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脊髓损伤轮椅依赖精英运动员中,轮式移动量表感知自我效能的信度和效度。

Reliability and validity of perceived self-efficacy in wheeled mobility scale among elite wheelchair-dependent athletes with a spinal cord injury.

机构信息

Faculty of Kinesiology and Rehabilitation Sciences, Department of Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.

出版信息

Disabil Rehabil. 2013 May;35(10):851-9. doi: 10.3109/09638288.2012.712198. Epub 2012 Aug 29.

DOI:10.3109/09638288.2012.712198
PMID:22931383
Abstract

PURPOSE

To study the reliability and validity of the perceived self-efficacy in wheeled mobility scale among elite athletes with a spinal cord injury (SCI).

METHOD

During the Beijing Paralympics, 79 participants with SCI completed the SCI Exercise Self-Efficacy Scale (ESES), the revised Self-Efficacy in Wheeled Mobility scale (SEWM) and the perceived wheeled mobility (WM) at present Visual Analog Scale (VAS). Sample included athletes from 18 countries and subcategorized by gender, lesion level/completeness and type of sports. Reliability and concurrent validity were determined.

RESULTS

SEWM Cronbach's α was 0.905. High internal consistency was confirmed in Split-half correlation coefficient (r = 0.87). Validity was supported by significant correlations between SWEM and ESES total scores (r = 0.64, p < 0.05), and between SEWM and WM VAS scores (r = 0.60; p < 0.001). Subgroups analyses showed that athletes with tetraplegia showed significantly lower WM self-efficacy levels than those with paraplegia. There was a significant difference in perceived WM self-efficacy between athletes who participated in dynamic wheelchair sports and those who participated in non-wheelchair sports (p < 0.03).

CONCLUSIONS

The SEWM is a reliable and valid scale among Paralympic athletes with SCI. Findings confirmed a significantly higher perception of self-efficacy in WM among athletes who participated in dynamic wheelchair sports.

IMPLICATIONS FOR REHABILITATION

• Increased self-efficacy in wheeled mobility (WM) may encourage wheelchair users with spinal cord injury (SCI) to approach, persist, and persevere at WM related tasks that were previously avoided. • The perceived self-efficacy in WM scale (SEWM), which is available on-line in five different languages, may find clinical applications for people with SCI in different countries. • The SEWM can be applied to the assessment of progress in WM levels during the acute rehabilitation phase, and also in structured WM workshops conducted after discharge from the hospital.

摘要

目的

研究脊髓损伤(SCI)精英运动员对轮椅移动自我效能感的感知在轮式移动量表中的可靠性和有效性。

方法

在北京残奥会期间,79 名 SCI 参与者完成了 SCI 运动自我效能感量表(ESES)、修订后的轮椅移动自我效能感量表(SEWM)和目前的轮椅移动感知视觉模拟量表(WM-VAS)。样本包括来自 18 个国家的运动员,并按性别、损伤水平/完整性和运动类型进行了细分。确定了可靠性和同时有效性。

结果

SEWM Cronbach's α 为 0.905。在半分割相关系数(r = 0.87)中确认了高内部一致性。SEWM 与 ESES 总分之间存在显著相关性(r = 0.64,p < 0.05),与 WM-VAS 评分之间存在显著相关性(r = 0.60;p < 0.001),这支持了有效性。亚组分析显示,四肢瘫痪运动员的 WM 自我效能水平明显低于截瘫运动员。参加动力轮椅运动的运动员与不参加轮椅运动的运动员之间的感知 WM 自我效能感存在显著差异(p < 0.03)。

结论

SEWM 是 SCI 残奥会运动员可靠有效的量表。研究结果证实,参加动力轮椅运动的运动员对 WM 的自我效能感更高。

对康复的影响

  • 提高对轮椅移动(WM)的自我效能感可能会鼓励脊髓损伤(SCI)的轮椅使用者接近、坚持和坚持以前避免的与 WM 相关的任务。

  • 感知的 WM 自我效能感量表(SEWM),可在网上以五种不同语言提供,可能会在不同国家的 SCI 患者中找到临床应用。

  • SEWM 可用于评估急性康复阶段 WM 水平的进展,也可用于出院后进行的结构化 WM 研讨会。

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