title: Associations between disability-management self-efficacy, participation and life satisfaction in people with long-standing spinal cord injury.
abstract: OBJECTIVE
  To study disability-management self-efficacy (DMSE) and its correlates in a large sample of Dutch people with long-standing spinal cord injury (SCI). DMSE is the confidence that people with SCI may have in their ability to manage the consequences of their condition with respect to the various domains in their life. Research questions were: (1) What is the level of DMSE in Dutch people with long-standing SCI?; (2) Is DMSE associated with demographic and lesion characteristics?; and (3) Is DMSE associated with participation and life satisfaction if these associations are adjusted for demographic and lesion characteristics and mood?
  
  
  METHODS
  Eligible people were identified from all eight rehabilitation centers with a specialty in SCI rehabilitation in the Netherlands (N=261). Data were collected using a self-report questionnaire. DMSE was measured using the University of Washington Self-Efficacy Scale-Short Form (UW-SES-6). Correlation and linear regression analyses were used.
  
  
  RESULTS
  Levels of UW-SES-6 scores were largely independent of demographic and lesion characteristics. UW-SES-6 scores were bivariately moderately to strongly associated with mood (0.47), participation (0.39-0.51) and life satisfaction (0.46). In the regression analyses, UW-SES-6 scores still explained a significant amount of variance of participation (standardized β 0.31-0.33) and life satisfaction (standardized β 0.21) when controlling for demographic and lesion characteristics and mood, and explained an additional 3.2-8.1% of the variance of participation and life satisfaction.
  
  
  CONCLUSIONS
  DMSE is a psychological resource associated with higher levels of participation and life satisfaction after SCI. The UW-SES-6 is a brief and easy to use measure of this psychological resource.
authors.affiliation: Brain Center Rudolf Magnus and Center of Excellence in Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.|Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands.
authors.forename: A
authors.initials: A
authors.lastname: Cijsouw
authors.affiliation: Brain Center Rudolf Magnus and Center of Excellence in Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
authors.forename: J J E
authors.initials: JJ
authors.lastname: Adriaansen
authors.affiliation: University Medical Center Groningen, Center for Rehabilitation, Groningen, The Netherlands.
authors.forename: M
authors.initials: M
authors.lastname: Tepper
authors.affiliation: Department of Spinal Cord Injury Rehabilitation, De Hoogstraat Rehabilitation, Utrecht, The Netherlands.
authors.forename: C A
authors.initials: CA
authors.lastname: Dijksta
authors.affiliation: Department of Clinical and Health Psychology, Utrecht University, Utrecht, The Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: van Linden
authors.affiliation: Amsterdam Rehabilitation Research Center, Reade, Amsterdam, The Netherlands.|University of Groningen, University Medical Center Groningen, Center for Human Movement Sciences, Groningen, The Netherlands.
authors.forename: S
authors.initials: S
authors.lastname: de Groot
authors.affiliation: Brain Center Rudolf Magnus and Center of Excellence in Rehabilitation Medicine, University Medical Center Utrecht and De Hoogstraat Rehabilitation, Utrecht, The Netherlands.|University of Groningen, University Medical Center Groningen, Center for Rehabilitation, Groningen, The Netherlands.
authors.forename: M W M
authors.initials: MW
authors.lastname: Post
mesh_terms: D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009426:Netherlands; D010549:Personal Satisfaction; D011581:Psychological Tests; D012047:Rehabilitation Centers; D020377:Self Efficacy; D013119:Spinal Cord Injuries / Q000523:psychology* / Q000534:rehabilitation