Translation and cross-cultural adaptation of the Self-Efficacy for Exercise scale for post-stroke individuals
DOI:
https://doi.org/10.1590/Keywords:
Stroke, Self-efficacy, Exercise, TranslatingAbstract
After a stroke, several factors can influence
the practice of physical activity, one of which may be selfefficacy.
Self-efficacy is defined as confidence in performing
a specific behavior. The Self-Efficacy for Exercise scale was
developed to assess self-efficacy for performing physical exercise. This scale is available in English, Chinese, and Malay. For
its use in the Brazilian population, its translation and cross-cultural
adaptation are necessary. This study aimed to translate into and
cross-culturally adapt the English version of the Self-Efficacy for
Exercise scale for Brazilian Portuguese. This is a methodological
study that followed the recommendations of the STROBE and
COSMIN practical guides. The translation and cross-cultural
adaptation of the scale was carried out in six stages: (1) translation,
(2) synthesis, (3) back translation, (4) expert committee review, (5)
pre-test, and (6) approval by the authors of the scale. This study
outcomes show that the translation and cross-cultural adaptation
of this scale had satisfactory results from a conceptual, semantic,
and cultural point of view, thus enabling its use in the Brazilian
population. The Self-Efficacy for Exercise - Brasil is an adequate
scale to assess confidence in performing physical exercise and
can be a new instrument to be incorporated in the assessment of
post-stroke individuals in the Brazilian population
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References
Pan American Health Organization. Leading causes of
death, and disability. Washington, DC: Pan American Health
Organization; 2019 [cited 2025 Jun 17]. Available from: https://
www.paho.org/en/enlace/leading-causes-death-and-disability
Dantas LF, Marchesi JF, Peres IT, Hamacher S, Bozza FA, et al.
Public hospitalizations for stroke in Brazil from 2009 to 2016.
PLoS One. 2019;14(3):1-10. doi: 10.1371/journal.pone.0213837
Hankey GJ. Population impact of potentially modifiable risk
factors for stroke. Stroke. 2020;51(3):719-28. doi: 10.1161/
STROKEAHA.119.024154
Gordon NF, Gulanick M, Costa F, Fletcher G, Franklin BA, et al.
Physical Activity and Exercise Recommendations for Stroke
Survivors: an American Heart Association scientific statement
from the Council on Clinical Cardiology, Subcommittee on
Exercise, Cardiac Rehabilitation, and Prevention; the Council
on Cardiovascular Nursing; the Council on Nutrition, Physical
Activity, and Metabolism; and the Stroke Council. Circulation.
;109(16):2031-41. doi: 10.1161/01.CIR.0000126280.65777.
A4
Billinger SA, Arena R, Bernhardt J, Eng JJ, Franklin BA, et
al. Physical activity and exercise recommendations for
stroke survivors: a statement for healthcare professionals
from the American Heart Association/American Stroke
Association. Stroke. 2014;45(8):2532-53. doi: 10.1161/
STR.0000000000000022
Thilarajah S, Mentiplay BF, Bower KJ, Tan D, Pua YH, et al.
Factors associated with post-stroke physical activity: a
systematic review and meta-analysis. Arch Phys Med Rehabil.
;99(9):1876-89. doi: 10.1016/j.apmr.2017.09.117
Bandura A. Social Foundations of Thought and Action: A Social
Cognitive Theory. Prentice-Hall; 1986.
Caetano LCG, Pacheco BD, Samora GA, Teixeira-Salmela
LF, Scianni AA. Self-Efficacy to engage in physical exercise
and walking ability best predicted exercise adherence
after stroke. Stroke Res Treat. 2020;2020:2957623. doi:
1155/2020/2957623
Espernberger KR, Fini NA, Peiris CL. Personal and social
factors that influence physical activity levels in communitydwelling
stroke survivors: a systematic review of
qualitative literature. Clin Rehabil. 2021;35(7):1044-55. doi:
1177/0269215521993690
Resnick B, Jenkins LS. Testing the Reliability and validity of the
self-efficacy for exercise scale. Nurs Res. 2000;49(3):154-9.
doi: 10.1097/00006199-200005000-00007
Lee LL, Perng SL, Ho CC, Hsu HM, Lau SC, et al. A preliminary
reliability and validity study of the Chinese version of the
self-efficacy for exercise scale for older adults. Int J Nurs Stud.
;46(2):230-8. doi: 10.1016/j.ijnurstu.2008.09.003
Sabo A, Cheng Y, Kuan G. Psychometric properties of the
Malay version of the self-efficacy for exercise scale. PLoS One.
;14(5):e0215698. doi: 10.1371/journal. pone.0215698
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O miniexame
do estado mental em uma população geral impacto da
escolaridade. Arq Neuropsiquiatr. 1994;52(1):1-7. doi: 10.1590/
S0004-282X1994000100001
Teixeira-Salmela LF, Devaraj R, Olney SJ. Validation of the human
activity profile in stroke: a comparison of observed, proxy and
self-reported scores. Disabil Rehabil. 2007;29(19):1518-24. doi:
1080/09638280601055733
Beaton DE, Bombardier C, Guillemin F, Ferraz MB. Guidelines
for the process of cross-cultural adaptation of self-report
measures. Spine (Phila Pa 1976). 2000;25(24):3186-91. doi:
1097/00007632-200012150-00014
Beaton D, Bombardier C, Guillemin F, Ferraz MB. Recommendations
for the cross-cultural adaptation of the DASH & QuickDASH
outcome measures. Ontario: Institute for Work & Health; 2007.
Guillemin F, Bombardier C BD. Cross-cultural adaptation of
health-related quality of life measures: literature review and
proposed guidelines. J Clin Epidemiol. 1993;46(12):1417-32. doi:
1016/0895-4356(93)90142-n
Nusbaum L, Natour J, Ferraz MB, Goldenberg J. Translation,
adaptation and validation of the Roland-Morris questionnaire
- Brazil Roland-Morris. Braz J Med Biol Res. 2001;34(2):203-10.
doi: 10.1590/S0100-879X2001000200007
Wild D, Grove A, Martin M, Eremenco S, McElroy S, et al.
Principles of good practice for the translation and cultural
adaptation process for patient-reported outcomes (PRO)
measures: report of the ISPOR task force for translation and
cultural adaptation. Value Health. 2005;8(2):94-104. doi:
1111/j.1524-4733.2005.04054.x
Cambridge Dictionary Online. Available from: http://dictionary.
cambridge.org/
Avelino PR, Menezes KKP, Nascimento LR, Faria-Fortini I, Faria
CDC, et al. Adaptação transcultural da Modified Gait Efficacy
Scale para indivíduos pós-acidente vascular encefálico. Rev
Ter Ocup Univ São Paulo. 2018;29(3):230-6. doi: 10.11606/
issn.2238-6149.v29i3p230-236
Makhoul MP, Pinto EB, Mazzini NA, Winstein C, Torriani-Pasin C.
Translation and validation of the stroke self-efficacy questionnaire
to a Portuguese version in stroke survivors. Top Stroke Rehabil.
;27(6):462-72. doi: 10.1080/10749357.2020.1713555
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Copyright (c) 2025 Maria Tereza Mota Alvarenga, Patrick Avelino, Ruani Tenório, Ana Luiza de Castro, Izadora Santos, Kênia de Menezes, Aline Alvim Scianni
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