Self-efficacy and its influence on recovery of patients with stroke: a systematic review

J Adv Nurs. 2011 Sep;67(9):1876-94. doi: 10.1111/j.1365-2648.2011.05659.x. Epub 2011 Jun 7.


Aims: To provide an overview of the literature focusing on the influence of self-efficacy and self-efficacy enhancing interventions on mobility, activities of daily living, depression and quality of life of patients with stroke.

Background: There is growing evidence for the importance of self-efficacy in the care of people with enduring illness. Therefore, it is important to describe the association of self-efficacy and patient outcomes and the evidence for the effects of self-efficacy interventions for stroke patients.

Data sources: Studies were retrieved from a systematic search of published studies over the period of 1996-2009, indexed in the Cumulative Index to Nursing and Allied Health Literature, Medline, Psychinfo and Embase and focusing on stroke, the influence of self-efficacy and self-efficacy enhancing interventions.

Methods: A systematic review was carried out. Studies were critically appraised and important characteristics and outcomes were extracted and summarized.

Results: Seventeen articles were included in the review. Self-efficacy was positively associated with mobility, activities of daily living and quality of life and negatively associated with depression. Four self-efficacy interventions were identified. The evidence for the effects of these interventions was inconclusive.

Conclusions: Patients with high self-efficacy are functioning better in daily activities than patients with low self-efficacy. The evidence concerning the determinants influencing self-efficacy and the self-efficacy interventions makes clear how nurses can develop and tailor self-efficacy interventions for the clinical practice of people with stroke. Therefore, it is necessary to further emphasize the role of self-efficacy in the care for stroke patients in the nursing curriculum.

Publication types

  • Review
  • Systematic Review

MeSH terms

  • Activities of Daily Living / psychology
  • Adaptation, Psychological
  • Adult
  • Depression / epidemiology
  • Humans
  • Nurse's Role
  • Nursing Research
  • Quality of Life*
  • Rehabilitation Nursing*
  • Research Design
  • Self Efficacy*
  • Stroke / nursing
  • Stroke / psychology*
  • Stroke Rehabilitation
  • Treatment Outcome