University of Utah, Salt Lake City, Salt Lake City, UT 84112, USA.
J Athl Train. 2013 May-Jun;48(3):372-81. doi: 10.4085/1062-6050-48.2.20. Epub 2013 Feb 20.
Evidence suggests that nonadherence to rehabilitation protocols may be associated with worse clinical and functional rehabilitation outcomes. Recently, it has been recognized that nonadherence may not only reflect a lack of rehabilitation engagement but that some athletes may "overadhere" to their injury-rehabilitation regimen or risk a premature return to sport. Presently, no measure of overadherence exists, and correlates of overadherence and risking a premature return to sport remain uncertain.
To provide initial validation of a novel injury-rehabilitation overadherence measure (study 1) and to examine correlates of overadherence and risking a premature return to sport (study 2).
Cross-sectional study.
High school athletes (study 1) and collegiate athletes (study 2).
In study 1, 118 currently injured US adolescent athletes competing in a range of high school sports participated. In study 2, 105 currently injured collegiate athletes (National Collegiate Athletic Association Divisions I-III) volunteered.
MAIN OUTCOME MEASURE(S): The Rehabilitation Overadherence Questionnaire was a novel instrument developed to assess injured athletes' tendency toward overadherence behaviors and beliefs. We used an adapted version of the Injury Psychological Readiness to Return to Sport Scale to assess the tendency to risk a premature return to sport.
In study 1, the construct validity of the overadherence measure was supported using principal axis factoring. Moreover, bivariate correlation and regression analyses indicated that self-presentation concerns and athletic identity were positive predictors of adolescent rehabilitation overadherence and a premature return to sport. Study 2 provided support for the 2-factor structure of the overadherence measure found in study 1 via confirmatory factor analysis. Further support for the relationship among self-presentation concerns, athletic identity, and rehabilitation overadherence was also noted.
The Rehabilitation Overadherence Questionnaire is a valid and reliable measure of overadherence.
有证据表明，不遵守康复方案可能与更差的临床和功能康复结果相关。最近，人们认识到，不遵守可能不仅反映了康复参与度的缺乏，而且一些运动员可能会“过度遵守”他们的伤后康复方案或冒着过早重返运动的风险。目前，还没有衡量过度遵守的方法，而且过度遵守和过早重返运动的风险的相关因素仍不确定。
提供一种新的伤后康复过度遵守测量方法的初步验证（研究 1），并研究过度遵守和过早重返运动的风险的相关因素（研究 2）。
横断面研究。
高中运动员（研究 1）和大学生运动员（研究 2）。
在研究 1 中，118 名目前受伤的美国青少年运动员参加了一系列高中运动。在研究 2 中，105 名目前受伤的大学生运动员（美国全国大学体育协会 I-III 级）自愿参与。
康复过度遵守问卷是一种新的工具，用于评估受伤运动员过度遵守行为和信念的倾向。我们使用了改编的伤后心理准备重返运动量表来评估过早重返运动的倾向。
在研究 1 中，使用主轴因子分析支持了过度遵守测量的结构有效性。此外，双变量相关和回归分析表明，自我表现关注和运动身份是青少年康复过度遵守和过早重返运动的积极预测因素。研究 2 通过验证性因子分析为研究 1 中发现的过度遵守测量的 2 因素结构提供了支持。还注意到自我表现关注、运动身份和康复过度遵守之间的关系。
康复过度遵守问卷是一种有效且可靠的过度遵守测量方法。
