Article

The purpose of this review is to examine (1) the influence of
self-efficacy on rehabilitation outcomes post-stroke, and (2) the evidence to
support self-management interventions based on self-efficacy principals for
stroke survivors. METHOD: Medline, Embase, Psychlit,
Web of Science, AMED and
Cochrane Databases for systematic reviews databases were searched for relevant
articles in English between 2000 and ending in July 2009.
Articles included (1)
primary research testing relationships between self-efficacy and rehabilitation
outcomes including the measuring impairment and activity or participation in a
stroke population, and (2) research testing efficacy and effectiveness of
self-management interventions designed specifically for a stoke population in
which the principle theoretical framework is self-efficacy or a similar control
cognition. Methodological quality appraisal and data extraction was carried out
by two reviewers. RESULTS:
Of the 104 articles that were identified by the
search, 22 met the criteria to be included in the review. There is evidence that
self-efficacy is an important variable associated with various outcomes
post-stroke. These outcomes include quality of life or perceived health status,
depression, ADL and, to a certain extent, physical functioning. Further empirical
evidence is needed to extend these findings, and to determine whether
self-efficacy has additional predictive value over and beyond the objective
measures of impairment. There is also emerging evidence of benefits to be gained
from programmes that target self-management based on self-efficacy principles;
however, the optimal format of delivering these interventions for stroke survivors is not clear. CONCLUSIONS: There is a need for researchers, to work
together with other stakeholders to develop and test interventions that can
support self-management skills and confidence to make continued progress after
stroke. This could help to reduce some of the negative consequences of stroke
such as reduced quality of life and social isolation.
CI - (c) 2011 Informa UK, Ltd.

Langue : ANGLAIS