Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 12 , Pages 1977-1982 , December 2009

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

  • Derwin K. Chan, BSSc

      Affiliations

    • Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China
    • The Hong Kong Jockey Club Sports Medicine and Health Sciences Centre, Shatin, Hong Kong, China
  • ,
  • Chris Lonsdale, PhD

      Affiliations

    • University College Dublin, Dublin, Ireland
    • Corresponding Author InformationCorrespondence to Chris Lonsdale, PhD, School of Public Health, Physiotherapy and Population Science, Health Sciences Bldg, University College Dublin, Belfield, Dublin 4, Ireland
  • ,
  • Po Y. Ho, MD

      Affiliations

    • Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China
    • The Hong Kong Jockey Club Sports Medicine and Health Sciences Centre, Shatin, Hong Kong, China
  • ,
  • Patrick S. Yung, MD

      Affiliations

    • Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China
    • The Hong Kong Jockey Club Sports Medicine and Health Sciences Centre, Shatin, Hong Kong, China
  • ,
  • Kai M. Chan, MD

      Affiliations

    • Department of Orthopaedics and Traumatology, Faculty of Medicine, The Chinese University of Hong Kong, Shatin, Hong Kong, China
    • The Hong Kong Jockey Club Sports Medicine and Health Sciences Centre, Shatin, Hong Kong, China

References 

  1. Schneider S, Seither B, Tonges S, Schmitt H. Sports injuries: population based representative data on incidence, diagnosis, sequelae, and high risk groups. Br J Sports Med. 2006;40:334–339
  2. Shelbourne KD, Nitz P. Accelerated rehabilitation after anterior cruciate ligament reconstruction. Am J Sports Med. 1990;18:292–299
  3. Rolf CG, Chan KM. Knee injuries. In:  Chan KM,  Micheli L,  Smith A, et al. editor. International Federation of Sports Medicine: team physician manual. 2nd ed.. Hong Kong: International Federation of Sports Medicine; 2006;p. 373–406
  4. Ice R. Long term compliance. Phys Ther. 1985;65:1832–1839
  5. Sluijs EM, Kok GJ, van der Zee J. Correlates of exercise compliance in physical therapy. Phys Ther. 1993;73:771–782
  6. Williams GC, Gagne M, Ryan RM, Deci EL. Facilitating autonomous motivation for smoking cessation. Health Psychol. 2002;21:40–50
  7. Williams GC, Grow VM, Freedman ZR, Ryan RM, Deci EL. Motivational predictors of weight loss and weight-loss maintenance. J Pers Soc Psychol. 1996;70:115–126
  8. Williams GC, Freedman ZR, Deci EL. Supporting autonomy to motivate patients with diabetes for glucose control. Diabetes Care. 1998;21:1644–1651
  9. Williams GC, Rodin GC, Ryan RM, Grolnick WS, Deci EL. Autonomous regulation and long-term medication adherence in adult outpatients. Health Psychol. 1998;17:269–276
  10. Williams GC, Cox EM, Kouides R, Deci EL. Presenting the facts about smoking to adolescents—effects of an autonomy-supportive style. Arch Pediatr Adolesc Med. 1999;153:959–964
  11. Ryan RM, Plant RW, O'Malley S. Initial motivations for alcohol treatment: relations with patient characteristics, treatment involvement, and dropout. Addict Behav. 1995;20:279–297
  12. Williams GC, McGregor HA, Sharp D, et al. Testing a self-determination theory intervention for motivating tobacco cessation: supporting autonomy and competence in a clinical trial. Health Psychol. 2006;25:91–101
  13. Deci EL, Ryan RM. Intrinsic motivation and self-determination in human behavior. New York: Plenum; 1985;
  14. Fisher AC. Counseling for improved rehabilitation adherence. In:  Ray R,  Wiese-Bjornstal DM editor. Counseling in sports medicine. Champaign: Human Kinetics; 2001;p. 275–309
  15. Jensen GM, Lorish CD. Promoting patient cooperation with exercise programs: linking research, theory, and practice. Arthritis Care Res. 1994;7:181–189
  16. Duda JL, Smart AE, Tappe MK. Predictors of adherence in the rehabilitation of athletic injuries: an application of personal investment theory. J Sport Exerc Psychol. 1989;11:367–387
  17. Brewer BW, Cornelius AE, Van Raalte JL, et al. Age-related differences in predictors of adherence to rehabilitation after anterior cruciate ligament reconstruction. J Athl Train. 2003;38:158–162
  18. Brewer BW, Van Raalte JL, Cornelius AE, et al. Psychological factors, rehabilitation adherence, and rehabilitation outcome after anterior cruciate ligament reconstruction. Rehabil Psychol. 2000;45:20–37
  19. Fields J, Murphey M, Horodyski MB, Stopka C. Factors associated with adherence to sport injury rehabilitation in college-age recreational athletes. J Sport Rehab. 1995;4:172–180
  20. Levy AR, Polman RC, Clough PJ. Adherence to sport injury rehabilitation programs: an integrated psycho-social approach. Scand J Med Sci Sports. 2008;18:798–809
  21. Deci EL, Ryan RM. The “what” and “why” of goal pursuits: human needs and the self-determination of behavior. Psychol Inq. 2000;11:227–268
  22. Williams GC, Minicucci DS, Kouides RW, et al. Self-determination, smoking, diet and health. Health Edu Res. 2002;17:512–521
  23. Ryan RM, Deci EL. Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am Psychol. 2000;55:68–78
  24. Williams GC, Deci EL. Activating patients for smoking cessation through physician autonomy support. Med Care. 2001;39:813–823
  25. Kolt GS, Brewer BW, Pizzari T, Schoo AM, Garrett N. The Sport Injury Rehabilitation Adherence Scale: a reliable scale for use in clinical physiotherapy. Physiotherapy. 2007;93:17–22
  26. Bassett SF. The assessment of patient adherence to physiotherapy rehabilitation. N Z J Physiother. 2003;31:60–66
  27. Hu L, Bentler PM. Cutoff criteria for fit indexes in covariance structural analysis: conventional criteria versus new alternatives. Structural Equation Modeling. 1999;6:1–55
  28. Baron RM, Kenny DA. The moderator mediator variable distinction in social psychological-research—conceptual, strategic, and statistical considerations. J Pers Soc Psychol. 1986;51:1173–1182
  29. Cameron C. Patient compliance: recognition of factors involved and suggestions for promoting compliance with therapeutic regimens. J Adv Nurs. 1996;24:244–250
  30. Aiken LS, West SG. Multiple regression: testing and interpreting interactions. Newbury Park: Sage; 1991;
  31. Pulliam C, Gatchel RJ, Robinson RC. Challenges to early prevention and intervention: personal experiences with adherence. Clin J Pain. 2003;19:114–120

 No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit on the authors or on any organization with which the authors are associated.

 Reprints are not available from the author.

PII: S0003-9993(09)00675-3

doi: 10.1016/j.apmr.2009.05.024

Archives of Physical Medicine and Rehabilitation
Volume 90, Issue 12 , Pages 1977-1982 , December 2009