A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B)
Autor(a) principal: | |
---|---|
Data de Publicação: | 2021 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Biblioteca Digital de Teses e Dissertações da PUC_RS |
Texto Completo: | https://tede2.pucrs.br/tede2/handle/tede/10471 |
Resumo: | Importance: Stroke stands out as the second leading cause of death in the world. Its incidence doubles every decade after the age of 55, occupying a prominent position among the elderly population. Considering the possible neurological sequelae, it is necessary to evaluate all its dimensions. Self-efficacy, which is the conviction of a person being able to perform a specific task, is an important mediator in post-stroke. The Stroke Self-Efficacy Questionnaire (SSEQ) measures domain-specific self-efficacy in stroke survivors. Objective: To evaluate the reliability and validity of The Stroke Self-Efficacy Questionnaire Brazil (SSEQ b) in relation to the purposes of the original scale. Material and methods: A cross-sectional study was carried out to assess reliability, structure validation through factor analysis and convergent validation of the SSEQ-B using the Frenchay Activity Index (FAI), the Barthel Index (BI) and The Stroke Specific Quality of Life Scale (SS-QOL) in stroke survivors born in Brazil and residing in the states of Rio Grande do Sul or São Paulo. Results: 115 stroke survivors with a mean age of 66.7±14.2 years were included in the study in the structural validity test. Internal consistency presents a Cronbach's Alpha (αC) of 0.829. The exploratory factor analysis using the scree plot criterion demonstrated a model with two factors, activity (Q2,Q3,Q4,q5,Q6,Q7,Q8) and self-management (Q1,Q9,Q10,Q11,Q12eQ13), compatible with the version original of the questionnaire and with other cross-cultural adaptations of the SSEQ. Confirmatory factor analysis also suggested the three-factor model, with distribution in factor 1 (Q5,Q6,Q7,Q8,Q12), factor 2 (Q1,Q9,Q10,Q11,Q13); and factor 3 (Q2,Q3,Q4). Both models with subscales showed evidence of good construct validity, however, the bifactorial structure demonstrates greater clinical plausibility. In the convergent validation process, 75 stroke survivors aged 66.64 ± 12.97 years were included. The total SSEQ-B scores were significantly correlated with the FAI (ICC = 0.8 / r = 0.72 / 1-ß = 1.0), BI (ICC = 0.68 / r = 0.68 / 1 -ß = 0.99) and SS-QOL (ICC = 0.46 / r = 0.65 / 1-ß = 0.94), which suggests that stroke self-efficacy is associated with instrumental activities and daily living .Conclusion: The bifactorial model is suggested through the validation of the SSEQ-B structure, where the adjustment indices showed acceptable levels. It shows a good convergent validation with the instruments of daily and instrumental activities of living, and seems to be useful in the assessment of self-efficacy in stroke survivors residing in Brazil. |
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Mestriner, Régis Gemerascahttp://lattes.cnpq.br/1475439425044370Urbanetto, Janete Souzahttp://lattes.cnpq.br/8935137454685552http://lattes.cnpq.br/7055853324034072Deon, Pedro Henrique2022-09-16T14:17:13Z2021-08-31https://tede2.pucrs.br/tede2/handle/tede/10471Importance: Stroke stands out as the second leading cause of death in the world. Its incidence doubles every decade after the age of 55, occupying a prominent position among the elderly population. Considering the possible neurological sequelae, it is necessary to evaluate all its dimensions. Self-efficacy, which is the conviction of a person being able to perform a specific task, is an important mediator in post-stroke. The Stroke Self-Efficacy Questionnaire (SSEQ) measures domain-specific self-efficacy in stroke survivors. Objective: To evaluate the reliability and validity of The Stroke Self-Efficacy Questionnaire Brazil (SSEQ b) in relation to the purposes of the original scale. Material and methods: A cross-sectional study was carried out to assess reliability, structure validation through factor analysis and convergent validation of the SSEQ-B using the Frenchay Activity Index (FAI), the Barthel Index (BI) and The Stroke Specific Quality of Life Scale (SS-QOL) in stroke survivors born in Brazil and residing in the states of Rio Grande do Sul or São Paulo. Results: 115 stroke survivors with a mean age of 66.7±14.2 years