The Effects of a Self-efficacy Enhancing Program on Caregivers’ Management of Stroke Warning Signs for High-risk Older Persons
Keywords:
Self-efficacy Enhancing Program, Stroke Warning Signs Management, Caregiver of High-Risk Older PersonsAbstract
This quasi-experimental study aimed to investigate the effects of a self-efficacy enhancing program on caregivers’ management of stroke warning signs for high-risk older persons that was developed based on the self-efficacy theory. The subjects were 60 caregivers of high-risk older persons who were purposively selected following inclusion criteria. The 30 subjects in the control group received health information and advice, whereas the 30 subjects in the experimental group received the self-efficacy enhancing program. The program was approved by three experts and yielded a content validity index of 1.00. The instruments for data collection were : 1) a demographic and illness data of high-risk older persons form, 2) a demographic data of family caregivers of high-risk older persons form, 3) a knowledge of stoke in elderly and stroke warning signs management checklist, 4) a perceived self-efficacy on stroke warning signs management questionnaire, and 5) a performance of stroke warning signs management checklist. The instruments were approved by three experts and yielded a content validity index of 1.00. The reliabilities of the third, fourth and fifth parts of the instruments were .73, .93, and 100.0%, respectively. The data were analyzed using descriptive statistics, as well as comparison between groups, using Fisher’s Exact Test, Chi-Square, Wilcoxon Ranks test, and Mann-Whitney U test. The results showed as follows.
1. After receiving the self-efficacy enhancing program, the knowledge score of the experimental group was significantly higher than before (p-value < .01). The score of perceived self-efficacy on stroke warning signs and the score of stroke warning signs management of the experimental group was significantly higher than before (p-value < .001).
2. After receiving the self-efficacy enhancing program, the knowledge score of the experimental group was significantly higher than that of the control group (p-value < .01). The score of perceived self-efficacy on stroke warning signs and the score of stroke warning signs management of the experimental group were significantly higher than that of the control group (p-value < .001).
These findings illustrate the effects of the self-efficacy enhancing program on increasing self-efficacy of caregivers in observing stroke warning signs and is effectively caring and managing referred the high-risk older persons to access the treatment.
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