- The SCI Exercise Self-Efficacy Scale (ESES) is a scale developed to measure a person with SCI’s beliefs or confidence that they can perform various physical activities and exercise (on a scale of 1-4).
- One dichotomous item asks whether the individuals has exercised at home and / or in a gym in the past 12 months. perceived exercise self-efficacy for various types of physical activities.
Clinical Considerations
- Self-efficacy is the belief individuals have in their ability to perform certain behaviours to achieve desired outcomes. The ESES measures the subject’s perceived exercise self-efficacy beliefs. Evidence suggests that the adoption of and adherence to regular exercise is influenced by self-efficacy to perform physical activity. Consequently, this scale was developed to address the lack of an exercise self-efficacy tool for people with SCI.
- The ESES was developed specifically for the SCI population based on expert comments and interviews with individuals with SCI. Therefore, it should represent the physical activity and exercise self-efficacy issues of this unique population.
ICF Domain
Body Function ▶ General Functions
Administration
- Self-report, pen and paper format
- Requires individuals to respond to items on a 4-point Likert scale (1-not at all true, 4-always true).
- Exercise activity is based on the response to a dichotomous item that specifies whether respondents have exercised ‘at home and/or gym’ vs. ‘no exercise’.
- Takes approximately 5 min to administer.
Number of Items
10
Equipment
None
Scoring
The total score is derived by summing the scores for the individual items; possible scores range from 10 to 40.
Languages
English
Training Required
None
Availability
Can be found here
# of studies reporting psychometric properties: 3
Interpretability
- Higher scores indicate greater perceived self-efficacy
- The dichotomous item is used to estimate the subject’s average exercise activity
- No cut-points and normative data for the SCI population have been established
- Published data for the SCI population is available for comparison (see the Interpretability section of the Study Details sheet)
MCID: not established in SCI
SEM: not established in SCI
MDC: not established in SCI
Reliability
- Internal consistency of the ESES scale is High
(α = 0.87 – 0.93).
(Kroll et al. 2007)
- Test-retest reliability is High
(ICC = 0.81).
(Nooijen et al. 2013)
Validity
The ESES is significantly (P<.05) and Moderately correlated with the Generalised Self Efficacy Scale (ρ = 0.316).
(Kroll et al. 2007)
Responsiveness
No values were reported for the responsiveness of the ESES scale for the SCI population.
Floor/ceiling effect
Neither was noted, but distribution is negatively skewed.
(Nooijen et al. 2013)
Reviewers
Dr. Vanessa Noonan, John Zhu, Jeremy Mak, Joanne Chi.
Date Last Updated
1 December 2016
Fliess-douer O, Vanlandewijck YC, Van der woude LH. Reliability and validity of perceived self-efficacy in wheeled mobility scale among elite wheelchair-dependent athletes with a spinal cord injury. Disabil Rehabil. 2013;35(10):851-9.
http://www.ncbi.nlm.nih.gov/pubmed/22931383
Kroll T, Kehn M, Ho PS, Groah S. The SCI exercise self-efficacy scale (ESES): development and psychometric properties. International Journal of Behavioral Nutrition and Physical Activity 2007, 4:34.
http://www.ncbi.nlm.nih.gov/pubmed/17760999
Nooijen CF, Post MW, Spijkerman DC, Bergen MP, Stam HJ, Van den berg-emons RJ. Exercise self-efficacy in persons with spinal cord injury: psychometric properties of the Dutch translation of the Exercise Self-Efficacy Scale. J Rehabil Med. 2013;45(4):347-50.
http://www.ncbi.nlm.nih.gov/pubmed/23474694