were included in the study in the structural validity test. Internal consistency presents a Cronbach's Alpha (αC) of 0.829. The exploratory factor analysis using the scree plot criterion demonstrated a model with two factors, activity (Q2,Q3,Q4,q5,Q6,Q7,Q8) and self-management (Q1,Q9,Q10,Q11,Q12eQ13), compatible with the version original of the questionnaire and with other cross-cultural adaptations of the SSEQ. Confirmatory factor analysis also suggested the three-factor model, with distribution in factor 1 (Q5,Q6,Q7,Q8,Q12), factor 2 (Q1,Q9,Q10,Q11,Q13); and factor 3 (Q2,Q3,Q4). Both models with subscales showed evidence of good construct validity, however, the bifactorial structure demonstrates greater clinical plausibility. In the convergent validation process, 75 stroke survivors aged 66.64 ± 12.97 years were included. The total SSEQ-B scores were significantly correlated with the FAI (ICC = 0.8 / r = 0.72 / 1-ß = 1.0), BI (ICC = 0.68 / r = 0.68 / 1 -ß = 0.99) and SS-QOL (ICC = 0.46 / r = 0.65 / 1-ß = 0.94), which suggests that stroke self-efficacy is associated with instrumental activities and daily living .Conclusion: The bifactorial model is suggested through the validation of the SSEQ-B structure, where the adjustment indices showed acceptable levels. It shows a good convergent validation with the instruments of daily and instrumental activities of living, and seems to be useful in the assessment of self-efficacy in stroke survivors residing in Brazil.Introdução: O acidente vascular cerebral (AVC) destaca-se como a segunda maior causa de morte no mundo. A sua incidência dobra a cada década após os 55 anos, ocupando posição de destaque entre a população idosa. Considerando as possíveis sequelas neurológicas, se faz necessário avaliar todas as suas dimensões. A autoeficácia, que é a convicção de uma pessoa ser capaz de realizar uma tarefa específica, é um mediador importante no pós-AVC. A The Stroke Self-Efficacy Questionnaire (SSEQ) mede a autoeficácia em domínios específicos no sobrevivente de AVC. Objetivo: Avaliar a confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) em relação aos propósitos da escala original. Material e métodos: Foi realizado um estudo transversal para avaliação de confiabilidade, validação de estrutura através da análise fatorial e a validação concorrente do SSEQ-B utilizando o Frenchay Activity Index (FAI), o Índice de Barthel (BI) e a The Stroke Specific Quality of Life Scale (SS-QOL) em sujeitos sobreviventes do AVC nascidos no Brasil e residentes nos estados do Rio Grande do Sul ou São Paulo. Resultados: 115 sobreviventes de AVC com idade média de 66,7±14.2 anos foram incluídos no estuado no teste de validade estrutural. A consistência interna apresenta Alpha de Cronbach (αC) de 0,829. A análise fatorial exploratória utilizando o critério scree plot demonstrou um modelo com dois fatores, atividade (Q2,Q3,Q4,q5,Q6,Q7,Q8) e autogestão (Q1,Q9,Q10,Q11,Q12eQ13), compatível com a versão original do questionário e com outras adaptações transculturais do SSEQ. A análise fatorial confirmatória também sugeriu o modelo trifatorial, com distribuição em fator 1 (Q5,Q6,Q7,Q8,Q12), fator 2 (Q1,Q9,Q10,Q11,Q13); e fator 3 (Q2,Q3,Q4). Os dois modelos com as subescalas mostraram evidências de boa validade de construto, entretanto, a estrutura bifatorial demonstra maior plausibilidade clínica. No processo de validação concorrente, 75 sobreviventes de AVC com idade de 66,64 ± 12,97 anos foram incluídos. Os escores totais do SSEQ-B foram significativamente correlacionados com o FAI (ICC = 0,8 / r = 0,72 / 1-ß = 1,0), BI (ICC = 0,68 / r = 0,68 / 1-ß = 0,99) e SS-QOL (ICC = 0,46 / r = 0,65 / 1-ß = 0,94), o que sugere que a autoeficácia do AVC está associada às atividades instrumentais e de vida diária. Conclusão: O modelo bifatorial é sugerido através da validação de estrutura da SSEQ-B, onde os índices de ajustamento demonstraram níveis aceitáveis. Exibe uma boa validação concorrente com os instrumentos de atividades de vida diárias e instrumentais, parecendo ser útil na avalição da autoeficácia em sobreviventes de AVC residentes no Brasil.Submitted by PPG Gerontologia Biomédica (geronbio@pucrs.br) on 2022-09-06T12:17:00Z No. of bitstreams: 1 Pedro - Tese.pdf: 3747029 bytes, checksum: 09822b7fd263aed260efeef035c28de0 (MD5)Approved for entry into archive by Caroline Xavier (caroline.xavier@pucrs.br) on 