Self-Efficacy to Perform Activities of Daily Living Predicts Independence in Activities of Daily Living in Subacute Stroke Patients

Abstract

This study was purposed to investigate the characteristics of self-efficacy to perform activities of daily living (ADL), characteristics of independence in ADL, and correlation between self-efficacy to perform activities of daily living (ADL) and independence in ADL in subacute stroke patients. The study was a descriptive correlation design. Forty- eight participants were recruited with mean age 57.23 (7.80) years, mean days of stroke onset 6.06 (5.00) days, who diagnosed with ischemic stroke. Modified Stroke Self-Efficacy Questionnaire (MSSEQ) measured self-efficacy to perform ADL and Functional Assessment Measure (FIM+FAM) measured independence in ADL. The influencing variables of participant such as age, gender, BI Score, side stroke and participant knowledge were not significantly correlated to self- efficacy to perform ADL and independence in ADL. The mean score of self-efficacy to perform ADL was at a moderate level (67.7%) and the mean score of independence in ADL was at a moderate dependence (50.5%). A positive and significant modified correlations were found between self-efficacy to perform ADL and independence in ADL (r = .30, p = .05). Self- efficacy to perform ADL predicted 7% of the variance in the independence in ADL. This finding indicates higher self- efficacy to perform ADL of subacute stroke patients contributes to more independence in ADL. The description of initial level of self-efficacy to perform ADL in early phase rehabilitation following stroke as a reference to design continuous intervention to enhance self-efficacy and functional independence for stroke patients.