Certified Athletic Trainers' Perspectives on Rehabilitation Adherence in Collegiate Athletic Training Settings

Abstract

These results suggest that participants believe that underadherence (and to a lesser extent overadherence) is a frequent occurrence in collegiate athletic training settings. Strategies for enhancing rehabilitation adherence rates and preventing overadherence may therefore be important for optimizing rehabilitation outcomes.

Psychosocial Factors in Sports Injury Rehabilitation and Return to Play

“…40 The delineation of athletes' roles (eg, motivation, compliance, communication of concerns) and the establishment of clear expectations also seem to be crucial in optimizing athletes' rehabilitation motivation and adherence. 47 Practitioners may also facilitate rehabilitation by clarifying their own role in the treatment process; specifically, providing clear information about treatment, adequate pain control, and participation in key decisions. 48 …”

Adherence to Sport Rehabilitation

“…18 As over 200 variables can affect adherence, a few reported factors that can influence adherence levels include injury severity, gender, sport type, level of competition, scholarship status, and playtime. 19,20 Examples of assessments for adherence include the Sport Injury Rehabilitation Adherence Scale (SIRAS), 18,[21][22][23][24] Rehabilitation Adherence Questionnaire (RAQ), 25 the Rehabilitation Over Adherence Questionnaire (ROAQ) 13 and the Rehabilitation Adherence Measure for Athletic Training (RAdMAT). 18 The lack of a definition and standardized measurement of adherence leads to a lack of clear guidelines for what constitutes under adherent, adherent, and over adherent behavior during the rehabilitation process.…”

“…18 The lack of a definition and standardized measurement of adherence leads to a lack of clear guidelines for what constitutes under adherent, adherent, and over adherent behavior during the rehabilitation process. 20,26,27 Athletic trainers have reported that under adherence is a frequent issue experienced in clinical practice, and over adherence is an issue in clinical practice occasionally. 20 Thus, most of the literature has focused on under adherent behavior with little research focusing on over adherent behavior.…”

“…20,26,27 Athletic trainers have reported that under adherence is a frequent issue experienced in clinical practice, and over adherence is an issue in clinical practice occasionally. 20 Thus, most of the literature has focused on under adherent behavior with little research focusing on over adherent behavior. 13,20 It has been stated that in clinical based rehabilitation adherence rates ranged from 40-91% thus indicating the need to further study adherence to sport injury rehabilitation in an athletic training setting.…”

“…20 Thus, most of the literature has focused on under adherent behavior with little research focusing on over adherent behavior. 13,20 It has been stated that in clinical based rehabilitation adherence rates ranged from 40-91% thus indicating the need to further study adherence to sport injury rehabilitation in an athletic training setting. 18,20,26,27 Both under and over adherence cause delays in return to participation.…”