Article

PURPOSE: To develop and examine the psychometric properties of the Daily Living
Self-Efficacy Scale (DLSES) designed to assess stroke survivors' self-efficacy in
daily functioning. METHOD: Two groups of participants (N = 424) were recruited, a
stroke survivor group (n = 259) who were recruited through two stroke
associations in Australia and a non-stroke group (n = 165) who were the
partners/carers of the stroke survivors (n = 93) and members of the community in
Queensland, Australia (n = 72). Principal Component Analyses (PCA) were used to
assess the factor structure of the scale and investigations of internal
consistency, test-retest reliability, convergent and discriminant validity were
conducted. RESULTS: The final measure is a 12-item scale comprising two
subscales: self-efficacy for psychosocial functioning and self-efficacy for
activities of daily living. The scale demonstrated high internal consistency,
temporal stability and convergent validity, and it discriminated well between the
stroke and non-stroke groups. CONCLUSION: The DLSES is a psychometrically sound
measure of self-efficacy in psychosocial functioning and self-efficacy in
activities of daily living appropriate for stroke survivors, regardless of level
of physical impairment. Implications for Rehabilitation A key factor that may
influence outcome following a stroke is the level of self-efficacy that stroke
survivors have in their ability to function in their daily life. The DLSES
provides a measure of this ability that may be useful in enhancing preparation
for the return to the community. The DLSES assesses self-efficacy in two
important areas of daily functioning--activities of daily living and psychosocial
functioning. This new measure can be administered to stroke individuals
regardless of the nature or degree of physical impairment.

Langue : ANGLAIS