Title | The Self-Efficacy for Home Exercise Programs Scale: Development and Psychometric Properties. |
Publication Type | Journal Article |
Year of Publication | 2019 |
Authors | Picha KJ, Lester M, Heebner NR, Abt JP, Usher EL, Capilouto GJ, Uhl TL |
Journal | J Orthop Sports Phys Ther |
Volume | 49 |
Issue | 9 |
Pagination | 647-655 |
Date Published | 2019 09 |
ISSN | 1938-1344 |
Keywords | Adult, Exercise Therapy, Female, Humans, Male, Middle Aged, Musculoskeletal Pain, Patient Reported Outcome Measures, Psychometrics, Reproducibility of Results, Self Efficacy, Surveys and Questionnaires |
Abstract | BACKGROUND: The Self-Efficacy for Home Exercise Programs Scale (SEHEPS) was developed to help clinicians evaluate patients' self-efficacy for performing prescribed home exercise programs. Prior to clinical adoption, the scale's psychometric properties need to be examined. OBJECTIVE: To determine the psychometric properties of the SEHEPS. METHODS: Eighty-one patients (32 men, 49 women; mean ± SD age, 42 ± 17 years) with varying musculoskeletal conditions participated in this cohort study. Patients were given a home exercise program at the initial physical therapy visit and completed the SEHEPS and a modified Self-Efficacy for Exercise (SEE) scale. The SEHEPS is a 12-item patient-reported questionnaire designed to assess self-efficacy for prescribed home exercise. Patients rated their confidence on a 7-point scale that ranged from 0 (not confident) to 6 (very confident). Total scores ranged from 0 (low self-efficacy) to 72 (high self-efficacy). We assessed the internal consistency of the SEHEPS using Cronbach's alpha and its test-retest reliability using an intraclass correlation coefficient. Convergent validity between the SEHEPS and SEE scale was evaluated with a Spearman correlation. RESULTS: High internal consistency ( = .96) and good test-retest reliability (intraclass correlation coefficient = 0.88; SEM, 4; minimal detectable change at the 95% confidence level, 12) were demonstrated. The SEHEPS was strongly correlated with the SEE scale ( = 0.83, <.01), indicating strong convergent validity. CONCLUSION: The SEHEPS demonstrates excellent internal consistency and convergent validity with the SEE scale. Overall, the SEHEPS is a clinically useful tool to evaluate a patient's self-efficacy in home-based musculoskeletal exercise programs. This scale can be used prior to prescribing a home exercise program for patients with musculoskeletal conditions. LEVEL OF EVIDENCE: Therapy, level 4. . |
DOI | 10.2519/jospt.2019.8779 |
Alternate Journal | J Orthop Sports Phys Ther |
PubMed ID | 31291552 |