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

Chan, Derwin King Chung; Lonsdale, Chris; Ho, P Y; Yung, Patrick Shu‐Hang; Chan, Kai Ming

doi:10.1016/j.apmr.2009.05.024

Cited by 160 publications

(154 citation statements)

References 27 publications

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“…2016; 9(3):e6494. 5 (15). These researchers used a method called "supportive independent behaviors" to achieve optimal adherence in the area of motor activity after surgery; so by presenting simple and understandable training to the patients and their families, the rate of adherence to the treatment program increased significantly in the group that had used this method (16).…”

Section: Total Adherencementioning

confidence: 99%

The Effect of Family-Centered Empowerment Model on Treatment Plans Adherence of Patients Undergoing Coronary Artery Bypass Graft

Sanaie¹,

Bahramnezhad²,

Zolfaghari³

et al. 2016

Crit Care Nurs J

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Background: Coronary artery diseases are among the most important causes of disability and coronary artery bypass graft (CABG) surgery is considered as one of the most important methods of treatment. The improvement of post-surgery adherence to treatment plan is one of the main healthcare objectives. Objectives: The present study attempted to determine the effect of family-centered empowerment model on the adherence of patients undergoing CABG to the treatment plans. Methods: This research was a clinical trial and a quasi-experimental study, including pre and post tests with a control group performed on 102 patients and active family members of the patients hospitalized at the intensive care unit (ICU) of Imam Khomeini hospital of Tehran, Iran in 2014. For the experimental group, the family-centered empowerment model was implemented with four steps. The control group received only common care. The rate of patients' adherence to the treatment plans was then investigated in three areas of diet, medication, and physical activities before and after the intervention, and the data were analyzed using PASW Statistics V18 software. Results: The two groups were similar in terms of demographic variables. After the intervention, there was a significant difference based on the results of the independent T-test in terms of mean scores of adherence to the treatment plan in the three areas mentioned above (P = 0.000). Also, before and after the intervention, a significant difference was observed in the experimental group in terms of the above mean scores (P = 0.000). Conclusions: Based on the research findings, the family-centered empowerment model seems to be practical and feasible for the patients under CABG, which can bring improvement or correction of adherence to the treatment plan.

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Section: Total Adherencementioning

confidence: 99%

The Effect of Family-Centered Empowerment Model on Treatment Plans Adherence of Patients Undergoing Coronary Artery Bypass Graft

Sanaie¹,

Bahramnezhad²,

Zolfaghari³

et al. 2016

Crit Care Nurs J

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“…Increasing evidence shows that the nature of the therapeutic relationship between the physiotherapist and the patient influences treatment adherence and clinical outcomes (24). Adherence is greater when practitioners are perceived as supportive rather than paternalistic (25). A recent meta-analysis (26) showed that effective communication and support from practitioners is vital to promote patients' self-belief with regard to exercise and long-term motivation.…”

mentioning

confidence: 99%

Effects of Two Physiotherapy Booster Sessions on Outcomes With Home Exercise in People With Knee Osteoarthritis: A Randomized Controlled Trial

Bennell

Kyriakides

Hodges

et al. 2014

Arthritis Care & Research

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Objective. Enhancing exercise adherence over the longer term is an important goal in self-management of knee osteoarthritis (OA). Following an initial period of more intensive exercise supervision, this study investigated whether 2 additional physiotherapy visits improved outcomes with continued home exercise over a subsequent 24-week period. Methods. A total of 78 people with medial knee OA (mean ؎ SD age 62.1 ؎ 6.9 years, mean ؎ SD body mass index 29.4 ؎ 4.0 kg/m 2 , and radiographic disease severity 19% mild, 49% moderate, and 32% severe) who completed a 12-week physiotherapist-supervised exercise trial were randomly allocated to 2 30-minute physiotherapy booster sessions (delivered by 8 physiotherapists in private clinics) or no booster sessions for the subsequent 24 weeks. All participants were asked to continue home exercises 4 times weekly. Primary outcomes were change in pain, using a 100-mm visual analog scale, and self-reported physical function, measured using the Western Ontario McMaster Universities Osteoarthritis Index. Participants and physiotherapists were unblinded to group allocation, although participants were blinded to the study hypothesis.

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“… Four studies assessed other than physical activities in rehabilitation (Ashe, Eng, Miller, & Soon, 2007;Battersby et al, 2009;Kayes et al, 2010;Post et al, 2012)  Three studies dealt with therapeutic sessions (Chan, Lonsdale, Ho, Yung, & Chan, 2009;Logsdon, McCurry, Pike, & Teri, 2009;Saltapidas & Ponsford, 2007)  Three articles contained incomplete (Lenze, Munin, Dew, et al, 2004) or no data (Lequerica, 2005;Lequerica, Donnell, & Tate, 2009) …”

Section: Figure 1: Search Strategymentioning

confidence: 99%

Long-term outcomes of stroke rehabilitation: patients and informal caregivers

Rettke

Geschwindner

2014

Pflege

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

Abstract: 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.

Cited by 160 publications

References 27 publications

The Effect of Family-Centered Empowerment Model on Treatment Plans Adherence of Patients Undergoing Coronary Artery Bypass Graft

The Effect of Family-Centered Empowerment Model on Treatment Plans Adherence of Patients Undergoing Coronary Artery Bypass Graft

Effects of Two Physiotherapy Booster Sessions on Outcomes With Home Exercise in People With Knee Osteoarthritis: A Randomized Controlled Trial

Long-term outcomes of stroke rehabilitation: patients and informal caregivers

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