ArticleBrazilian journal of physical therapy
Translation, cross-cultural adaptation, and measurement properties of the self-efficacy for home exercise programs scale to Brazilian Portuguese.
Article in Brazilian journal of physical therapy. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionSelf-efficacy and adherence to home exercises are fundamental to an effective treatment. Translating, culturally adapting, and evaluating the psychometric properties of a self-efficacy for home exercises scale will enable its use in clinical practice.
objectivesTo translate, culturally adapt, and evaluate the psychometric properties of the Self-Efficacy for Home Exercise Programs Scale (SEHEPS) in individuals with shoulder pain.
methodsSEHEPS was translated from English to Brazilian Portuguese. Individuals aged 18 to 60 years with shoulder pain lasting at least 3 months were included. The test-retest reliability of the SEHEPS was verified through repeated applications by the same assessor. Construct validity was analyzed by correlation with the Chronic Pain Self-efficacy Scale (CPSS) and the Exercise Adherence Rating Scale (EARS). The responsiveness of the Brazilian Portuguese SEHEPS was assessed during a 12-week randomized clinical trial. The questionnaires were administered 4, 8, and 12 weeks after baseline.
resultsThe Brazilian Portuguese SEHEPS demonstrated good reliability, with an intraclass correlation coefficient of 0.73 and Cronbach's alpha of 0.93. Construct validity showed moderate correlations with CPSS (ρ = 0.45, p < 0.001) and EARS (ρ = 0.46, p < 0.001). Responsiveness analysis revealed that changes in SEHEPS scores were significantly correlated with CPSS scores (ρ = 0.42, p = 0.006), with an area under the curve (AUC) of 0.71. The tool showed no floor or ceiling effects.
conclusionThe Brazilian Portuguese version of SEHEPS is a reliable, valid, and responsive instrument for assessing self-efficacy in home exercise programs among individuals with chronic shoulder pain.
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