Self-efficacy and self-management after stroke: a systematic review

Fiona Jones, Afsane Riazi
2010 Disability and Rehabilitation  
Purpose: The purpose of this review is to examine: 1) the influence of self-efficacy on rehabilitation outcomes post stroke, and 2) the evidence to support self-management interventions based on self-efficacy principals for stroke survivors. Method: Medline, Embase, Psychlit, Web of Science, AMED and Cochrane Databases for systematic reviews databases were searched for relevant articles in English between 2000 and ending in July 2009:. Articles included 1. Primary research testing relationships
more » ... sting relationships between self-efficacy and rehabilitation outcomes including those measuring impairment, activity or participation in a stroke population. and 2. Research testing efficacy and effectiveness of self-management interventions designed specifically for a stoke population in which the principle theoretical framework is self-efficacy or a similar control cognition. Methodological quality appraisal and data extraction was carried out by two reviewers. Results : Of the 104 articles that were identifies by the search, 22 met the criteria to be included in the review. There is evidence that self-efficacy is an important variable associated with various outcomes post stroke. These outcomes include quality of life or perceived health status, depression, ADL, and to a certain extent, physical functioning. Further empirical evidence is needed to extend these findings, and to determine whether self-efficacy has additional predictive value over and beyond objective measures of impairment. There is also emerging evidence of benefits to be gained from programmes that target self management based on self efficacy principles; however the optimal format of delivering these interventions for stroke survivors is not clear. Conclusions There is a need for researchers, to work together with other stakeholders to develop and test interventions which can support self-management skills and confidence to
doi:10.3109/09638288.2010.511415 pmid:20795919 fatcat:escuunbra5hbrlgcop5rx2y45i