Patient motivation and adherence to postsurgery rehabilitation exercise recommendations: The influence of physiotherapists' autonomy-supportive behaviors
Journal article
Chan, Derwin K., Lonsdale, Christopher Sean, Ho, Po Y., Yung, Patrick S. and Chan, Kai M.. (2009). Patient motivation and adherence to postsurgery rehabilitation exercise recommendations: The influence of physiotherapists' autonomy-supportive behaviors. Archives of Physical Medicine and Rehabilitation. 90(12), pp. 1977 - 1982. https://doi.org/10.1016/j.apmr.2009.05.024
Authors | Chan, Derwin K., Lonsdale, Christopher Sean, Ho, Po Y., Yung, Patrick S. and Chan, Kai M. |
---|---|
Abstract | 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. |
Keywords | anterior cruciate ligament; motivation; rehabilitation |
Year | 2009 |
Journal | Archives of Physical Medicine and Rehabilitation |
Journal citation | 90 (12), pp. 1977 - 1982 |
Publisher | W.B. Saunders Company |
ISSN | 0003-9993 |
Digital Object Identifier (DOI) | https://doi.org/10.1016/j.apmr.2009.05.024 |
Page range | 1977 - 1982 |
Research Group | Institute for Positive Psychology and Education |
Place of publication | United States of America |
https://acuresearchbank.acu.edu.au/item/8qzvx/patient-motivation-and-adherence-to-postsurgery-rehabilitation-exercise-recommendations-the-influence-of-physiotherapists-autonomy-supportive-behaviors
158
total views0
total downloads1
views this month0
downloads this month