Maujean Annick, Davis Penelope, Kendall Elizabeth, Casey Leanne, Loxton Natalie
Centre for National Research on Disability Rehabilitation Medicine, School of Human Services and Social Work, Griffith University , Australia .
Disabil Rehabil. 2014;36(6):504-11. doi: 10.3109/09638288.2013.804592. Epub 2013 Jun 19.
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.
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.
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.
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.
开发并检验日常生活自我效能量表（DLSES）的心理测量特性，该量表旨在评估中风幸存者在日常生活功能方面的自我效能。
招募了两组参与者（N = 424），一组是中风幸存者组（n = 259），通过澳大利亚的两个中风协会招募；另一组是非中风组（n = 165），包括中风幸存者的伴侣/照顾者（n = 93）以及澳大利亚昆士兰州的社区成员（n = 72）。采用主成分分析（PCA）来评估量表的因子结构，并进行内部一致性、重测信度、收敛效度和区分效度的调查。
最终的量表包含12个项目，由两个子量表组成：心理社会功能自我效能和日常生活活动自我效能。该量表具有较高的内部一致性、时间稳定性和收敛效度，并且在中风组和非中风组之间有良好的区分度。
DLSES是一种在心理测量学上合理的量表，可用于评估中风幸存者在心理社会功能和日常生活活动方面的自我效能，无论其身体损伤程度如何。对康复的意义 中风后可能影响预后的一个关键因素是中风幸存者对其日常生活功能能力的自我效能水平。DLSES提供了一种对这种能力的测量方法，可能有助于加强对回归社区的准备。DLSES评估了日常生活两个重要功能领域的自我效能——日常生活活动和心理社会功能。这种新的测量方法可应用于任何身体损伤性质或程度的中风患者。
