Enhancing Activities of Daily Living for Stroke Patients Based on The Self-efficacy Program: A Quasi-experimental Study

Abstract

Self-efficacy enhancing intervention has been widely applied whereas it is essential need the program to apply all sources of self-efficacy integrated with providing information and adapted skills for continuum care and by involvement of the family caregiver. This was a quasi-experimental study aimed to investigate the effect of a self-efficacy program on self-efficacy to perform ADL and independence in ADL in stroke patients. Forty stroke patients from neurology wards engaged in the study. The participants in the experimental group received the self-efficacy program for six weeks. This involved hospital session (60-minute meetings in the two days before participants discharge) and follow-up session (10 to 20-minute discussion in week 2, 3, 4, 5, and 6). Participants were measured for self-efficacy to perform ADL by Modified Self-Efficacy Stroke Questionnaire and independence in ADL by the Functional Assessment Measure across four-time measures. A mixed-design Repeated-Measures ANOVA was used to analysis the data. The study showed that there were a significant difference in self-efficacy to perform ADL and independence in ADL between the experimental and control group and changed across four-time measures. The self-efficacy to perform ADL and independence in ADL of participants across four-time measures in the experimental group were higher than in the control group. The self-efficacy program showed its effectiveness to promote self-efficacy to perform ADL and independence in ADL for stroke patients. All interventions should apply in the continuum care of nursing practice and the findings provide advance practice nurses and research reference in neuroscience in enhancing their professional competence.