. Life satisfaction and self-efficacy in patients affected by a first stroke living in Kuwait: A two-phase study. Physiotherapy Theory and Practice, 29(6), 443-456.
AbstractLife satisfaction and self-efficacy are important aspects of stroke rehabilitation. Previous research focuses on Western stroke survivors, neglecting the stroke experience in the Middle East. This research was conducted in Kuwait, and entailed both quantitative and qualitative phases to obtain a more comprehensive, clinically relevant understanding of self-efficacy and life satisfaction during stroke rehabilitation in this culture. The aims were firstly to investigate relationships between self-efficacy and life satisfaction in female patients affected by stroke (Phase 1), and secondly, to explore health professionals' views regarding the importance of self-efficacy and possible strategies for enhancing self-efficacy during rehabilitation, through semi-structured interviews (Phase2). Significant correlations were found between patients' general self-efficacy, and psychosocial adaptation self-efficacy following stroke. Self-efficacy (both general and psychosocial adaptation) showed significant correlations with life satisfaction poststroke. Health professionals (more than half of whom were physiotherapists) recognized the importance of self-efficacy within stroke rehabilitation and identified five main ways to increase self-efficacy during stroke rehabilitation. These were to: motivate and encourage patients, provide more education about stroke and rehabilitation, identify change, offer a high quality environment and therapy, and set goals. In conclusion, psychosocial self-efficacy was identified as having a stronger relationship to life 2 satisfaction compared with general self-efficacy within this sample of Kuwaiti female patients. Health professionals suggested various strategies for enhancing self-efficacy and thereby life satisfaction post-stroke during the rehabilitation process in Kuwait.Despite the collectivist culture of Kuwait, the findings indicate that patient's own confidence and sense of responsibility for progress may be relevant to rehabilitation.