Self-efficacy and Walking Performance in Persons With Multiple Sclerosis

Area of Science:

• Neurology
• Rehabilitation Science
• Psychology

Background:

• Walking impairment is a significant challenge for individuals with multiple sclerosis (MS).
• Self-efficacy, a modifiable factor, is a potential target for improving walking outcomes in MS.
• Limited research has explored the relationship between self-efficacy and walking performance in MS.

Purpose of the Study:

• To investigate the association between self-efficacy and objective walking performance in persons with MS.
• To determine if specific aspects of self-efficacy predict walking performance measures.

Main Methods:

• A cross-sectional study involving 69 individuals with MS.
• Participants completed the Multiple Sclerosis Self-Efficacy (MSSE) Scale and Exercise Self-Efficacy (EXSE) Scale.
• Walking performance was assessed using the Timed 25-Foot Walk (T25FW) and 6-Minute Walk (6MW) tests.

Main Results:

• The MSSE function subscale showed a stronger correlation with T25FW (r=0.55) and 6MW (r=0.67) compared to other scales.
• The MSSE function subscale significantly predicted variance in T25FW speed and 6MW distance.
• Self-efficacy for functioning with MS emerged as a key predictor of walking performance.

Conclusions:

• This study provides initial evidence linking self-efficacy for functioning with MS to objective walking performance.
• Findings suggest that interventions targeting self-efficacy may enhance walking outcomes in MS rehabilitation.
• Further research is recommended to confirm and expand upon these associations.