Validation of the Participation Strategies Self-Efficacy Scale (PS-SES)

Abstract

Purpose: To develop and examine the psychometric properties of a newly developed Participation Strategies Self-Efficacy Scale (PS-SES) designed to assess self-efficacy in using participation strategies following a stroke.

Method: One hundred and sixty-six subjects with mild to moderate stroke were recruited and interviewed using the PS-SES. The principal axis factoring analysis was run to examine the factor structure, and internal consistency was assessed by computing Cronbach’s alpha coefficient.

Results: The final measure is a 35-item scale with six subscales: (1) managing home participation, (2) staying organized, (3) planning and managing community participation, (4) managing work/productivity, (5) managing communication, and (6) advocating for resources. The instrument demonstrated high internal consistency.

Conclusion: The PS-SES is a reliable measure offering unique information regarding self-efficacy in managing participation.

Implications for Rehabilitation

• Post-stroke participation requires complex management of resources, information, and strategies.

• There is a gap in instruments that can assess self-efficacy in managing participation following a stroke.

• The PS-SES is a valid tool measuring self-efficacy in using participation strategies in home, work, and community contexts.

Keywords:

• Assessment
• mild stroke
• confidence
• self-management
• participation
• Likert scale

Disclosure statement

The authors report no conflicts of interest.

Funding

This research is supported by the National Institute on Disability and Rehabilitation Research, within the Rehabilitation Research and Training Center on enhancing the functional and employment outcomes of individuals who experience a stroke # H133B080031.