Article

OBJECTIVE: To examine psychometric properties of the Utrecht Proactive Coping
Competence scale (UPCC) and explore relations of proactive coping with
health-related quality of life (HRQOL) and characteristics of patients with
stroke. DESIGN: Cross-sectional study. Reliability and convergent validity, and
associations with HRQOL and characteristics of patients with stroke were
examined. SETTING: Inpatient and outpatient settings of hospitals and
rehabilitation centers in The Netherlands. PARTICIPANTS: Patients with stroke
(N=55; mean age, 58.7+/-12.8y; mean months since stroke, 25.0+/- 38.5).
INTERVENTIONS: Not applicable. MAIN OUTCOME MEASURES: UPCC, Utrecht Coping List
(UCL), and the short Stroke Specific Quality of Life scale (SS-QOL-12). RESULTS:
The UPCC showed excellent reliability (Cronbach's alpha=.95) without
floor/ceiling effects or skewed score distribution. Convergent validity was shown
by moderate positive relations with the UCL subscale active problem solving
(r=.38) and moderate negative relations with the UCL subscales passive reactions
(r=-.50), avoidance (r=-.40), and expression of emotions (r=-.42). Correlations
between the UPCC and HRQOL domains were moderate to strong (r=.48-.61) and
stronger than those between UCL subscales and HRQOL domains. The only
characteristic of patients with stroke associated with proactive coping was time
after stroke (r=-.52). CONCLUSIONS: The UPCC appears reliable and valid for
patients with stroke. Moreover, we found positive associations between proactive
coping and HRQOL. Future research is recommended to confirm our results and to
explore ways to enhance proactive coping in patients with stroke.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS