Psychological Skills and Adherence to Rehabilitation after Reconstruction of the Anterior Cruciate Ligament

Scherzer, Carrie B.; Brewer, Britton W.; Cornelius, Allen E.; Raalte, Judy L. Van; Petitpas, Albert J.; Sklar, Joseph H.; Pohlman, Mark H.; Krushell, Robert J.; Ditmar, Terry D.

doi:10.1123/jsr.10.3.165

Cited by 61 publications

(65 citation statements)

References 19 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Studies frequently used sample sizes of 70 or less [24,32,33,40,41,44,46,47,51]. Although there are no universal rules regarding appropriate sample size for multivariate analyses, smaller studies with many predictor variables allow less confidence in findings [55].…”

Section: Study Design and Methodsmentioning

confidence: 99%

“…Although the HBPTs studied did vary, several therapies were the subject of multiple studies. Specifically, rehabilitation exercises following ACL-repair surgery was the subject of five studies [24,34,35,39,40]; Pelvic Floor Muscle Exercise (PFME) therapy for symptoms of urinary incontinence was investigated in four studies [15,[36][37][38]; rehabilitation exercises following sports injury was investigated in three studies [32,33,41]; physiotherapy exercises as part of falls prevention interventions were also the subject of three studies [42][43][44]; dizziness and balance disorders were investigated by two studies [19,45], as were upper limb disorders and injuries [46,47], non-specific neck or low back pain [20,48], and osteoarthritis of the hip or knee [49,50]. Other HBPTs investigated were for stroke rehabilitation [51]; osteoporosis [18]; rheumatoid arthritis [52], and ankle sprains [53].…”

Section: Methodological Overview Of Studiesmentioning

confidence: 99%

See 1 more Smart Citation

Predictors of adherence to home-based physical therapies: a systematic review

Essery

Geraghty

Kirby

et al. 2016

Disability and Rehabilitation

261

177

View full text Add to dashboard Cite

Disability and Rehabilitation F o r P e e r R e v i e w Running head: Adherence to home-based physical therapies Implications for Rehabilitation• Non-adherence to physical rehabilitation therapies is often high -particularly in selfmanaged, home-based programmes, despite good adherence being important in achieving positive outcomes.• The findings of this systematic review indicate that greater self-efficacy, self-motivation, social support, intentions and previous adherence to physical therapies predict higher adherence to HBPTs.• Assessment of these domains before providing individuals with their HBPT regimes may allow identification of 'risk factors' for poor adherence. These can then potentially be addressed or managed prior to, or alongside, the therapy.• Interventions to support patients' self-managed physical rehabilitation should include elements designed to enhance patients' self-efficacy, self-motivation and social support given the evidence that these factors are good predictors of adherence. 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 focused largely on clinic-based physiotherapy. The objective of this review, therefore, was to identify specific factors which influence adherence to home-based, self-managed physical therapies. Method: A systematic review was conducted in which eight online databases were searched using combinations of key terms relating to physical therapies, adherence and predictors. Matching records were screened against eligibility criteria and 30 quantitative articles were quality assessed and included in the final review. Relevant data were extracted and a narrative synthesis approach was taken to aggregating findings across studies. Results:There was relatively strong evidence that the following factors predicted adherence to HBPTs: intention to engage in the HBPT, self-motivation, self-efficacy, previous adherence to exercise-related behaviours, and social support. Conclusions: This review has identified a range of factors that appear to be related to patients' adherence to their self-managed physical rehabilitation therapies. Awareness of these factors may inform design of interventions to improve adherence. Key words:Adherence, physiotherapy, self-management, predictors recommendations from a health care provider" [7]. Within the field of rehabilitation, the term 'engagement' is also increasingly used in relation to patients' self-management of their health. This term not only encompasses notions of whether a patient's behaviour is adherent, but also of interaction with professionals and identifying relevant information too [8][9][10]. Whilst important to acknowledge this broader concept of engagement, the focus of this review is primarily upon...

