PMID- 38433459
OWN - NLM
STAT- Publisher
LR  - 20240304
IS  - 1464-5165 (Electronic)
IS  - 0963-8288 (Linking)
DP  - 2024 Mar 3
TI  - Construct validity, responsiveness, minimal detectable change, and minimal 
      clinically important difference of the stroke self-efficacy questionnaire in 
      individuals receiving stroke rehabilitation.
PG  - 1-9
LID - 10.1080/09638288.2024.2324122 [doi]
AB  - PURPOSE: To assess the clinimetric properties of the Stroke Self-Efficacy 
      Questionnaire (SSEQ) and estimate the minimal detectable change (MDC) and minimal 
      clinically important difference (MCID) from the database of our randomized 
      controlled trials (RCT) of individuals receiving stroke rehabilitation. METHODS: 
      We retrieved the pre- and post-intervention scores of the SSEQ and Stroke Impact 
      Scale (SIS) from 80 stroke survivors. The analysis of clinimetric properties was 
      performed using: (1) confirmatory factor analysis and item response theory 
      modeling (IRT) for construct validity; (2) standardized response mean and Glass's 
      delta for responsiveness; (3) MDC based on the standard deviation (SD) or 
      standard error of measurement (SEM) of the SSEQ change scores; (4) MCID 
      determined by the external anchor-SIS; (5) conditional MDC (cMDC) derived from 
      the IRT analysis. RESULTS: There was a bi-factorial construct with excellent 
      model-data fit and marked responsiveness. The MDC determined by the SD and SEM 
      were 1.5 and 3.0, respectively, and the MCIDs were 3.3 and 3.7. CONCLUSIONS: This 
      study confirmed that SSEQ is a valid and reliable assessment tool for patients 
      receiving stroke rehabilitation. We also provided practical threshold values, 
      especially demonstrating the benefit of using individualized cMDC, to help 
      clinicians better interpret the change in the SSEQ scores.
FAU - Wu, Sz-Yan
AU  - Wu SY
AD  - School of Occupational Therapy, National Taiwan University, Taipei, Taiwan.
AD  - Department of Physical Therapy, Chung Shan Medical University, Taichung, Taiwan.
AD  - Physical Therapy Room, Chung Shan Medical University Hospital, Taichung, Taiwan.
FAU - Li, Yi-Chun
AU  - Li YC
AD  - Department of Occupational Therapy, I-Shou University, Kaohsiung, Taiwan.
FAU - Chen, Yu-Wen
AU  - Chen YW
AD  - School of Occupational Therapy, National Taiwan University, Taipei, Taiwan.
AD  - Department of Speech-Language Pathology and Audiology, National Taipei University 
      of Nursing and Health Sciences, Taipei, Taiwan.
FAU - Chen, Chia-Ling
AU  - Chen CL
AD  - Department of Physical Medicine and Rehabilitation, Linkou Chang Gung Memorial 
      Hospital, Taoyuan, Taiwan.
AD  - Graduate Institute of Early Intervention, Chang Gung University, Taoyuan, Taiwan.
FAU - Pan, Hsiao-Chieh
AU  - Pan HC
AD  - Department of Physical Medicine and Rehabilitation, Taipei Hospital, Ministry of 
      Health and Welfare, New Taipei, Taiwan.
FAU - Lin, Keh-Chung
AU  - Lin KC
AD  - School of Occupational Therapy, National Taiwan University, Taipei, Taiwan.
AD  - Division of Occupational Therapy, Department of Physical Medicine and 
      Rehabilitation, National Taiwan University Hospital, Taipei, Taiwan.
FAU - Lau, Hiu-Ying
AU  - Lau HY
AD  - School of Occupational Therapy, National Taiwan University, Taipei, Taiwan.
LA  - eng
PT  - Journal Article
DEP - 20240303
PL  - England
TA  - Disabil Rehabil
JT  - Disability and rehabilitation
JID - 9207179
SB  - IM
OAB - This study indicated that the Stroke Self-Efficacy Questionnaire (SSEQ) is 
      reliable and may involve a bi-factor structure.The SSEQ total scale and the 
      activity domain were highly responsive to change.The self-management domain of 
      the SSEQ was moderately responsive.Using conditional minimal detectable change 
      (cMDC) along with MDC may improve the interpretability of treatment change.
OABL- eng
OTO - NOTNLM
OT  - Psychometric properties
OT  - quality of life
OT  - self-confidence, upper limb training
OT  - self-management
EDAT- 2024/03/04 06:43
MHDA- 2024/03/04 06:43
CRDT- 2024/03/04 01:49
PHST- 2024/03/04 06:43 [medline]
PHST- 2024/03/04 06:43 [pubmed]
PHST- 2024/03/04 01:49 [entrez]
AID - 10.1080/09638288.2024.2324122 [doi]
PST - aheadofprint
SO  - Disabil Rehabil. 2024 Mar 3:1-9. doi: 10.1080/09638288.2024.2324122.