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Article: Patient Motivation and Adherence to Postsurgery Rehabilitation Exercise Recommendations: The Influence of Physiotherapists' Autonomy-Supportive Behaviors

TitlePatient Motivation and Adherence to Postsurgery Rehabilitation Exercise Recommendations: The Influence of Physiotherapists' Autonomy-Supportive Behaviors
Authors
KeywordsAnterior cruciate ligament
Motivation
Rehabilitation
Issue Date2009
Citation
Archives of Physical Medicine and Rehabilitation, 2009, v. 90, n. 12, p. 1977-1982 How to Cite?
AbstractChan 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 Identifierhttp://hdl.handle.net/10722/213928
ISSN
2015 Impact Factor: 3.045
2015 SCImago Journal Rankings: 1.427
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorChan, Derwin K.-
dc.contributor.authorLonsdale, Chris-
dc.contributor.authorHo, Po Y.-
dc.contributor.authorYung, Patrick S.-
dc.contributor.authorChan, Kai M.-
dc.date.accessioned2015-08-19T13:41:15Z-
dc.date.available2015-08-19T13:41:15Z-
dc.date.issued2009-
dc.identifier.citationArchives of Physical Medicine and Rehabilitation, 2009, v. 90, n. 12, p. 1977-1982-
dc.identifier.issn0003-9993-
dc.identifier.urihttp://hdl.handle.net/10722/213928-
dc.description.abstractChan 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.languageeng-
dc.relation.ispartofArchives of Physical Medicine and Rehabilitation-
dc.subjectAnterior cruciate ligament-
dc.subjectMotivation-
dc.subjectRehabilitation-
dc.titlePatient Motivation and Adherence to Postsurgery Rehabilitation Exercise Recommendations: The Influence of Physiotherapists' Autonomy-Supportive Behaviors-
dc.typeArticle-
dc.description.natureLink_to_subscribed_fulltext-
dc.identifier.doi10.1016/j.apmr.2009.05.024-
dc.identifier.pmid19969157-
dc.identifier.scopuseid_2-s2.0-71049148484-
dc.identifier.volume90-
dc.identifier.issue12-
dc.identifier.spage1977-
dc.identifier.epage1982-
dc.identifier.isiWOS:000277417200001-

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