show abstract

Section: Study Design and Methodsmentioning

confidence: 99%

Section: Methodological Overview Of Studiesmentioning

confidence: 99%

Predictors of adherence to home-based physical therapies: a systematic review

Essery

Geraghty

Kirby

et al. 2016

Disability and Rehabilitation

261

177

View full text Add to dashboard Cite

show abstract

“…Studies have shown that a specific belief that goal setting will assist recovery has been shown to positively influence home and clinic-based adherence in several studies. 23,31,37,38 These findings are likely linked to the concept of self-motivation, which, as previously discussed, has been cited as a factor positively affecting adherence in both qualitative and quantitative research efforts.…”

Section: Personal Factorsmentioning

confidence: 81%

Using a Multidimensional Approach to Predict Motivation and Adherence to Rehabilitation in Older Adults

Grindley

Zizzi

2005

Topics in Geriatric Rehabilitation

View full text Add to dashboard Cite

Physical therapists working with older adults often encounter problems related to low motivation and adherence. This review article integrates data on factors related to adherence behavior from the fields of sports medicine, sport psychology, athletic training, and physical therapy and applies the results to older adults in rehabilitation. Key factors are highlighted and a model for predicting adherence behavior, based on protection motivation theory, is outlined. The authors advocate complementing orthopedic assessment with a psychosocial assessment in the form of brief surveys or structured interview. The article concludes with several evidence-based recommendations for the practicing physical therapist.

show abstract

“…Researchers supporting the efficacy of brief pst interventions have predominantly conducted studies with athletes, in whom the effectiveness of pst is measured in terms of performance on tasks such as improved race completion times in cycling 33 and in running a . Similarly, studies using pst in health care settings largely use performance-based measures (such as increased adherence to rehabilitation programs) to determine the success of the intervention 35 . Thus, it may be beneficial to include both behavioural and psychological measures in future studies.…”

Section: Discussionmentioning

confidence: 99%

“…Interventions using pst have also been successfully administered in health care settings, teaching children to enhance coping with painful medical procedures 34 , helping adults to increase adherence to rehabilitation programs 35 , and reducing symptoms when given as part of group therapy for breast cancer patients 36,37 . These techniques have also been shown to be effective in addressing many common survivorship issues, including fatigue, anxiety, and depression 38,39 .…”

Section: Positive Self-talkmentioning

confidence: 99%

Using a Positive Self-Talk Intervention to Enhance Coping Skills in Breast Cancer Survivors: Lessons from a Community-Based Group Delivery Model

et al. 2011

View full text Add to dashboard Cite

Purpose: Cancer survivorship is a distinct phase of the cancer continuum, and it can have myriad associated stresses and challenges. The purpose of the present study was to evaluate the effectiveness of a positive self-talk (PST) intervention in enhancing the coping skills and improving the psychological well-being of breast cancer survivors. Methods: Participants (n = 38) were recruited from 5 support groups in a small eastern Canadian province. Support groups were randomly assigned to either a control (n = 18) or an intervention (n = 20) condition. Intervention participants were pre-tested, received a 2-hour PST in-person group workshop and a 10-minute “booster” session by telephone, and completed post-test questionnaires 1 month later. Results: Intervention participants reviewed the workshop favourably. Nearly all participants used the intervention in everyday life, were able to accurately describe how PST works, and found that PST had a considerable impact on their ability to cope with cancer and related sequelae. However, the descriptive findings from the workshop evaluation did not translate into significant differences between the intervention and control groups on the psychometric measures. Conclusions: The PST intervention, delivered in a community group model, was positively received and effective in teaching participants about PST and how PST can be used to enhance coping skills for breast cancer patients. However, the intervention did not promote significantly greater levels of change in anxiety, depression, mood disturbance, or coping ability for intervention participants. The unique challenges of community-level psychological intervention are explored.

show abstract

Psychological Skills and Adherence to Rehabilitation after Reconstruction of the Anterior Cruciate Ligament

Cited by 61 publications

References 19 publications

Predictors of adherence to home-based physical therapies: a systematic review

Predictors of adherence to home-based physical therapies: a systematic review

Using a Multidimensional Approach to Predict Motivation and Adherence to Rehabilitation in Older Adults

Using a Positive Self-Talk Intervention to Enhance Coping Skills in Breast Cancer Survivors: Lessons from a Community-Based Group Delivery Model

Contact Info

Product

Resources

About