Psychometric Testing of the Turkish Version of the Stroke Self-Efficacy Questionnaire

Abstract

Background When stroke survivors return to their lives in society, they often face issues such as physical or cognitive impairment, dependence on others, social isolation, and reduced self-esteem, which may lead to disastrous consequences in patients' self-perceived self-efficacy and self-confidence in everyday life. Self-efficacy plays an important role in the well-being of stroke patients. Accurate assessment of the stroke patients' self-efficacy by health professionals is critical to obtaining data regarding their functioning levels. Purpose The aim of this study was to evaluate the psychometric properties of the Turkish version of the Stroke Self-Efficacy Questionnaire (T-SSEQ). Methods A sample of 185 stroke patients (mean age = 64.78 ± 10.7) was recruited from a university hospital in Izmir, Turkey. Data were collected between April and October 2016. Translation and back-translation processes were used to translate the T-SSEQ into Turkish. Data were analyzed using the Rasch partial credit model with the Winsteps program to investigate the response scale analysis, tests of fit to the model, unidimensionality, local dependency, item and person separation reliability, separation index, and differential item functioning. Results The Rasch analysis showed goodness of fit for both the activity and self-management subscales. Moreover, both scales were identified as being unidimensional in structure. Furthermore, the participants were able to distinguish between the categories of the response options, and scale reliability was supported for both subscales using Rasch analyses. Conclusions/Implications for Practice These results indicate that the T-SSEQ is acceptable for use with Turkish stroke patients in both practice and research settings. Furthermore, the questionnaire is suitable for nurses to use in designing interventions and evaluating stroke patients' self-efficacy in clinics, home care, and rehabilitation centers.

Relationships between Self-Efficacy and Post-Stroke Activity Limitations, Locomotor Ability, Physical Activity, and Community Reintegration in Sub-Saharan Africa: A Cross-Sectional Study

“…Third, there is a need to expand the validation process of this French version of the SSEQ for its use in a French-speaking context. Like the English [10], Turkish [62], Chinese [63], Portuguese [64], Danish [65], and Hausa [66] versions, it is important to complete the validation process of the SSEQ-F, which, through the results of our study, demonstrated concurrent validity with ACTIVLIM-Stroke (ρ = 0.81; p < 0.001), Abiloco-Benin (ρ = 0.72; p < 0.001), the IPAQ-AF (ρ = 0.65; p < 0.001), and the RNLI (ρ = −0.84; p < 0.001). On this occasion, the reliability and responsiveness will be tested in order to make available a fully validated French version of the SSEQ that can allow the measurement of self-efficacy among stroke patients in French-speaking countries of sub-Saharan Africa.…”

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

“…The questionnaire has undergone Rasch analysis to further evaluate its psychometric properties, and confirmed that the two subscales showed good construct validity and the items yielded satisfying results according to the requirements for Rasch analysis [13]. The SSEQ has been translated into several languages, including Danish, Portuguese, Turkish, Hausa, Italian, Brazilian, Chinese, and Arabic [3,6,9,[17][18][19][20][21][22][23]. These translations have overall been successful in their validation and cross-cultural adaptations.…”

A Validation Study of the Revised Caregiving Burden Instrument in Korean Family Caregivers of Stroke Survivors

“…Due to the sudden-onset nature of strokes, families are faced with a situation where they have to take care of the patient themselves without being fully prepared [ 3 , 4 ]. As most stroke survivors live in the community and require long-term assistance from family, caring for them induces long-term effects in both stroke survivors and their family caregivers [ 5 , 6 ]. The prevalence of caregiver burden has been found to be 25.0–46.0% [ 7 ] and that prevalence remains elevated for an indefinite period following stroke [ 8 , 9 ].…”