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Predictors of Self‐Efficacy Among People With Spinal Cord Injury During Inpatient Rehabilitation: A Cross‐Sectional Study
Author(s) -
Li Yan,
Chien Wai Tong,
Zhu Bingqian,
He Honggu,
Bressington Daniel
Publication year - 2021
Publication title -
journal of nursing scholarship
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.009
H-Index - 80
eISSN - 1547-5069
pISSN - 1527-6546
DOI - 10.1111/jnu.12632
Subject(s) - psychosocial , self efficacy , spinal cord injury , coping (psychology) , rehabilitation , psychological intervention , clinical psychology , social support , medicine , physical therapy , stepwise regression , tetraplegia , psychology , descriptive statistics , psychiatry , spinal cord , statistics , mathematics , psychotherapist
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.