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Validation of the State-Trait Hopelessness Scale in Stroke Survivors
Jill Rye1,2, Lynn L White1,3, Angela Kroeze Visser4
1Augustana University, Sioux Falls, SD.
Summary
The State-Trait Hopelessness Scale (STHS) is reliable and valid for assessing hopelessness in stroke survivors. This tool can help guide interventions to improve patient outcomes.
Area of Science:
- Psychometric evaluation
- Rehabilitation nursing
- Clinical psychology
Background:
- Hopelessness is a significant concern in stroke survivors.
- Accurate assessment tools are crucial for effective intervention.
- The State-Trait Hopelessness Scale (STHS) needed validation in this population.
Purpose of the Study:
- To establish the reliability and validity of the STHS.
- To assess the STHS's suitability for stroke survivors.
- To determine if STHS can identify hopelessness in this group.
Main Methods:
- A three-phase validation study was conducted.
- Content and face validity were assessed by experts and survivors.
- Psychometric testing involved comparing STHS with Beck Hopelessness Scale (BHS) in 95 survivors.
Main Results:
- The STHS demonstrated good internal consistency (State α=0.78; Trait α=0.89).
- Scale structure was confirmed via principal component analyses.
- Correlation with BHS (r=0.17-0.21) indicated related but distinct constructs.
Conclusions:
- The STHS is a promising tool for identifying hopelessness in stroke survivors.
- Findings support the STHS's use in clinical practice.
- The scale may aid in developing targeted interventions to enhance recovery.
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