Use of Protection Motivation Theory, Affect, and Barriers to Understand and Predict Adherence to Outpatient Rehabilitation

Grindley, Emma; Zizzi, Sam; Nasypany, Alan

doi:10.2522/ptj.20070076

Cited by 43 publications

(59 citation statements)

References 30 publications

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“…Mechanistically, negative affect may constrict an individual's thought-action repertoire and self-regulatory behaviors (Moskowitz et al, 2012), thus hindering the ability to adhere to treatment recommendations. Therapeutic efforts to reduce negative mood may be effective in encouraging patient involvement in the treatment process (Tice et al, 2007;Grindley et al, 2008). Curiously, both Independent models = single IV; multivariable models = simultaneous IV's.…”

Section: Discussionmentioning

confidence: 99%

Positive psychological determinants of treatment adherence among primary care patients

Nsamenang

Hirsch

2014

Prim Health Care Res Dev

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Background: Patient adherence to medical treatment recommendations can affect disease prognosis, and may be beneficially or deleteriously influenced by psychological factors. Aim: We examined the relationships between both adaptive and maladaptive psychological factors and treatment adherence among a sample of primary care patients. Methods: One hundred and one rural, primary care patients completed the Life Orientation Test-Revised, Trait Hope Scale, Future Orientation Scale, NEO-FFI Personality Inventory (measuring positive and negative affect), and Medical Outcomes Study General Adherence Scale. Findings: In independent models, positive affect, optimism, hope, and future orientation were beneficially associated with treatment adherence, whereas pessimism and negative affect were negatively related to adherence. In multivariate models, only negative affect, optimism and hope remained significant and, in a comparative model, trait hope was most robustly associated with treatment adherence. Implications: Therapeutically, addressing negative emotions and expectancies, while simultaneously bolstering motivational and goal-directed attributes, may improve adherence to treatment regimens.

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Section: Discussionmentioning

confidence: 99%

Positive psychological determinants of treatment adherence among primary care patients

Nsamenang

Hirsch

2014

Prim Health Care Res Dev

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“…20 We presume that, if individuals perceive a high threat and susceptibility to health problems and perceive treatment as effective and valued, their adherence to the treatment program will increase. Other studies 23,24 also demonstrated that rehabilitation beliefs are related to adherence to the sport-injury rehabilitation program. However, only a few investigators 18 examined the influence of injured athletes' perceptions of social support on their rehabilitation beliefs, and the association between hope and rehabilitation beliefs is still unknown.…”

mentioning

confidence: 94%

Injured Athletes' Rehabilitation Beliefs and Subjective Well-Being: The Contribution of Hope and Social Support

Lu¹,

Hsu

2013

Journal of Athletic Training

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Context: Injuries are a significant problem in the world of sports. Hope and social support are very important features in providing psychological help as people face life challenges such as sport injuries.Objective: To examine how hope and social support uniquely and jointly predict postinjury rehabilitation beliefs, rehabilitation behavior, and subjective well-being.Design: Cross-sectional study. Setting: Four sports-injury rehabilitation centers of local universities in Taiwan.Participants: A total of 224 injured Taiwanese collegiate student-athletes.Main Outcomes Measure(s): The Trait Hope Scale, the Sports Injury Rehabilitation Beliefs Survey, the Satisfaction with Life Scale, the Positive Affective and Negative Affective Scale, and the Multidimensional Scale of Perceived Social Support were completed by participants after they received their regular rehabilitation treatment.Results: We conducted hierarchical regressions and found that social support and 2 types of hope in injured athletes predicted their rehabilitation beliefs and subjective well-being. However, only hope agency predicted their rehabilitation behavior. Also, hope and social support had an interactive effect on the prediction of subjective well-being; for participants with low hope pathways, the perception of more social support was associated with higher levels of subjective well-being, whereas social support had only a relatively low association with subjective well-being among participants with high hope pathways.Conclusions: Enhancing hope perceptions and strengthening injured athletes' social support during rehabilitation are beneficial to rehabilitation behavior and subjective well-being.

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“…The personality test has the advantage of objectively evaluating a patient's personality and psychological condition and is of greater clinical use than an ambiguous assessment such as 'somewhat peculiar patient'. In addition, this relevant information can be shared with various physicians and other medical personnel, including nurses and physical therapists [19][20][21].…”

Section: Discussionmentioning

confidence: 99%

Characteristic personality in orthopaedic outpatients

Kasai

Wang

Sakakibara

2012

Eur J Orthop Surg Traumatol

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Orthopaedic pathology might have both physical and psychological components; however, there has been no large-scale study investigating personalities in the general orthopaedics population. The purpose of this study is to determine the characteristic personality in orthopaedic outpatients. In this study, 3,743 (61.7%) among 6,069 consecutive outpatients consented to answer the Japanese MPI questionnaires, and 1,112 orthopaedic outpatients (O group) and 2,631 outpatients seen in other departments (NO [non-orthopaedic] group) were enrolled in this study. We determined three scores such as introversion/extroversion (E score), neuroticism (N score), and lie detection (L score), and deWned a score exceeding the mean + 2SD in accordance with the results of the general Japanese adult population (therefore, N score ¸42 or L score ¸32) as indicating eccentric personality and determined the percentages of eccentric personality patients. All data were used to compare the two groups. The result of this study showed no signiWcant diVerences between the two groups for E, N, or L scores, but the percentage of eccentric personality patients was signiWcantly higher in the O group (p < 0.001). The percentage of eccentric personality was 10.8% among orthopaedic patients, which was approximately twice as high as among those presenting to other departments (5.5%). In conclusion, it was determined that the personalities of orthopaedic patients and non-orthopaedic patients were similar, but the percentage having eccentric personality was approximately twice as high among patients with orthopaedic diseases. We suggest that it would be advisable to keep this information in mind when treating patients who visit orthopaedics departments.

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Use of Protection Motivation Theory, Affect, and Barriers to Understand and Predict Adherence to Outpatient Rehabilitation

Cited by 43 publications

References 30 publications

Positive psychological determinants of treatment adherence among primary care patients

Positive psychological determinants of treatment adherence among primary care patients

Injured Athletes' Rehabilitation Beliefs and Subjective Well-Being: The Contribution of Hope and Social Support

Characteristic personality in orthopaedic outpatients

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