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dc.contributor.authorLee, Alfred S.Y.
dc.contributor.authorYung, Patrick Shu-Hang
dc.contributor.authorMok, Kam-Ming
dc.contributor.authorHagger, Martin S.
dc.contributor.authorChan, Derwin K.C.
dc.date.accessioned2020-03-17T07:37:47Z
dc.date.available2020-03-17T07:37:47Z
dc.date.issued2020
dc.identifier.citationLee, A. S., Yung, P. S.-H., Mok, K.-M., Hagger, M. S., & Chan, D. K. (2020). Psychological processes of ACL-patients' post-surgery rehabilitation : A prospective test of an integrated theoretical model. <i>Social Science and Medicine</i>, <i>244</i>, Article 112646. <a href="https://doi.org/10.1016/j.socscimed.2019.112646" target="_blank">https://doi.org/10.1016/j.socscimed.2019.112646</a>
dc.identifier.otherCONVID_33614265
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/68207
dc.description.abstractObjectives: The aim of this prospective study was to examine the utility of an integrated model comprising constructs from self-determination theory (SDT) and the theory of planned behavior (TPB) in predicting adherence to a post-surgery rehabilitation program in patients receiving anterior cruciate ligament (ACL) reconstruction. Constructs of the integrated model measured at baseline were expected to predict patients' rehabilitation adherence two months later. Method: Patients (N = 121, M age = 27.62, range = 18–53; 36.66% female) scheduled to have ACL reconstruction surgery within two months were recruited from a Hong Kong public hospital. At baseline and two-month follow-up, patients completed measures of perceived autonomy support from doctors and physiotherapists and treatment motivation from SDT, social cognition constructs from the TPB factors, and adherence to the postsurgery rehabilitation program recommended by their surgeon. Results: Path analysis displayed good goodness-of-fit of the proposed model with the data (χ2 = 11.47 (df = 9), CFI = 0.98, TLI = 0.93, RMSEA = 0.06 [90% CI = 0.00; 0.10]) after controlling for age, gender, time of surgery, post-surgery rehabilitation, and injury severity. Consistent with hypotheses, perceived autonomy support from physiotherapist and autonomous treatment motivation directly and indirectly predicted the TPB constructs and treatment adherence. However, there was no association between perceived autonomy support from doctors and autonomous motivation. Conclusion: The integrated model was effective in explaining the psychological processes that relate to medical adherence. Findings also highlight the importance of the autonomy support from physiotherapists and provide evidence for potential intervention targets.en
dc.format.mimetypeapplication/pdf
dc.languageeng
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesSocial Science and Medicine
dc.rightsCC BY-NC-ND 4.0
dc.subject.otherself-determination theory
dc.subject.othertheory of planned behavior
dc.subject.othertreatment motivation
dc.subject.otherbehavioral compliance
dc.subject.othersocial cognitive variables
dc.subject.otherrehabilitation adherence
dc.subject.otheranterior cruciate ligament rupture
dc.titlePsychological processes of ACL-patients' post-surgery rehabilitation : A prospective test of an integrated theoretical model
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202003172431
dc.contributor.laitosLiikuntatieteellinen tiedekuntafi
dc.contributor.laitosFaculty of Sport and Health Sciencesen
dc.contributor.oppiaineLiikuntapsykologiafi
dc.contributor.oppiaineSport and Exercise Psychologyen
dc.type.urihttp://purl.org/eprint/type/JournalArticle
dc.description.reviewstatuspeerReviewed
dc.relation.issn0277-9536
dc.relation.volume244
dc.type.versionacceptedVersion
dc.rights.copyright© 2019 Elsevier Ltd.
dc.rights.accesslevelopenAccessfi
dc.subject.ysokuntoutus
dc.subject.ysopolvet
dc.subject.ysourheiluvammat
dc.subject.ysofysioterapia
dc.subject.ysososiaalinen kognitio
dc.subject.ysohoitomyöntyvyys
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p14204
jyx.subject.urihttp://www.yso.fi/onto/yso/p12766
jyx.subject.urihttp://www.yso.fi/onto/yso/p10515
jyx.subject.urihttp://www.yso.fi/onto/yso/p12416
jyx.subject.urihttp://www.yso.fi/onto/yso/p20515
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.socscimed.2019.112646
jyx.fundinginformationThis project is funded by the Health and Medical Research Fund[14151301] awarded to the corresponding author.


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