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Measuring Exercise Self-Efficacy After Stroke: Validity and Reliability of Current Measures.

Karl Espernberger1, Natalie A Fini, Allison Ezzat

  • 1La Trobe University, School of Allied Health, Human Services and Sport, Melbourne, Victoria, Australia (K.E., A.E., and C.L.P.); Physiotherapy Department, Donvale Rehabilitation Hospital, Donvale, Victoria, Australia (K.E.); Department of Physiotherapy, Melbourne School of Health Sciences, The University of Melbourne, Melbourne, Victoria, Australia (N.A.F.); Department of Physical Therapy, University of British Columbia, Vancouver, Canada (A.E.); and Allied Health, The Royal Melbourne Hospital, Parkville, Victoria, Australia (C.L.P.).

Journal of Neurologic Physical Therapy : JNPT
|October 18, 2024
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Summary

The Self-Efficacy for Exercise Scale (SEE) is a reliable and valid tool for measuring exercise self-efficacy in stroke survivors. This finding helps improve physical activity levels in this population.

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Area of Science:

  • Rehabilitation Medicine
  • Neuroscience
  • Psychology

Background:

  • Physically capable stroke survivors often exhibit low physical activity levels.
  • Low self-efficacy is a significant contributing factor to inactivity post-stroke.
  • Existing self-efficacy measures lack established validity and reliability in stroke survivors.

Purpose of the Study:

  • To evaluate the test-retest reliability and construct validity of three self-efficacy scales: SEE, SCI-ESES, and PS-SES.
  • To identify the most appropriate measure for assessing exercise self-efficacy in stroke survivors.

Main Methods:

  • A repeated measures study involving 51 community-dwelling, independently mobile adult stroke survivors.
  • Test-retest reliability assessed using intraclass correlation coefficients (ICCs) and Bland-Altman analyses.
  • Construct validity evaluated against hypotheses related to physical activity, comorbidities, and functional measures.

Main Results:

  • The SEE (ICC=0.77) and PS-SES (ICC=0.78) demonstrated good test-retest reliability; SCI-ESES (ICC=0.68) did not.
  • The SEE met 75% of construct validity hypotheses, while PS-SES and SCI-ESES did not.
  • Higher self-efficacy correlated positively with daily steps, functional capacity, and participation in work or volunteering.

Conclusions:

  • The Self-Efficacy for Exercise Scale (SEE) is the most suitable tool for measuring exercise self-efficacy in independently mobile chronic stroke survivors.
  • Established reliability and validity of the SEE can aid in interventions to increase physical activity in this population.