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conferenceseries
.com
Volume 08
Journal of Novel Physiotherapies
Rehabilitation Medicine 2018
May 18-19, 2018
May 18-19, 2018 Osaka, Japan
7
th
World Congress on
Physical Medicine and Rehabilitation
The bidirectional causal relationship between apathy and self-efficacy in home-care patients with
Parkinson’s disease: A structural equation modeling analysis
Hiroaki Morita and Kazuya Kannari
Aomori University of Health and Welfare, Japan
P
revious studies have suggested that apathy affects lowering of self-efficacy, while improving self-efficacy is useful for apathy
improvement in home-care patients with Parkinson’s disease (PD). However, there are no studies on the comparison of
strength of impact and temporal precedence in this bidirectional causation. In this study, a bidirectional causal relationship
model between self-efficacy and apathy in home-care patients with PD was created and it was used to examine the relationship
based on structural equation modeling (SEM). Involving 122 home-care patients with PD (60 males and 62 females, mean age:
70.9±7.8 years old), psychological factors were measured using the Apathy Scale and Self-Efficacy Scale, for which Morita, et al.
verified the reliability and validity in Japanese home-care patients with PD. This study was conducted with the approval of the
Research Ethics Committee of the Aomori University of Health and Welfare. As a result of analyzing causal relationships using
SEM, the causal coefficient from apathy to self-efficacy was-0.48 and that from self-efficacy to apathy was -0.41. The results
showed that the level of influence from self-efficacy to apathy and that from apathy to self-efficacy were almost the same. Both
self-efficacy and apathy can be improved by providing interventions. Consequently, even in home-care patients with PD who
exhibit symptoms of apathy, increasing their self-efficacy in advance may help overcome apathy in rehabilitation for them.
Furthermore, it is suggested that improving their apathy in advance may also contribute to increasing their self-efficacy in
rehabilitation for them.
Biography
Hiroaki Morita has completed his Master’s degree at Kobe University Graduate School. He is a Physical Therapist and an Assistant Professor at Department of
Physical Therapy, Aomori University of Health and Welfare, Japan.
hr08mori608@auhw.ac.jpHiroaki Morita et al., J Nov Physiother 2018, Volume 8
DOI: 10.4172/2165-7025-C2-027