Chest
Original ResearchCOPDMeasuring a Change in Self-Efficacy Following Pulmonary Rehabilitation: An Evaluation of the PRAISE Tool
Section snippets
Pulmonary Rehabilitation Adapted Index of Self-Efficacy
We adapted the General Self-Efficacy Scale (GSES) specifically for the population of patients in PR. The original tool is a validated 10-item scale.11 Currently, the original scale has been translated into 26 languages. It measures generalized perceived self-efficacy at any given time and has been reported extensively in the literature. Typical items are “Thanks to my resourcefulness, I know how to handle unforeseen situations” and “When I am confronted with a problem, I can usually find
Reliability Study
The mean change in score was 0.72 (95% CI, −2.27-0.89; P = .34). The intraclass correlation coefficient was r = 0.99 (P ≤ .001). A Cronbach α was calculated on all items of the scale (0.95). A Bland and Altman plot is also provided in e-Figure 1.
Sensitivity Study
The mean change of 3.59 in PRAISE score was statistically significant (P = .015). The mean change in the ISWT was 83.44 m (P < .0005). The 38 patients who dropped out from the study did score lower overall before PR in ISWT, CRQ-SR, HADS, and PRAISE,
Discussion
This article describes the development and testing of a self-efficacy scale specifically for use in PR. There is no other tool currently available. The GSES adapted for PR, PRAISE, demonstrates test-retest reliability and internal consistency. PRAISE is also sensitive to change, enabling us to document an improvement in the patient's level of self-efficacy after a course of PR. This correlates with previous research findings suggesting that PR may have a direct effect upon specific
Conclusions
This study indicates that PRAISE is both reproducible and sensitive in this population, although it is unable to determine those patients who may drop out of PR. PRAISE is sensitive to change in PR patients, easy to use, and well tolerated. PRAISE can, therefore, be proposed as a practical instrument that explores a different psychologic dimension for those patients attending PR.
Acknowledgments
Author contributions: Ms Vincent: conceived the original idea, developed the protocol, completed the analysis, and wrote the manuscript.
Dr Sewell: completed analysis and approved the manuscript.
Ms Wagg: completed analysis and approved the manuscript.
Dr Deacon: supported data collection and approved the manuscript.
Ms Williams: completed analysis and approved the manuscript.
Dr Singh: developed the protocol, gave overall supervision, and revised the manuscript for intellectual content.
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Pulmonary rehabilitation outcomes in individuals with chronic obstructive pulmonary disease: A systematic review
2022, Annals of Physical and Rehabilitation MedicineThe Pulmonary Rehabilitation Adapted Index of Self-Efficacy (PRAISE) tool predicts reduction in sedentary time following pulmonary rehabilitation in people with chronic obstructive pulmonary disease (COPD)
2019, Physiotherapy (United Kingdom)Citation Excerpt :Pulmonary rehabilitation significantly improves physical activity in people with COPD, particularly if it is combined with physical activity counselling [9]. Self-efficacy COPD has been identified as an important factor which affects behaviour change in COPD [10] General self-efficacy describes a positive self-belief system and those with high self-efficacy have confidence in performing tasks and coping with adversity [11]. Task specific self-efficacy describes self-belief in completing specific health behaviours [12].
Management of Dyspnea and Anxiety in Chronic Obstructive Pulmonary Disease: A Critical Review
2017, Journal of the American Medical Directors AssociationPulmonary rehabilitation adapted index of self-efficacy (PRAISE) validated to Portuguese respiratory patients
2019, PulmonologyCitation Excerpt :The validation of the Portuguese version of PRAISE was developed in two phases: 1) translation and cross-cultural adaptation following international recommendations14 and 2) evaluation of reliability and validity according to the Consensus-based Standards for the selection of health Measurement INstruments (COSMIN) guidelines.15,16 Permission to translate and use PRAISE was given by corresponding author of the original paper describing the instrument.2 As GSE has been validated in Portuguese,13 permission from authors was obtained to integrate the already translated answer key and 10 items into the forthcoming PRAISE translation.
Funding/Support: This study was supported by a project grant from the British Lung Foundation.
Reproduction of this article is prohibited without written permission from the American College of Chest Physicians (http://www.chestpubs.org/site/misc/reprints.xhtml).