Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3 , Pages 364-370 , March 2006

Balance Self-Efficacy and Its Relevance to Physical Function and Perceived Health Status After Stroke

Presented, in part, to the Canadian Physiotherapy Association Congress, May 28, 2005, Victoria, BC, Canada.

  • Nancy M. Salbach, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
    • Corresponding Author InformationCorrespondence to Nancy M. Salbach, PhD, Dept of Physical Therapy, University of Toronto, 160-500 University Ave, Toronto, ON M5G 1V7, Canada. Reprints are not available from the author.
  • ,
  • Nancy E. Mayo, PhD

      Affiliations

    • School of Physical and Occupational Therapy, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
    • Faculty of Medicine, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
  • ,
  • Sylvie Robichaud-Ekstrand, PhD

      Affiliations

    • Faculty of Nursing, University of Montreal, Montreal, QC, Canada
  • ,
  • James A. Hanley, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
    • Faculty of Medicine, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
  • ,
  • Carol L. Richards, PhD

      Affiliations

    • Rehabilitation Department, Laval University, Quebec City, QC, Canada
    • Interdisciplinary Research Centre for Rehabilitation and Social Integration, Rehabilitation Institute of Quebec, Quebec City, QC, Canada
  • ,
  • Sharon Wood-Dauphinee, PhD

      Affiliations

    • Department of Epidemiology and Biostatistics, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
    • School of Physical and Occupational Therapy, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada
    • Faculty of Medicine, McGill University, Montreal, QC; Division of Clinical Epidemiology, Royal Victoria Hospital, Montreal, QC, Canada

