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Citation
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Scholten EWM, Ketelaar M, Visser-Meily JMA, Stolwijk-Swüste J, van Nes IJW, Gobets D, POWER Group, Post MWM. Arch. Phys. Med. Rehabil. 2020; ePub(ePub): ePub. |
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Abstract
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OBJECTIVE: To investigate if the combination of self-efficacy levels of persons with spinal cord injury (SCI) or acquired brain injury (ABI) and their significant others, measured shortly after the start of inpatient rehabilitation, predict their personal and family adjustment six months after inpatient discharge.
DESIGN: Prospective longitudinal study.
SETTING: Twelve Dutch rehabilitation centers.
PARTICIPANTS: Volunteer sample consisting of 157 dyads of adult persons with SCI/ABI admitted to inpatient rehabilitation, and their adult significant others.
INTERVENTIONS: Not applicable.
MAIN OUTCOME MEASURES: Self-efficacy (General Competence Scale), personal and family adjustment (Hospital Anxiety and Depression Scale and McMaster Family Assessment Device General Functioning).
RESULTS: In 20 dyads, both persons with SCI/ABI and their significant others showed low self-efficacy at baseline, and in 67 dyads both showed high self-efficacy. In the low-self-efficacy dyads, 61% of the persons with SCI/ABI and 50% of the significant others showed symptoms of anxiety six months after discharge, versus 23% and 30% in the high-self-efficacy dyads. In the low-self-efficacy dyads, 56% of persons with SCI/ABI and 50% of the significant others reported symptoms of depression, versus 20% and 27% in the high-self-efficacy dyads. Problematic family functioning was reported by 53% of the persons with SCI/ABI and 42% of the significant others in the low-self-efficacy dyads, versus 4% and 12% in the high-self-efficacy dyads. MANOVA analyses showed that the combination of levels of self-efficacy of persons with SCI/ABI and their significant others at the start of inpatient rehabilitation predict personal (V=0.12 F(6, 302)=2.8, p=0.010) and family adjustment (V=0.19 F(6, 252)=4.3, p<0.001) six months after discharge.
CONCLUSIONS: Low-self-efficacy dyads seem to be more at risk for personal and family adjustment problems after discharge. Screening for self-efficacy may help healthcare professionals to identify and support families at risk for long-term adjustment problems.
Language: en |