School of Kinesiology, University of Western Ontario, London, Ontario, Canada.
Scand J Med Sci Sports. 2012 Oct;22(5):695-703. doi: 10.1111/j.1600-0838.2011.01304.x. Epub 2011 Apr 18.
Previous observational studies examining imagery, self-efficacy, and adherence during injury rehabilitation have been cross-sectional and thus have not provided a clear representation of what occurs over the course of the rehabilitation period. The objectives of this research were (1) to examine the temporal patterns of imagery, self-efficacy, and rehabilitation adherence during an 8-week rehabilitation program and (2) to identify the time-order relationships between imagery, self-efficacy, and adherence. The design of the study was prospective and observational. 90 injured people (n=57 males; n=33 females) aged 18-78 years attending an injury rehabilitation clinic participated. The main outcome measures were imagery (cognitive, motivational, and healing), self-efficacy (task and coping), and rehabilitation adherence (duration, quality, and frequency). Results indicated that task efficacy, imagery use, and adherence levels remained stable, while coping efficacy declined over time. During the course of rehabilitation, moderate to strong reciprocal relationships existed between self-efficacy and adherence to rehabilitation. Weak to moderate relationships were found between imagery use and rehabilitation adherence. The results of this study can be used to inform the development of interventions steeped in self-efficacy and imagery aimed at improving rehabilitation adherence and treatment outcome.
先前的观察性研究检查了意象、自我效能和损伤康复过程中的依从性，但这些研究都是横断面研究，因此无法清楚地描述康复期间发生的情况。本研究的目的是：(1)在 8 周康复计划期间，检查意象、自我效能和康复依从性的时间模式；(2)确定意象、自我效能和依从性之间的时间顺序关系。该研究的设计是前瞻性和观察性的。90 名年龄在 18-78 岁之间的受伤者（57 名男性；33 名女性）参加了损伤康复诊所。主要的结局指标是意象（认知、动机和愈合）、自我效能（任务和应对）和康复依从性（持续时间、质量和频率）。结果表明，任务效能、意象使用和依从性水平保持稳定，而应对效能随时间下降。在康复过程中，自我效能与康复依从性之间存在中度至高度的相互关系。意象使用与康复依从性之间存在弱至中度的关系。本研究的结果可用于为旨在提高康复依从性和治疗效果的基于自我效能和意象的干预措施的发展提供信息。