References 

  1. Bandura A . Self-efficacy (the exercise of control) . New York: WH Freeman; 1997;
  2. Salbach NM , Mayo NE , Robichaud-Ekstrand S , Hanley JA , Richards CL , Wood-Dauphinee S . The effect of a task-oriented walking intervention on improving balance self-efficacy poststroke (a randomized, controlled trial) . [published erratum in: J Am Geriatr Soc 2005;53:1450] J Am Geriatr Soc . 2005;53:576–582
  3. Hellstrom K , Lindmark B . Fear of falling in patients with stroke (a reliability study) . Clin Rehabil . 1999;13:509–517
  4. Hellstrom K , Lindmark B , Fugl-Meyer A . The Falls-Efficacy Scale, Swedish version (does it reflect clinically meaningful changes after stroke?) . Disabil Rehabil . 2002;24:471–481
  5. Hellstrom K , Lindmark B , Wahlberg B , Fugl-Meyer AR . Self-efficacy in relation to impairments and activities of daily living disability in elderly patients with stroke (a prospective investigation) . J Rehabil Med . 2003;35:202–207
  6. Hellstrom K , Nilsson L , Fugl-Meyer AR . Relationship of confidence in task performance with balance and motor function after stroke . Physiother Theory Pract . 2001;17:55–65
  7. Rodriquez AA , Black PO , Kile KA , et al.   Gait training efficacy using a home-based practice model in chronic hemiplegia . Arch Phys Med Rehabil . 1996;77:801–805
  8. Marigold DS , Eng JJ , Dawson AS , Inglis JT , Harris JE , Gylfadottir S . Exercise leads to faster postural reflexes, improved balance and mobility, and fewer falls in older persons with chronic stroke . J Am Geriatr Soc . 2005;53:416–423
  9. World Health Organization . International classification of functioning, disability and health (ICF) . Geneva: WHO; 2001;
  10. Finch E , Brooks D , Stratford PW , Mayo N . Physical rehabilitation outcome measures . 2nd ed.. Hamilton: BC Decker; 2002;
  11. Myers AM , Fletcher PC , Myers AH , Sherk W . Discriminative and evaluative properties of the Activities-specific Balance Confidence (ABC) Scale . J Gerontol A Biol Sci Med Sci . 1998;53:M287–M294
  12. Myers AM , Powell LE , Maki BE , Holliday PJ , Brawley LR , Sherk W . Psychological indicators of balance confidence (relationship to actual and perceived abilities) . J Gerontol A Biol Sci Med Sci . 1996;51:M37–M43
  13. Mendes de Leon CF , Seeman TE , Baker DI , Richardson ED , Tinetti ME . Self-efficacy, physical decline, and change in functioning in community-living elders (a prospective study) . J Gerontol B Psychol Sci Soc Sci . 1996;51:S183–S190
  14. Li FZ , McAuley E , Fisher KJ , Harmer P , Chaumeton N , Wilson NL . Self-efficacy as a mediator between fear of falling and functional ability in the elderly . J Aging Health . 2002;14:452–466
  15. Lajoie Y , Girard A , Guay M . Comparison of the reaction time, the Berg Scale and the ABC in non-fallers and fallers . Arch Gerontol Geriatr . 2002;35:215–225
  16. Lajoie Y , Gallagher SP . Predicting falls within the elderly community (comparison of postural sway, reaction time, the Berg balance scale and the Activities-specific Balance Confidence (ABC) scale for comparing fallers and non-fallers) . Arch Gerontol Geriatr . 2004;38:11–26
  17. Tinetti ME , Richman D , Powell L . Falls efficacy as a measure of fear of falling . J Gerontol . 1990;45:239–243
  18. O’Brien Cousins S , Tan M . Sources of efficacy for walking and climbing stairs among older adults . Phys Occup Ther Geriatr . 2002;20:51–68
  19. Grembowski D , Patrick D , Diehr P , et al.   Self-efficacy and health behavior among older adults . J Health Soc Behav . 1993;34:89–104
  20. Clark DO . Exercise self-efficacy and its correlates among socioeconomically disadvantaged older adults . Health Educ Behav . 1999;26:535–546
  21. Cumming RG , Salkeld G , Thomas M , Szonyi G . Prospective study of the impact of fear of falling on activities of daily living, SF-36 scores, and nursing home admission . J Gerontol A Biol Sci Med Sci . 2000;55:M299–M305
  22. Stewart KJ , Kelemen MH , Ewart CK . Relationships between self-efficacy and mood before and after exercise training . J Cardiopulm Rehabil . 1994;14:35–42
  23. Cheng TY , Boey KW . The effectiveness of a cardiac rehabilitation program on self-efficacy and exercise tolerance . Clin Nurs Res . 2002;11:10–21
  24. Hickey ML , Owen SV , Froman RD . Instrument development (cardiac diet and exercise self-efficacy) . Nurs Res . 1992;41:347–351
  25. Sullivan MD , LaCroix AZ , Russo J , Katon WJ . Self-efficacy and self-reported functional status in coronary heart disease (a six-month prospective study) . Psychosom Med . 1998;60:473–478
  26. Ruiz BA , Dibble SL , Gilliss CL , Gortner SR . Predictors of general activity 8 weeks after cardiac surgery . Appl Nurs Res . 1992;5:59–65
  27. Allen JK , Becker DM , Swank RT . Factors related to functional status after coronary-artery bypass-surgery . Heart Lung . 1990;19:337–343