2022-09-16T14:13:25Z (GMT) No. of bitstreams: 1 Pedro - Tese.pdf: 3747029 bytes, checksum: 09822b7fd263aed260efeef035c28de0 (MD5)Made available in DSpace on 2022-09-16T14:17:13Z (GMT). No. of bitstreams: 1 Pedro - Tese.pdf: 3747029 bytes, checksum: 09822b7fd263aed260efeef035c28de0 (MD5) Previous issue date: 2021-08-31application/pdfhttps://tede2.pucrs.br/tede2/retrieve/185474/TES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf.jpgporPontifícia Universidade Católica do Rio Grande do SulPrograma de Pós-Graduação em Gerontologia BiomédicaPUCRSBrasilInstituto de Geriatria e GerontologiaEnvelhecimentoAcidente Vascular CerebralAvaliação de Processos e ResultadosIncapacidade e SaúdeAgingStrokeEvaluation of Processes and ResultsDisability and HealthCIENCIAS DA SAUDE::MEDICINAA confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B)info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/doctoralThesisTrabalho será publicado como artigo ou livro60 meses16/09/202789696450708863641606005005002296420844541114010-969369452308786627info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da PUC_RSinstname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSTHUMBNAILTES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf.jpgTES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf.jpgimage/jpeg4120https://tede2.pucrs.br/tede2/bitstream/tede/10471/4/TES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf.jpgaa36ae3e5595aee51eb748bdd08071c8MD54TEXTTES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf.txtTES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf.txttext/plain2241https://tede2.pucrs.br/tede2/bitstream/tede/10471/3/TES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf.txt5b11b3e984f9723f3b6c135d64cf92cdMD53ORIGINALTES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdfTES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdfapplication/pdf499802https://tede2.pucrs.br/tede2/bitstream/tede/10471/2/TES_PEDRO_HENRIQUE_DEON_CONFIDENCIAL.pdf9d0334cce9de3f2397ad725bb52c6d57MD52LICENSElicense.txtlicense.txttext/plain; charset=utf-8590https://tede2.pucrs.br/tede2/bitstream/tede/10471/1/license.txt220e11f2d3ba5354f917c7035aadef24MD51tede/104712022-09-16 12:00:12.286oai:tede2.pucrs.br:tede/10471QXV0b3JpemE/P28gcGFyYSBQdWJsaWNhPz9vIEVsZXRyP25pY2E6IENvbSBiYXNlIG5vIGRpc3Bvc3RvIG5hIExlaSBGZWRlcmFsIG4/OS42MTAsIGRlIDE5IGRlIGZldmVyZWlybyBkZSAxOTk4LCBvIGF1dG9yIEFVVE9SSVpBIGEgcHVibGljYT8/byBlbGV0cj9uaWNhIGRhIHByZXNlbnRlIG9icmEgbm8gYWNlcnZvIGRhIEJpYmxpb3RlY2EgRGlnaXRhbCBkYSBQb250aWY/Y2lhIFVuaXZlcnNpZGFkZSBDYXQ/bGljYSBkbyBSaW8gR3JhbmRlIGRvIFN1bCwgc2VkaWFkYSBhIEF2LiBJcGlyYW5nYSA2NjgxLCBQb3J0byBBbGVncmUsIFJpbyBHcmFuZGUgZG8gU3VsLCBjb20gcmVnaXN0cm8gZGUgQ05QSiA4ODYzMDQxMzAwMDItODEgYmVtIGNvbW8gZW0gb3V0cmFzIGJpYmxpb3RlY2FzIGRpZ2l0YWlzLCBuYWNpb25haXMgZSBpbnRlcm5hY2lvbmFpcywgY29ucz9yY2lvcyBlIHJlZGVzID9zIHF1YWlzIGEgYmlibGlvdGVjYSBkYSBQVUNSUyBwb3NzYSBhIHZpciBwYXJ0aWNpcGFyLCBzZW0gP251cyBhbHVzaXZvIGFvcyBkaXJlaXRvcyBhdXRvcmFpcywgYSB0P3R1bG8gZGUgZGl2dWxnYT8/byBkYSBwcm9kdT8/byBjaWVudD9maWNhLgo=Biblioteca Digital de Teses e Dissertaçõeshttp://tede2.pucrs.br/tede2/PRIhttps://tede2.pucrs.br/oai/requestbiblioteca.central@pucrs.br||opendoar:2022-09-16T15:00:12Biblioteca Digital de Teses e Dissertações da PUC_RS - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false |
dc.title.por.fl_str_mv |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) |
title |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) |
spellingShingle |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) Deon, Pedro Henrique Envelhecimento Acidente Vascular Cerebral Avaliação de Processos e Resultados Incapacidade e Saúde Aging Stroke Evaluation of Processes and Results Disability and Health CIENCIAS DA SAUDE::MEDICINA |
title_short |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) |
title_full |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) |
title_fullStr |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) |
title_full_unstemmed |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) |
title_sort |
A confiabilidade e validade da The Stroke Self-Efficacy Questionnaire Brazil (SSEQ-B) |
author |
Deon, Pedro Henrique |
author_facet |
Deon, Pedro Henrique |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Mestriner, Régis Gemerasca |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/1475439425044370 |
