Effects of motivational interviewing with conventional physical therapy on rehabilitation of chronic musculoskeletal disorders: a quasi-experimental study

Importance: Patient motivation is an important determinant of rehabilitation outcomes. Differences in patients' and clinicians' perceptions of motivational factors can potentially hinder patient-centered care. Objective: To compare patients' and clinicians' perceptions of the most important factors in motivating patients for rehabilitation. Design: This multicenter descriptive cross-sectional survey was conducted from January to March 2022. Setting: Thirteen hospitals with a convalescent rehabilitation ward. Participants: Patients with neurological or orthopedic disorders undergoing inpatient rehabilitation and clinicians, including physicians, physical therapists, occupational therapists, and speech-language-hearing therapists, were selected purposively based on the inclusion criteria. Main Outcomes and Measures: Patients and clinicians were asked to choose the most important factor from a list of potential motivational factors. The main outcome was patients' and clinicians' perceptions of the relative importance of various motivational factors for rehabilitation. Results: We obtained data from 479 patients and 401 clinicians. Response rates in the patient and clinician surveys were 92.1% and 62.2%, respectively. The most common primary reasons for patients' hospitalizations were stroke (45.5%) and fracture (42.2%). Approximately half of the clinicians were physical therapists (49.9%). "Realization of recovery," "goal setting," and "practice related to the patient's experience and lifestyle" were the three factors most frequently selected as most important by both patients and clinicians, chosen by 10.4%-26.5% of patients and 9.5%-36.7% of clinicians. Only five were rated as most important by 5% of clinicians; however, nine factors were selected by 5% of patients. Of these nine motivational factors, "medical information" (odds ratio: 5.19; 95% confidence interval: 2.24-11.60) and "control of task difficulty" (odds ratio: 2.70; 95% confidence interval: 1.32-5.80) were selected by a significantly higher proportion of patients than clinicians. Conclusions and Relevance: The three most frequently endorsed motivational factors were identical for patients and clinicians. The preferences of patients were more diverse than those of clinicians, and some motivational factors were preferred by patients over clinicians. Therefore, when determining motivational strategies, rehabilitation clinicians should consider individual patient preferences in addition to utilizing the core motivational factors supported by both parties.

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Patients’ and Clinicians’ Perceptions of Motivational Factors in Rehabilitation

Oyake

Yamauchi

Inoue

et al. 2022

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Effects of motivational interviewing with conventional physical therapy on rehabilitation of chronic musculoskeletal disorders: a quasi-experimental study

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Patients’ and Clinicians’ Perceptions of Motivational Factors in Rehabilitation

Patients’ and Clinicians’ Perceptions of Motivational Factors in Rehabilitation

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