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Updated: Jun 24, 2025
Computerized Adaptive Testing System of Functional Assessment of Stroke
Published on: January 7, 2019
The Swedish Stroke Self-Efficacy Questionnaire: translation and cross-cultural adaptation
Erika Klockar1, Maya Kylén2,3, Linnea McCarthy2
1School of Health and Welfare, Dalarna University, Högskolegatan 2, Falun, Sweden. eko@du.se.
Objective:
To translate and cross-culturally adapt the Stroke Self-Efficacy Questionnaire (SSEQ) from English to Swedish and to evaluate psychometric properties of the questionnaire.
Methods:
A cross-sectional study design, where the translation followed a process including initial translation, synthesis, backward translation, expert committee, and pretest. Content validity was assessed using Content validity index (CVI). Psychometric assessments included floor-ceiling effects and internal consistency.
Results:
Language and cultural congruence were achieved, and content validity index scores were high (0.923-1). The psychometric evaluations provided acceptable outcomes concerning internal consistency, with Cronbach's alpha scores for the total scale (0.902), the activities subscale (0.861) and the self-management subscale (0.818) respectively. Ceiling effects were evident, but no floor effects.
Conclusion:
This study found the Swedish version of the SSEQ promising as a tool for assessment of self-efficacy in a Swedish stroke care setting, although further psychometric assessments are recommended in future studies.
