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This study aimed to develop a Japanese version of the Exercise Self\u2010Efficacy Scale (ESES\u2010J) tailored for light\u2010to\u2010moderate\u2010intensity activities and to assess its validity and reliability. Preoperative and postoperative patients undergoing lower\u2010limb arthroplasty (113 participants) were evaluated using the General Self\u2010Efficacy Scale (GSES) to establish criterion\u2010related validity. The revised version of the Short Questionnaire to Assess Health\u2010Enhancing Physical Activity, Oxford Hip Score, or Oxford Knee Score, and accelerometers were used to test the hypotheses. The ESES\u2010J demonstrated strong internal consistency, good intraclass coefficient scores, and no systematic errors in the Bland\u2013Altman analysis. The correlation with the GSES was moderate, confirming 80% of the hypotheses. The ESES\u2010J demonstrated robust reliability and validity. Understanding self\u2010efficacy among individuals with disabilities may lead to personalized health support to improve physical activity levels.<\/jats:p>","DOI":"10.1111\/nhs.70111","type":"journal-article","created":{"date-parts":[[2025,4,22]],"date-time":"2025-04-22T01:50:14Z","timestamp":1745286614000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Reliability and Validity of the Japanese Version of the Exercise Self\u2010Efficacy Scale in Older People Undergoing Lower Extremity Arthroplasty"],"prefix":"10.1111","volume":"27","author":[{"ORCID":"https:\/\/orcid.org\/0009-0000-9349-3593","authenticated-orcid":false,"given":"Mina","family":"Matsumura","sequence":"first","affiliation":[{"name":"Department of Health Sciences Graduate School of Medical Sciences, Kyushu University  Fukuoka 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