous Coronary Intervention: A Longitudinal Qualitative Study

Su,

Zhang,

Zhou

et al. 2024

PPA

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“…To achieve success with interventions targeting behaviour change, it is crucial to systematically and rigorously design and develop the intervention, with a strong theoretical foundation as the basis. We previously developed a behaviour change intervention using social cognitive theory-a universally accepted and widely adopted theoretical framework for promoting behaviour change among people with stroke [15,16]. Social cognitive theory employs the concept of 'triadic reciprocal determinism,' which asserts that each behaviour is influenced by the relationship between personal factors such as cognition and mood, environmental factors like peer influence and societal norms, and the behaviour itself [17].…”

Section: Background and Rationalementioning

confidence: 99%

The whole day matters after stroke: Study protocol for a randomized controlled trial investigating the effect of a ‘sit less, move more, sleep better’ program early after stroke

Okusanya,

Ezeugwa,

Khan

et al. 2023

PLoS ONE

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Background Movement-related behaviours, including prolonged sedentary behaviour, physical inactivity, and poor sleep, are associated with worse functional outcomes poststroke. Addressing these co-dependent behaviours early after stroke may help to optimize recovery and improve overall quality of life for individuals with stroke. Objective This study aims to determine the feasibility and effect of a ‘sit less, move more, sleep better’ program early after stroke on functional mobility and global disability outcomes, while also exploring imaging and behavioural markers that may influence walking recovery. Methods The study is an assessor-blinded, single-center, parallel-group, randomized controlled trial to be completed within 24 months from July 12, 2023 to June 30, 2025. We will enroll 50 patients with acute ischemic stroke within 7 days from symptom onset, aged 18 years or older, and with ongoing walking goals. Demographic and stroke characteristics, including stroke risk factors, neuroimaging, and acute stroke treatments, will be determined and documented. All participants will wear an accelerometer for one week at three different time-points (baseline, 6, and 12 weeks) to assess movement-related behaviours. Following randomization, participants in the intervention arm will receive a ‘sit less, move more, sleep better’ program for up to 1 hour/day, 5 days/week, for 6 weeks to enhance self-efficacy for change. Participants in the control arm will receive usual inpatient and early supported stroke discharge care. The feasibility outcomes will include reach (enrolled/eligible), retention (completed/enrolled), adverse events, and program adherence. Other outcomes at 6 and 12 weeks include the modified Rankin Scale, Timed-Up and Go, movement-related behaviours, walking endurance, gait speed, cognition, stroke severity and quality of life. Mixed-effects models will assess changes in outcomes over time. Compositional associations between movement-related behaviours and outcomes will consider covariates such as imaging markers. Discussion Adopting a whole-day approach to poststroke rehabilitation will provide valuable insights into the relationship between optimizing movement-related behaviours early after stroke and their impact on functional outcomes. Through exploring person-specific behavioural and imaging markers, this study may inform precision rehabilitation strategies, and guide clinical decision making for more tailored interventions. Trial registration Clinical Trial registration (ClinicalTrials.gov Identifier: NCT05753761, March 3, 2023).

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“…Accurately assessing self-efficacy after a stroke is crucial for gaining valuable insights into the factors contributing to successful rehabilitation or hindering progress in achieving functional and goal-oriented outcomes [11,13,15]. Such information may direct rehabilitation efforts toward areas of utmost importance to individuals and identify activities where self-efficacy may be lower.…”

Section: Introductionmentioning

confidence: 99%

The Swedish Stroke Self-Efficacy Questionnaire: translation and cross-cultural adaptation

Klockar,

Kylén,

McCarthy

et al. 2024

J Patient Rep Outcomes

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Objective To translate and cross-culturally adapt the Stroke Self-Efficacy Questionnaire (SSEQ) from English to Swedish and to evaluate psychometric properties of the questionnaire. Methods A cross-sectional study design, where the translation followed a process including initial translation, synthesis, backward translation, expert committee, and pretest. Content validity was assessed using Content validity index (CVI). Psychometric assessments included floor-ceiling effects and internal consistency. Results Language and cultural congruence were achieved, and content validity index scores were high (0.923-1). The psychometric evaluations provided acceptable outcomes concerning internal consistency, with Cronbach’s alpha scores for the total scale (0.902), the activities subscale (0.861) and the self-management subscale (0.818) respectively. Ceiling effects were evident, but no floor effects. Conclusion This study found the Swedish version of the SSEQ promising as a tool for assessment of self-efficacy in a Swedish stroke care setting, although further psychometric assessments are recommended in future studies.

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Interventions for improving self-efficacy in patients after stroke based on self-efficacy-related principles of Bandura’s cognition theory: a systematic review and meta-analysis

Cited by 10 publications

References 41 publications

Perceived Determinants of Health-Related Behaviors Among Patients with Coronary Heart Disease After Percutaneous Coronary Intervention: A Longitudinal Qualitative Study

Perceived Determinants of Health-Related Behaviors Among Patients with Coronary Heart Disease After Percutaneous Coronary Intervention: A Longitudinal Qualitative Study

The whole day matters after stroke: Study protocol for a randomized controlled trial investigating the effect of a ‘sit less, move more, sleep better’ program early after stroke

The Swedish Stroke Self-Efficacy Questionnaire: translation and cross-cultural adaptation

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