dc.contributor.advisor-co1.fl_str_mv |
Urbanetto, Janete Souza |
dc.contributor.advisor-co1Lattes.fl_str_mv |
http://lattes.cnpq.br/8935137454685552 |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/7055853324034072 |
dc.contributor.author.fl_str_mv |
Deon, Pedro Henrique |
contributor_str_mv |
Mestriner, Régis Gemerasca Urbanetto, Janete Souza |
dc.subject.por.fl_str_mv |
Envelhecimento Acidente Vascular Cerebral Avaliação de Processos e Resultados Incapacidade e Saúde |
topic |
Envelhecimento Acidente Vascular Cerebral Avaliação de Processos e Resultados Incapacidade e Saúde Aging Stroke Evaluation of Processes and Results Disability and Health CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Aging Stroke Evaluation of Processes and Results Disability and Health |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
Importance: Stroke stands out as the second leading cause of death in the world. Its incidence doubles every decade after the age of 55, occupying a prominent position among the elderly population. Considering the possible neurological sequelae, it is necessary to evaluate all its dimensions. Self-efficacy, which is the conviction of a person being able to perform a specific task, is an important mediator in post-stroke. The Stroke Self-Efficacy Questionnaire (SSEQ) measures domain-specific self-efficacy in stroke survivors. Objective: To evaluate the reliability and validity of The Stroke Self-Efficacy Questionnaire Brazil (SSEQ b) in relation to the purposes of the original scale. Material and methods: A cross-sectional study was carried out to assess reliability, structure validation through factor analysis and convergent validation of the SSEQ-B using the Frenchay Activity Index (FAI), the Barthel Index (BI) and The Stroke Specific Quality of Life Scale (SS-QOL) in stroke survivors born in Brazil and residing in the states of Rio Grande do Sul or São Paulo. Results: 115 stroke survivors with a mean age of 66.7±14.2 years were included in the study in the structural validity test. Internal consistency presents a Cronbach's Alpha (αC) of 0.829. The exploratory factor analysis using the scree plot criterion demonstrated a model with two factors, activity (Q2,Q3,Q4,q5,Q6,Q7,Q8) and self-management (Q1,Q9,Q10,Q11,Q12eQ13), compatible with the version original of the questionnaire and with other cross-cultural adaptations of the SSEQ. Confirmatory factor analysis also suggested the three-factor model, with distribution in factor 1 (Q5,Q6,Q7,Q8,Q12), factor 2 (Q1,Q9,Q10,Q11,Q13); and factor 3 (Q2,Q3,Q4). Both models with subscales showed evidence of good construct validity, however, the bifactorial structure demonstrates greater clinical plausibility. In the convergent validation process, 75 stroke survivors aged 66.64 ± 12.97 years were included. The total SSEQ-B scores were significantly correlated with the FAI (ICC = 0.8 / r = 0.72 / 1-ß = 1.0), BI (ICC = 0.68 / r = 0.68 / 1 -ß = 0.99) and SS-QOL (ICC = 0.46 / r = 0.65 / 1-ß = 0.94), which suggests that stroke self-efficacy is associated with instrumental activities and daily living .Conclusion: The bifactorial model is suggested through the validation of the SSEQ-B structure, where the adjustment indices showed acceptable levels. It shows a good convergent validation with the instruments of daily and instrumental activities of living, and seems to be useful in the assessment of self-efficacy in stroke survivors residing in Brazil. |
publishDate |
2021 |
dc.date.issued.fl_str_mv |
2021-08-31 |
dc.date.accessioned.fl_str_mv |
2022-09-16T14:17:13Z |
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https://tede2.pucrs.br/tede2/handle/tede/10471 |
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por |
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por |
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Pontifícia Universidade Católica do Rio Grande do Sul |
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Programa de Pós-Graduação em Gerontologia Biomédica |
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PUCRS |
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Brasil |
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Instituto de Geriatria e Gerontologia |
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Pontifícia Universidade Católica do Rio Grande do Sul |
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