Social participation mediates the relationship between self-efficacy and loneliness among people with stroke during COVID-19: a cross-sectional study.
| Autor: | Lee S; Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA., Randolph SB; Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA., Baum CM; Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.; Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA.; Brown School of Social Work, Washington University, St. Louis, MO, USA., Nicholas ML; Department of Communication Sciences and Disorders, MGH Institute of Health Professions, Boston, MA, USA., Connor LT; Program in Occupational Therapy, Washington University School of Medicine, St. Louis, MO, USA.; Department of Neurology, Washington University School of Medicine, St. Louis, MO, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Topics in stroke rehabilitation [Top Stroke Rehabil] 2024 Sep; Vol. 31 (6), pp. 585-594. Date of Electronic Publication: 2024 Feb 12. |
| DOI: | 10.1080/10749357.2024.2312639 |
| Abstrakt: | Background: People post-stroke experience increased loneliness, compared to their healthy peers and loneliness may have increased during COVID due to social distancing. How social distancing affected loneliness among people after stroke is unknown. Bandura's self-efficacy theory suggests that self-efficacy may be a critical component affecting individuals' emotions, behaviors, attitudes, and interpretation of everyday situations. Additionally, previous studies indicate that self-efficacy is associated with both loneliness and social participation. This study investigates relationships among self-efficacy, social participation, and loneliness in people with stroke. Objectives: Determine how social participation affects the relationship between self-efficacy and loneliness in people with stroke during the COVID-19 pandemic. Methods: 44 participants were community-dwelling individuals, ≥ 6 months post-stroke who participated in a 2-hour phone interview. A regression-based mediation analysis was conducted using these measures: Participation Strategies Self-Efficacy Scale, Activity Card Sort for social participation, and UCLA Loneliness Scale for loneliness. Results: The total effect of self-efficacy on loneliness was significant ( b = -0.36, p = .01). However, social participation fully mediated the relationship between self-efficacy and loneliness (indirect effect, b = -0.11, 95% CI [-0.24, -0.01]; direct effect, b = -0.25, 95% CI [-0.03, 0]). Conclusions: Self-efficacy is associated with both social participation and loneliness in people with stroke in this cross-sectional study. Mediation analysis findings suggest that interventions focused on increasing social participation may prevent or potentially alleviate loneliness in people with stroke who have low self-efficacy. |
| Databáze: | MEDLINE |
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