School of Life Sciences, Heriot-Watt University, Riccarton, Edinburgh, UK.
Scand J Med Sci Sports. 2012 Jun;22(3):316-22. doi: 10.1111/j.1600-0838.2010.01236.x. Epub 2010 Oct 7.
This study was guided by the Theory of Planned Behavior (TPB) to assess the predictors of rehabilitation intention and adherence following anterior cruciate ligament (ACL) reconstructive surgery in athletes. Participants (n=87; mean age=28.95±7.7 years) volunteered to participate following their first post-surgery physiotherapy session and completed the baseline measures of intention, attitudes, subjective norm, perceived behavioral control, self-efficacy, participation level, sport and age. At follow-up, 48 participants returned completed rehabilitation diaries detailing adherence behavior every 2 weeks during an 8-week period. Results indicated that there was no significant difference in rehabilitation behavior at weeks 2, 4, 6 or 8. A multivariate analysis of covariance indicated that sport type, sport level, intention and intention(2) significantly predicted rehabilitation behavior, although the strength of relationship varied across the weeks. Self-efficacy was a significant predictor of intention. These findings suggest that adherence behavior is predicted by sport type, participation level and curvilinearly by intention to adhere. Intention to adhere can be positively associated with enhanced self-efficacy. The study has highlighted issues that practitioners should be aware of when encouraging rehabilitation adherence. However, the TPB provided a poor fit for understanding adherence behavior in this setting.
本研究以计划行为理论（TPB）为指导，评估运动员前交叉韧带（ACL）重建手术后康复意愿和依从性的预测因素。参与者（n=87；平均年龄 28.95±7.7 岁）在第一次术后物理治疗后自愿参加，并完成了意图、态度、主观规范、感知行为控制、自我效能、参与水平、运动和年龄的基线测量。在随访中，48 名参与者返回完成了康复日记，详细记录了 8 周期间每两周的依从行为。结果表明，在第 2、4、6 或 8 周时，康复行为没有显著差异。协方差的多变量分析表明，运动类型、运动水平、意图和意图（2）显著预测了康复行为，尽管各周的关系强度不同。自我效能是意图的重要预测因素。这些发现表明，运动类型、参与水平和意图的曲线与依从性显著相关。坚持锻炼的意愿可以与增强的自我效能感产生积极的关联。本研究强调了在鼓励康复依从性时，从业者应该注意的问题。然而，TPB 对理解这种情况下的依从行为的适用性较差。
