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dc.contributor.authorLee, Alfred S. Y.
dc.contributor.authorShu-Hang Yung, Patrick
dc.contributor.authorTim-Yun Ong, Michael
dc.contributor.authorLonsdale, Chris
dc.contributor.authorWong, Thomson W. L.
dc.contributor.authorSiu, Parco M.
dc.contributor.authorHagger, Martin S.
dc.contributor.authorChan, Derwin K. C.
dc.date.accessioned2024-02-14T12:32:23Z
dc.date.available2024-02-14T12:32:23Z
dc.date.issued2023
dc.identifier.citationLee, A. S. Y., Shu-Hang Yung, P., Tim-Yun Ong, M., Lonsdale, C., Wong, T. W. L., Siu, P. M., Hagger, M. S., & Chan, D. K. C. (2023). Effectiveness of a theory-driven mHealth intervention in promoting post-surgery rehabilitation adherence in patients who had anterior cruciate ligament reconstruction : A randomized clinical trial. <i>Social Science and Medicine</i>, <i>335</i>, Article 116219. <a href="https://doi.org/10.1016/j.socscimed.2023.116219" target="_blank">https://doi.org/10.1016/j.socscimed.2023.116219</a>
dc.identifier.otherCONVID_184892491
dc.identifier.urihttps://jyx.jyu.fi/handle/123456789/93392
dc.description.abstractRationale Patients with anterior cruciate ligament (ACL) reconstruction often have poor adherence to post-surgery rehabilitation. Objective This study applied the integrated model of self-determination theory and the theory of planned behavior to examine the effects of a smartphone-delivered intervention on the recovery outcomes of patients with an ACL rupture during post-surgery rehabilitation period. Additionally, we explored the effects of the intervention on participants with different beliefs toward rehabilitation at baseline. Methods The randomized control trial recruited 96 eligible participants (M age = 27.82 years, SD = 8.73; female = 39%) who underwent ACL reconstruction surgery. Participants were randomly assigned to an intervention group (n = 41), which received standard post-surgical treatment (usual-care) and smartphone application (“ACL-Well”), or a usual-care control group (n = 55). The primary outcomes were recovery outcomes from ACL surgery measured by knee muscle strength and laxity, and subjective knee evaluation completed 4-month post-intervention. Secondary outcomes were the psychological and behavioral outcomes measured at baseline, at 2- and 4-month post-intervention. Results ANCOVA indicated no significant between-group differences in primary outcomes: knee muscle strength, knee laxity and subjective knee evaluation, Fs(1, 27 to 55) = 0.01 to 1.36, p = .25 to .99, η2 = 0.01 to 0.03. For the secondary outcomes, growth mixture modelling revealed self-determined treatment motivation declined significantly over the intervention period in the control group (M slope = −0.39 to −0.12, p = .01 to .04), but not in the intervention group (M slope = −0.19 to −0.08, p = .06 to .38). Conclusions The smartphone application fell short in promoting orthopedic outpatients' recovery outcomes. Yet, it shows some promises as a mean to maintain patients’ motivation and adherence to treatment.en
dc.format.mimetypeapplication/pdf
dc.language.isoeng
dc.publisherElsevier
dc.relation.ispartofseriesSocial Science and Medicine
dc.rightsCC BY-NC-ND 4.0
dc.subject.othermHealth
dc.subject.otherintegrated model
dc.subject.othermotivation
dc.subject.othersocial cognition beliefs
dc.subject.othertreatment adherence
dc.subject.otherACL
dc.subject.otherself-determination theory
dc.subject.othertheory of planned behavior
dc.titleEffectiveness of a theory-driven mHealth intervention in promoting post-surgery rehabilitation adherence in patients who had anterior cruciate ligament reconstruction : A randomized clinical trial
dc.typearticle
dc.identifier.urnURN:NBN:fi:jyu-202402141872
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.type.coarhttp://purl.org/coar/resource_type/c_2df8fbb1
dc.description.reviewstatuspeerReviewed
dc.relation.issn0277-9536
dc.relation.volume335
dc.type.versionacceptedVersion
dc.rights.copyright© 2023 Elsevier
dc.rights.accesslevelopenAccessfi
dc.subject.ysointerventio
dc.subject.ysositoutuminen (toiminta)
dc.subject.ysosovellusohjelmat
dc.subject.ysopolvet
dc.subject.ysomotivaatio
dc.subject.ysokuntoutus
dc.subject.ysokäyttäytyminen
dc.subject.ysoleikkaushoito
dc.format.contentfulltext
jyx.subject.urihttp://www.yso.fi/onto/yso/p41
jyx.subject.urihttp://www.yso.fi/onto/yso/p13419
jyx.subject.urihttp://www.yso.fi/onto/yso/p8456
jyx.subject.urihttp://www.yso.fi/onto/yso/p14204
jyx.subject.urihttp://www.yso.fi/onto/yso/p4734
jyx.subject.urihttp://www.yso.fi/onto/yso/p3320
jyx.subject.urihttp://www.yso.fi/onto/yso/p3625
jyx.subject.urihttp://www.yso.fi/onto/yso/p842
dc.rights.urlhttps://creativecommons.org/licenses/by-nc-nd/4.0/
dc.relation.doi10.1016/j.socscimed.2023.116219
jyx.fundinginformationThe project was funded by grants [#16172201] from the Health and Medical Research Fund, Hong Kong awarded to the corresponding author.
dc.type.okmA1


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