Predictors of Self-Efficacy Among People With Spinal Cord Injury During Inpatient Rehabilitation: A Cross-Sectional Study

Yan Li, Wai Tong Chien, Bingqian Zhu, Honggu He, Daniel Bressington

    Research output: Contribution to journalArticlepeer-review

    Abstract

    Purpose: 

    This study aimed to investigate the predictors of self-efficacy among Chinese people with spinal cord injury (SCI). 

    Design: 

    A cross-sectional, descriptive, correlational design was adopted. 

    Methods: 

    121 participants were recruited from two rehabilitation hospitals in Shaanxi, China, from August 2016 to June 2017. The Moorong Self-Efficacy Scale was used to assess participants’ self-efficacy levels. Participants’ sociodemographic or clinical characteristics, functional independence, coping ability (measured using the Brief Coping Orientations to Problems Experienced Inventory), and social support (measured using the Six-item Social Support Questionnaire) were assessed as potential predictors of self-efficacy. A multiple linear regression model was conducted to identify the factors predicting self-efficacy score. 

    Results: 

    The mean age of the participants was 41 (SD 11.9) years and 90% were male. Participants’ mean self-efficacy score was 53.9 (SD 15.7). Multiple linear regression results indicated that injury type (i.e., paraplegia or tetraplegia; β = 0.290, p <.001) and adaptive coping (β = 0.561, p <.001) were significant predictors, accounting for 62% of the variance in self-efficacy scores. Conclusions: Our findings imply that psychosocial interventions that target enhancing various adaptive coping strategies could have positive effects on self-efficacy in people with SCI. Clinical Relevance: Injury type and adaptive coping ability are two key factors related to patients’ self-efficacy post-SCI. Psychosocial interventions that target enhancing various adaptive coping strategies could have positive effects on self-efficacy in people with SCI.

    Original languageEnglish
    Pages (from-to)218-226
    Number of pages9
    JournalJournal of Nursing Scholarship
    Volume53
    Issue number2
    Early online date8 Feb 2021
    DOIs
    Publication statusPublished - Mar 2021

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