Key result
Older age (OR 1.05), depressive symptoms (OR 1.09), higher BMI (OR 1.15), fear (OR 1.06), and low physical activity (OR 1.49) were significantly associated with low self-efficacy.
Why the study?
Levels of self-efficacy for health-related behaviour change and its correlates had not been sufficiently characterized in patients with TIA or ischemic stroke.
What are the levels of self-efficacy for health-related behaviour change and its correlates in patients with TIA or ischemic stroke?
Cohort (n=92)
What are the levels of self-efficacy for health-related behaviour change and its correlates in patients with TIA or ischemic stroke?
Patients with recent TIA or ischemic stroke generally report high self-efficacy for behavior change, but older age, depression, higher BMI, and fear correlate with lower self-efficacy, highlighting targets for support interventions.
Answers are grounded in this paper and cite their sources.
Correlates of self-efficacy in TIA/stroke patients may guide support strategies; leaves open whether modifying them improves outcomes.
OBJECTIVE: To assess levels of self-efficacy for health-related behaviour change and its correlates in patients with TIA or ischemic stroke. METHODS: In this prospective cohort study, 92 patients with TIA or ischemic stroke completed questionnaires on self-efficacy for health-related behaviour change and fear, social support and depressive symptoms. Relations between fear, social support, depressive symptoms, cognitive impairment, vascular risk factors and history and demographic characteristics and low-self-efficacy were studied with univariable and multivariable logistic regression. RESULTS: Median total self-efficacy score at baseline was 4 (IQR 4-5). Older age (OR 1.05, 95% CI 1.01-1.09), depressive symptoms (OR 1.09, 95% CI 1.03-1.16), presence of vascular history (OR 2.42, 95% CI 0.97-6.03), higher BMI (OR 1.15, 95% CI 1.01-1.30), fear (OR 1.06, 95% CI 1.01-1.12) and low physical activity (OR 1.49, 95% CI 1.01-2.21) were significantly associated with low self-efficacy. CONCLUSION: Patients with recent TIA or ischemic stroke report high self-efficacy scores for health-related behaviour change. Age, vascular history, more depressive symptoms, higher BMI, less physical activity and fear were correlates of low self-efficacy levels. PRACTICE IMPLICATIONS: These correlates should be taken into account in the development of interventions to support patients in health behaviour change after TIA or ischemic stroke.
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Brouwer‐Goossensen et al. (2018) conducted a cohort in TIA or ischemic stroke (n=92). Depressive symptoms, older age, higher BMI, fear, and low physical activity was evaluated on Low self-efficacy for health-related behaviour change (OR 1.09, 95% CI 1.03-1.16). Older age (OR 1.05), depressive symptoms (OR 1.09), higher BMI (OR 1.15), fear (OR 1.06), and low physical activity (OR 1.49) were significantly associated with low self-efficacy.
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