Determinants of satisfaction with community reintegration in older adults with chronic stroke: Role of balance self-efficacy
Determinants of satisfaction with community reintegration in older adults with chronic stroke: Role of balance self-efficacy
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DOI：
10.2522/ptj.20060142
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发表时间：
2007-03-01
期刊：
影响因子：
3.2
通讯作者：
Miller, William C.
中科院分区：
文献类型：
--
作者：
Pang, Marco Y. C.;Eng, Janice J.;Miller, William C.
Background and Purpose Many people with stroke have a low level of satisfaction with community reintegration. Although previous studies focused on the effect of physical factors on community reintegration, the effect of psychological factors, such as balance self-efficacy, has been ignored. The purpose of this study was to determine the contribution of balance self-efficacy to satisfaction with community reintegration in older adults with chronic stroke.Subjects A sample of 63 community-dwelling older adults (50 years of age or older) with chronic stroke (onset of 1 year or more) participated in this study.Methods This study involved a secondary analysis of data collected from a stroke exercise clinical trial. Satisfaction with community reintegration was measured with the Reintegration to Normal Living (RNL) Index, and balance self-efficacy was measured with the Activities-specific Balance Confidence (ABC) Scale.Results Bivariate correlation analyses showed that the RNL Index scores were moderately correlated with the ABC Scale scores. In a multiple regression analysis, after adjusting for age, sex, depression, and other impairments after stroke, balance self-efficacy remained independently associated with the RNL Index scores, accounting for 6.5% of the variance in the RNL Index scores.Discussion and Conclusion Balance self-efficacy is an independent predictor of satisfaction with community reintegration in older adults with chronic stroke. Improving balance self-efficacy may be instrumental in enhancing community reintegration in this population.
