Taylor A H, May S
Chelsea School Research Centre, University of Brighton, Eastbourne, UK.
J Sports Sci. 1996 Dec;14(6):471-82. doi: 10.1080/02640419608727734.
The aim of this study was to examine the effects of threat appraisal (perceived susceptibility to re-injury or retarded rehabilitation and perceived severity of injury) and coping appraisal (self-efficacy, treatment efficacy and outcome value), in the framework of Protection Motivation Theory (PMT), on compliance to a sports physiotherapist's prescribed modalities and rest. During extensive developmental work, a Sports Injury Rehabilitation Beliefs Survey was constructed with 19 items to assess the PMT components. Five compliance measures were developed from physiotherapist and patient surveys. Data from 62 subjects (68% female, mean +/- S.D. age 21.7 +/- 2.85 years, and involved in many recreational and competitive activities) were obtained from a single university-based sports injury clinic, in a prospective study. The study revealed that over half the subjects were subsequently non-compliant to some degree. Greater perceptions of both susceptibility to retarded rehabilitation and injury severity, at the first appointment, were related to subsequent non-compliant behaviour. Greater self-efficacy in the ability to perform prescribed rehabilitation modalities, stronger beliefs in the treatment efficacy, and higher value attached to rehabilitation, were all related to compliant behaviour. Compliance to restricted activity (or rest) was only related to greater perceptions of susceptibility. The findings provide some support for PMT in this context and offer a basis for designing sports therapist interventions which focus on threat and coping appraisal.
本研究旨在探讨在保护动机理论（PMT）框架下，威胁评估（对再次受伤或康复延迟的感知易感性以及对损伤严重程度的感知）和应对评估（自我效能感、治疗效果和结果价值）对遵守运动物理治疗师规定的治疗方式和休息的影响。在广泛的前期工作中，构建了一份包含19个项目的运动损伤康复信念调查问卷，以评估PMT的各个组成部分。从物理治疗师和患者的调查中制定了五项依从性测量指标。在一项前瞻性研究中，从一所大学的运动损伤诊所获取了62名受试者的数据（68%为女性，平均年龄±标准差为21.7±2.85岁，参与多种娱乐和竞技活动）。研究表明，超过半数的受试者随后在某种程度上不依从。首次就诊时，对康复延迟的易感性和损伤严重程度的更高认知与随后的不依从行为相关。对执行规定康复方式能力的更高自我效能感、对治疗效果的更强信念以及对康复的更高重视程度，均与依从行为相关。对限制活动（或休息）的依从性仅与更高的易感性认知相关。这些发现为该背景下的PMT提供了一些支持，并为设计侧重于威胁和应对评估的运动治疗师干预措施提供了依据。
