Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke: a prospective investigation.

Abstract:

OBJECTIVES:The objectives of this prospective study, undertaken in elderly patients with stroke undergoing rehabilitation, were to determine to what extent fall-related self-efficacy changes over time, its relationships to objectively assessed functions and activities, and the predictive capacity of self-efficacy at discharge for activities of daily living 10 months after stroke. METHODS:The study comprised 37 patients, aged 66-89 years. Main outcome measurement instruments were the Falls Efficacy Scale (Swedish version), Berg Balance Scale and Functional Independence Measure. RESULTS:Significant improvements occurred in all these measures from admission to discharge, but patients with low self-efficacy at discharge showed less pronounced improvements than those with high self-efficacy. Falls Efficacy Scale (Swedish version) was closely associated with all other measures and was a more powerful predictor of activities of daily living than the observer-based measures of balance. CONCLUSION:To minimize dependence in activities of daily living, rehabilitation interventions should incorporate self-efficacy enhancement.

journal_name

J Rehabil Med

authors

Hellström K,Lindmark B,Wahlberg B,Fugl-Meyer AR

doi

10.1080/16501970310000836

subject

Has Abstract

pub_date

2003-09-01 00:00:00

pages

202-7

issue

5

eissn

1650-1977

issn

1651-2081

journal_volume

35

pub_type

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