Background

Mobility is a major determinant of social participation after stroke and the relationship between the two may be mediated by participation self-efficacy.

Objective

To investigate the hypothesis that participation self-efficacy mediates the association between mobility and social participation among stroke survivors.

Methods

A secondary data analysis of a cross-sectional study aiming to validate the Chinese version of the Participation Strategies Self-Efficacy Scale was conducted. Three hundred and thirty-six stroke survivors were recruited. With mobility as the predictor variable and social participation as the outcome, path analysis was utilized to assess the mediating effect of participation self-efficacy on the association between the two factors.

Results

Mobility was significantly associated with social participation (B=2.773, p<0.001) and participation self-efficacy (B=6.060, p<0.001). After adjusting for mobility, participation self-efficacy was significantly associated with social participation. The association between mobility and social participation was mediated by participation self-efficacy.

Conclusions

When aiming to improve stroke survivor community reintegration, interventions targeted at boosting participation self-efficacy must be considered given its beneficial mediatory effect on mobility and social participation.

中文翻译：

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参与自我效能感在脑卒中幸存者的活动能力和社会参与之间的关联中起中介作用

背景

活动能力是卒中后社会参与的主要决定因素，两者之间的关系可能通过参与自我效能感介导。

客观的

调查参与自我效能感介导中风幸存者的流动性和社会参与之间的关联的假设。

方法

对旨在验证中文版参与策略自我效能量表的横断面研究进行了二次数据分析。招募了三百三十六名中风幸存者。以流动性为预测变量，社会参与为结果，利用路径分析评估参与自我效能感对两因素关联的中介作用。

结果

流动性与社会参与（B=2.773，p<0.001）和参与自我效能（B=6.060，p<0.001）显着相关。在调整流动性后，参与自我效能感与社会参与显着相关。流动性和社会参与之间的关联是由参与自我效能感介导的。

结论

当旨在改善中风幸存者社区重新融入社会时，必须考虑旨在提高参与自我效能的干预措施，因为它对流动性和社会参与具有有益的中介作用。