  28. Gormley JM , Carrieri-Kohlman V , Douglas MK , Stulbarg M . Treadmill self-efficacy and walking performance in patients with COPD . J Cardiopulm Rehabil . 1993;13:424–431
  29. Atkins CJ , Kaplan RM , Timms RM , Reinsch S , Lofback K . Behavioral exercise programs in the management of chronic obstructive pulmonary disease . J Consult Clin Psychol . 1984;52:591–603
  30. Robinson-Smith G , Johnston MV , Allen J . Self-care self-efficacy, quality of life, and depression after stroke . Arch Phys Med Rehabil . 2000;81:460–464
  31. Miller WC , Speechley M , Deathe AB . Balance confidence among people with lower-limb amputations . Phys Ther . 2002;82:855–856
  32. Salbach NM , Mayo NE , Wood-Dauphinee S , Hanley JA , Richards CL , Cote R . A task-orientated intervention enhances walking distance and speed in the first year post stroke (a randomized controlled trial) . Clin Rehabil . 2004;18:509–519
  33. Roccaforte WH , Burke WJ , Bayer BL , Wengel SP . Validation of a telephone version of the Mini-Mental State Examination . J Am Geriatr Soc . 1992;40:697–702
  34. Gibbons WJ , Fruchter N , Sloan S , Levy RD . Reference values for a multiple repetition 6-minute walk test in healthy adults older than 20 years . J Cardiopulm Rehabil . 2001;21:87–93
  35. Butland RJ , Pang J , Gross ER , Woodcock AA , Geddes DM . Two-, six-, and 12-minute walking tests in respiratory disease . Br Med J (Clin Res Ed) . 1982;284:1607–1608
  36. Powell LE , Myers AM . The Activities-specific Balance Confidence (ABC) Scale . J Gerontol A Biol Sci Med Sci . 1995;50:M28–M34
  37. Yesavage JA , Brink TL , Rose TL , et al.   Development and validation of a geriatric depression screening scale (a preliminary report) . J Psychiatr Res . 1983;17:37–49
  38. Berg K , Wood-Dauphinee S , Williams JI , Gayton D . Measuring balance in the elderly (preliminary development of an instrument) . Physiother Can . 1989;41:304–311
  39. Salbach NM , Mayo NE , Higgins J , Ahmed S , Finch LE , Richards CL . Responsiveness and predictability of gait speed and other disability measures in acute stroke . Arch Phys Med Rehabil . 2001;82:1204–1212
  40. Podsiadlo D , Richardson S . The timed “Up & Go” (a test of basic functional mobility for frail elderly persons) . J Am Geriatr Soc . 1991;39:142–148
  41. Holden MK , Gill KM , Magliozzi MR , Nathan J , Piehl-Baker L . Clinical gait assessment in the neurologically impaired (Reliability and meaningfulness) . Phys Ther . 1984;64:35–40
  42. Mahoney FI , Barthel DW . Functional evaluation (the Barthel index) . Md St Med J . 1965;14:61–65
  43. Ware JE , Sherbourne CD . The MOS 36-item Short-Form Health Survey (SF-36): I. Conceptual framework and item selection . Med Care . 1992;30:473–481
  44. The EuroQol Group . EuroQol—a new facility for the measurement of health-related quality of life . Health Policy . 1990;16:199–208
  45. Brooks R . EuroQol (the current state of play) . Health Policy . 1996;37:53–72
  46. Dorman PJ , Waddell F , Slattery J , Dennis M , Sandercock P . Is the EuroQol a valid measure of health-related quality of life after stroke? . Stroke . 1997;28:1876–1882
  47. Colton T . Statistics in medicine . Boston: Little, Brown; 1974;
  48. Hopman WM , Towheed T , Anastassiades T , et al.  Canadian Multicentre Osteoporosis Study Research Group   Canadian normative data for the SF-36 health survey . CMAJ . 2000;163:265–271
  49. Clark DO . Age, socioeconomic status, and exercise self-efficacy . Gerontologist . 1996;36:157–164
  50. Bosscher RJ , Van Der AA , Van Dasler M , Deeg DJ , Smit JH . Physical performance and physical self-efficacy in the elderly (A pilot study) . J Aging Health . 1995;7:459–475
  51. Gecas V . The social-psychology of self-efficacy . Ann Rev Sociol . 1989;15:291–316
  52. Froman RD , Owen SV . Infant care self-efficacy . Scholar Inq Nurs Pract . 1989;3:199–211
  53. Bandura A . Self-efficacy (toward a unifying theory of behavioral change) . Psychol Rev . 1977;84:191–215
  54. Bandura A . Exercise of personal and collective efficacy in changing societies . In:  Bandura A editors. Self-efficacy in changing societies . Cambridge: Cambridge Univ Pr; 1995;p. 1–45
  55. Tinetti ME , Mendes de Leon CF , Doucette JT , Baker DI . Fear of falling and fall-related efficacy in relationship to functioning among community-living elders . J Gerontol . 1994;49:M140–M147
  56. Streiner DL , Norman GR . Health measurement scales (a practical guide to their development and use) . Oxford: Oxford Univ Pr; 1995;

 Supported by the Canadian Institutes of Health Research, the Quebec Réseau Provincial de Recherche en Adaptation-Réadaptation, the Heart and Stroke Foundation of Canada, and the Canadian Stroke Network.No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the authors or upon any organization with which the authors are associated.

PII: S0003-9993(05)01422-X

doi: 10.1016/j.apmr.2005.11.017

Archives of Physical Medicine and Rehabilitation
Volume 87, Issue 3 , Pages 364-370 , March 2006