Self-efficacy mediates the relationship between balance/walking performance, activity, and participation after stroke

Whatever the hell self-efficacy is? I understood nothing here.
http://search.naric.com/research/rehab/redesign_record.cfm?search=2&type=all&criteria=J77346&phrase=no&rec=135283&article_source=Rehab&international=0&international_language=&international_location=
Topics in Stroke Rehabilitation , Volume 23(2) , Pgs. 77-83.

NARIC Accession Number: J77346.  What's this?
ISSN: 1074-9357.
Author(s): French, Margaret A.; Moore, Meghan F.; Pohlig, Ryan; Reisman, Darcy.
Publication Year: 2016.
Number of Pages: 7.
Abstract: Study explored the relationships between different outcome measures and activity and participation in people after stroke. Fifty-nine subjects with stroke participated in an assessment including self-selected walking speed, 6-Mminute Walk Test, Timed Up and Go test, Berg Balance Scale, Functional Gait Assessment, Walk 12, and Activity-specific Balance Confidence Scale. StepWatch Activity Monitoring (SAM) was used as a measure of activity and Stroke Impact Scale-Participation (SIS-P) as a measure of participation. Exploratory Factor. Analysis was performed including all measures except SAM and SIS-P. Two factors were extracted and termed performance-based (PB) and self-efficacy (SE). A path analysis assessed the role of SE as a mediator in the relationships of PB and SAM/SIS-P. In the path analysis, PB significantly predicts SE, but not SAM or SIS-P. SE significantly predicts both SAM and SIS-P. The indirect effects of PB on SAM and SIS-P were significant. These results suggest that SE mediates the relationship between PB and activity and participation after stroke, reinforcing that improving activity and participation is more complicated than only targeting performance. Clinicians should administer SE and PB measures to determine the most accurate view of patients after stroke and seek to improve SE through interventions.
Descriptor Terms: AMBULATION, EQUILIBRIUM, MEASUREMENTS, MOBILITY, OUTCOMES, SELF CONCEPT, STROKE.


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Citation: French, Margaret A., Moore, Meghan F., Pohlig, Ryan, Reisman, Darcy. (2016). Self-efficacy mediates the relationship between balance/walking performance, activity, and participation after stroke.  Topics in Stroke Rehabilitation , 23(2), Pgs. 77-83. Retrieved 1/14/2018, from REHABDATA database.