Predictive utility of self-efficacy in early stroke rehabilitation.
| Autor: | Vaughn RM; Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Gangwani R; Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.; Human Movement Science Curriculum, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Mark JI; Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.; Human Movement Science Curriculum, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Fletcher K; UNC Health, Chapel Hill, NC, USA., Baratta JM; UNC Health, Chapel Hill, NC, USA.; Department of Physical Medicine and Rehabilitation, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA., Cassidy JM; Department of Health Sciences, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Topics in stroke rehabilitation [Top Stroke Rehabil] 2024 Sep 18, pp. 1-9. Date of Electronic Publication: 2024 Sep 18. |
| DOI: | 10.1080/10749357.2024.2403806 |
| Abstrakt: | Introduction: A biopsychosocial approach entailing person-centered factors provides valuable insight to post-stroke rehabilitation potential. The consideration of an individual's belief in their capabilities, known as self-efficacy, may prove especially informative in the inpatient rehabilitation setting where motor learning often occurs. Objective: To assess the predictive utility of self-efficacy in functional independence status change during inpatient rehabilitation. Methods: Individuals with stroke admitted to an inpatient rehabilitation facility (IRF) completed an assessment battery near IRF admission and discharge involving motor assessments, participant-reported self-efficacy (Stroke Self-Efficacy Questionnaire), and functional independence status evaluation (sum of self-care and mobility Quality Indicators (QI) from the IRF-Patient Assessment Instrument). Linear regression was performed to determine the predictive performance of self-efficacy on QI change during IRF stay while accounting for age, time post-stroke, and IRF length of stay. Regression procedures were repeated for separate subgroups based on initial motor impairment level. Results: Thirty individuals with stroke (14 females, age = 67.0 ± 9.80 years, 10.4 ± 3.46 days post-stroke) were enrolled. Self-efficacy at IRF admission explained a significant percentage of variance in QI Change for the cohort (R 2 = 30.7%, p = .001) and for the moderate to severe motor impairment subgroup ( n = 12; R 2 = 49.9%, p = .010). After accounting for confounders, self-efficacy remained a significant predictor for the cohort ( n = 30) model. Discussion: Findings generated from this work support the predictive utility of self-efficacy in early post-stroke motor recovery. The inclusion of self-efficacy in a multi-faceted evaluation framework may therefore optimize rehabilitation outcomes by providing therapists with additional knowledge to better tailor an individual's care. |
| Databáze: | MEDLINE |
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