Patient motivation and adherence to post-surgery 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 me...
| Main Authors: | , , , , |
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| Format: | Journal Article |
| Published: |
W.B. Saunders Co.
2009
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| Online Access: | http://hdl.handle.net/20.500.11937/20975 |
| _version_ | 1848750460119285760 |
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| author | Chan, Derwin Lonsdale, C. Ho, P. Yung, P. Chan, K. |
| author_facet | Chan, Derwin Lonsdale, C. Ho, P. Yung, P. Chan, K. |
| author_sort | Chan, Derwin |
| building | Curtin Institutional Repository |
| collection | Online Access |
| description | 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. |
| first_indexed | 2025-11-14T07:37:11Z |
| format | Journal Article |
| id | curtin-20.500.11937-20975 |
| institution | Curtin University Malaysia |
| institution_category | Local University |
| last_indexed | 2025-11-14T07:37:11Z |
| publishDate | 2009 |
| publisher | W.B. Saunders Co. |
| recordtype | eprints |
| repository_type | Digital Repository |
| spelling | curtin-20.500.11937-209752019-02-19T04:26:53Z Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors Chan, Derwin Lonsdale, C. Ho, P. Yung, P. Chan, K. 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 Journal Article http://hdl.handle.net/20.500.11937/20975 10.1016/j.apmr.2009.05.024 W.B. Saunders Co. fulltext |
| spellingShingle | Chan, Derwin Lonsdale, C. Ho, P. Yung, P. Chan, K. Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors |
| title | Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors |
| title_full | Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors |
| title_fullStr | Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors |
| title_full_unstemmed | Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors |
| title_short | Patient motivation and adherence to post-surgery rehabilitation exercise recommendations: The influence of physiotherapists’ autonomy supportive behaviors |
| title_sort | patient motivation and adherence to post-surgery rehabilitation exercise recommendations: the influence of physiotherapists’ autonomy supportive behaviors |
| url | http://hdl.handle.net/20.500.11937/20975 |