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- Publisher Website: 10.1016/j.apmr.2009.05.024
- Scopus: eid_2-s2.0-71049148484
- PMID: 19969157
- WOS: WOS:000277417200001
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Article: Patient Motivation and Adherence to Postsurgery Rehabilitation Exercise Recommendations: The Influence of Physiotherapists' Autonomy-Supportive Behaviors
Title | Patient Motivation and Adherence to Postsurgery Rehabilitation Exercise Recommendations: The Influence of Physiotherapists' Autonomy-Supportive Behaviors |
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Authors | |
Keywords | Anterior cruciate ligament Motivation Rehabilitation |
Issue Date | 2009 |
Citation | Archives of Physical Medicine and Rehabilitation, 2009, v. 90, n. 12, p. 1977-1982 How to Cite? |
Abstract | Chan DK, Lonsdale C, Ho PY, Yung PS, Chan KM. Patient motivation and adherence to postsurgery rehabilitation exercise recommendations: the influence of physiotherapists' autonomy-supportive behaviors. Objective: To investigate the impact of physiotherapists' autonomy-supportive behaviors on patients' motivation and rehabilitation adherence after anterior cruciate ligament (ACL) reconstruction surgery. Design: Retrospective study. Setting: Outpatient orthopedic clinic of a university medical center. Participants: Postsurgery ACL reconstruction patients (N=115; minimum postsurgery interval, 6mo; mean ± SD postsurgery interval, 1.77±0.8y). Interventions: Not applicable. Main Outcome Measures: Questionnaires measuring autonomy support from physiotherapists (Health Care Climate Questionnaire), treatment motivation (Treatment Self-Regulation Questionnaire), and rehabilitation adherence (adapted from the Sport Injury Rehabilitation Adherence Scale and the Patient Self-Report Scales of Their Home-Based Rehabilitation Adherence). Results: Structural equation modeling analyses revealed that patients' treatment motivation mediated the relationship between physiotherapists' autonomy-supportive behaviors and rehabilitation adherence. Autonomy-supportive behavior positively predicted autonomous treatment motivation (β=.22, P<.05). Rehabilitation adherence (R2=.28) was predicted positively by autonomous motivation (β=.64, P<.05) and negatively predicted by controlled motivation (β=-.28, P<.05). Conclusions: These preliminary findings are promising and provide an empirical basis for further research to test the efficacy of autonomy support training designed to increase patients' rehabilitation adherence. © 2009 American Congress of Rehabilitation Medicine. |
Persistent Identifier | http://hdl.handle.net/10722/213928 |
ISSN | 2023 Impact Factor: 3.6 2023 SCImago Journal Rankings: 1.091 |
ISI Accession Number ID |
DC Field | Value | Language |
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dc.contributor.author | Chan, Derwin K. | - |
dc.contributor.author | Lonsdale, Chris | - |
dc.contributor.author | Ho, Po Y. | - |
dc.contributor.author | Yung, Patrick S. | - |
dc.contributor.author | Chan, Kai M. | - |
dc.date.accessioned | 2015-08-19T13:41:15Z | - |
dc.date.available | 2015-08-19T13:41:15Z | - |
dc.date.issued | 2009 | - |
dc.identifier.citation | Archives of Physical Medicine and Rehabilitation, 2009, v. 90, n. 12, p. 1977-1982 | - |
dc.identifier.issn | 0003-9993 | - |
dc.identifier.uri | http://hdl.handle.net/10722/213928 | - |
dc.description.abstract | Chan DK, Lonsdale C, Ho PY, Yung PS, Chan KM. Patient motivation and adherence to postsurgery rehabilitation exercise recommendations: the influence of physiotherapists' autonomy-supportive behaviors. Objective: To investigate the impact of physiotherapists' autonomy-supportive behaviors on patients' motivation and rehabilitation adherence after anterior cruciate ligament (ACL) reconstruction surgery. Design: Retrospective study. Setting: Outpatient orthopedic clinic of a university medical center. Participants: Postsurgery ACL reconstruction patients (N=115; minimum postsurgery interval, 6mo; mean ± SD postsurgery interval, 1.77±0.8y). Interventions: Not applicable. Main Outcome Measures: Questionnaires measuring autonomy support from physiotherapists (Health Care Climate Questionnaire), treatment motivation (Treatment Self-Regulation Questionnaire), and rehabilitation adherence (adapted from the Sport Injury Rehabilitation Adherence Scale and the Patient Self-Report Scales of Their Home-Based Rehabilitation Adherence). Results: Structural equation modeling analyses revealed that patients' treatment motivation mediated the relationship between physiotherapists' autonomy-supportive behaviors and rehabilitation adherence. Autonomy-supportive behavior positively predicted autonomous treatment motivation (β=.22, P<.05). Rehabilitation adherence (R2=.28) was predicted positively by autonomous motivation (β=.64, P<.05) and negatively predicted by controlled motivation (β=-.28, P<.05). Conclusions: These preliminary findings are promising and provide an empirical basis for further research to test the efficacy of autonomy support training designed to increase patients' rehabilitation adherence. © 2009 American Congress of Rehabilitation Medicine. | - |
dc.language | eng | - |
dc.relation.ispartof | Archives of Physical Medicine and Rehabilitation | - |
dc.subject | Anterior cruciate ligament | - |
dc.subject | Motivation | - |
dc.subject | Rehabilitation | - |
dc.title | Patient Motivation and Adherence to Postsurgery Rehabilitation Exercise Recommendations: The Influence of Physiotherapists' Autonomy-Supportive Behaviors | - |
dc.type | Article | - |
dc.description.nature | link_to_subscribed_fulltext | - |
dc.identifier.doi | 10.1016/j.apmr.2009.05.024 | - |
dc.identifier.pmid | 19969157 | - |
dc.identifier.scopus | eid_2-s2.0-71049148484 | - |
dc.identifier.volume | 90 | - |
dc.identifier.issue | 12 | - |
dc.identifier.spage | 1977 | - |
dc.identifier.epage | 1982 | - |
dc.identifier.isi | WOS:000277417200001 | - |
dc.identifier.issnl | 0003-9993 | - |