Article

This study attempts to determine a causal relationship among balance
self-efficacy, balance, and activities of daily living (ADL) in community
residents with stroke. METHOD: A cross-sectional descriptive correlation study
was conducted with a convenience sample comprising 105 stroke patients living in
the community. Data were collected using self-reporting questionnaires, including
the Activities-specific Balance Confidence (ABC) scale and the Korean version of
the Modified Barthel Index (K-MBI). The Berg Balance Scale was used to measure
balance ability. A path model was tested to investigate the causal relations
between variables, using the AMOS 17.0 statistical program to analyze the models,
to obtain maximum-likelihood estimates of model parameters and to provide
goodness-of-fit indices. RESULTS: The proposed path model showed good fit
indices. The direct path was significant between balance self-efficacy and
balance (0.583), between balance and ADL (0.455). The indirect path was
significant between balance self-efficacy and ADL (0.015). CONCLUSION: Our
results support the link between balance efficacy, balance, and ADL in stroke
patients. The proposed conceptual model was a good fit for the data and provided
a plausible framework for understanding the relationship among these factors in
stroke patients. Our model may also guide the intervention of functional
rehabilitation for stroke patients. IMPLICATIONS FOR REHABILITATION: Balance
self-efficacy, a psychological factor, should not be overlooked in attempting to
improve functional outcomes in stroke survivors because balance self-efficacy
impact ADL through the mediation of balance ability It would be appropriate to
assess the balance efficacy as well as balance ability for maximizing performing
tasks such as ADLs for individual with stroke Interventions that use a
combination of balance training and balance self-efficacy enhancement could be
the most effective for improving ADL in the case of community-dwelling stroke
patients.

Langue : ANGLAIS