ArticleBMC public health2025
Associations between self-efficacy and health-related quality of life in haemorrhagic stroke survivors: a longitudinal study.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 1 of them a synthesis that pooled it.
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Who cites it
4 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Dyadic Capability in Stroke Survivors and Their Caregivers: A Systematic Review and Integrated Concept Analysis.The Journal of cardiovascular nursingPooled it
- Mediating role of self-efficacy in the relationship between social integration and self-disgust among patients with stroke.Frontiers in neurology · 2026Article
- Mediating Effects of Health Literacy Between Self-Efficacy and Quality of Life in Patients with Type 2 Diabetes Mellitus.Diabetes, metabolic syndrome and obesity : targets and therapy · 2025Article
- Nurse-Led Tele-Education Improves Self-Efficacy and Reduces Stroke Readmissions: A Quasi-Experimental Study.Telemedicine reportsArticle
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Authors and funding
5 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundThe impact of recovery self-efficacy on health-related quality of life in haemorrhagic stroke survivors remains unclear. This longitudinal study examined this association through a one-year follow-up after discharge.
methodsA prospective, longitudinal design was conducted. A total of 184 haemorrhagic stroke survivors in a tertiary hospital in western China from January 2020 to December 2021 were recruited by the convenience sampling method. The three-level EuroQol five-dimension questionnaire (EQ-5D-3 L) and Stoke Self-efficacy Questionnaire (SSEQ) were assessed at four post-discharge time points: 1 month (T1), 3 months (T2), 6 months (T3), and 12 months (T4). The generalized estimating equation analysis was used to evaluate the associations between recovery self-efficacy and health-related quality of life.
resultsThe mean age of included participants were 54.0, with 65.2% of female. Generalized estimating equation analysis revealed significant interactions between time and SSEQ on EQ-5D-3 L (p < 0.001). The simple effects of time showed significant increases in EQ-5D-3 L scores from T3 to T4 in the low SSEQ group (β = 0.113-0.203, p < 0.001) and from T2 to T4 in the high SSEQ group (β = 0.038-0.054, p < 0.05). The simple effects of SSEQ showed that patients with higher SSEQ scores had significantly higher EQ-5D-3 L scores at T1 (β = 0.187, 95%CI: 0.132-0.242, p < 0.001), T2 (β = 0.154, 95%CI: 0.111-0.196, p < 0.001), and T3 (β = 0.084, 95%CI: 0.054-0.113, p < 0.001), but not at T4 (p = 0.803).
conclusionRecovery self-efficacy significantly interacted with time in shaping haemorrhagic stroke survivors' health-related quality of life recovery. Higher self-efficacy was associated with earlier improvements, while lower self-efficacy was associated with delayed but larger improvements of health-related quality of life levels, with effects diminishing by one year after stroke.
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