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      Understanding adherence to physiotherapy: findings from an experimental simulation and an observational clinical study

      Tijou, Imogen; Yardley, Lucy; Sedikides, Constantine; Bizo, Lewis A.
      DOI
       10.1080/08870440802372431
      Link
       prod.informaworld.com
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      Citation
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      Tijou, I., Yardley, L., Sedikides, C. & Bizo, L. (2008). Understanding adherence to physiotherapy: findings from an experimental simulation and an observational clinical study. Psychology & Health, 24.
      Permanent Research Commons link: https://hdl.handle.net/10289/2843
      Abstract
      This article reports two studies assessing the influence of self-efficacy, outcome expectancies and aversive feedback on different aspects of adherence. Study 1 employed a computer simulation of physiotherapy to test experimentally the effects of aversive feedback (i.e., loud noise) experienced during simulated therapy on adherence behaviour in a student population. Study 2 examined whether similar effects of aversive feedback (i.e., pain) experienced during physiotherapy in a clinical setting would be observed in a longitudinal questionnaire study of predictors of adherence. In both studies, self-efficacy and outcome expectancies were assessed at baseline and after experience of the task (performing simulated or actual physiotherapy). Study 1 found that self-efficacy and outcome expectancies predicted persistence with simulated physiotherapy (i.e., completing the experimental session), whereas aversive feedback influenced adherence during sessions (i.e., correct response rate). Study 2 found that self-efficacy and outcome expectancies predicted persistence with actual physiotherapy (i.e., completing the prescribed number of sessions). Aversive feedback and outcome expectancies influenced adherence during sessions. We conclude that different factors predict different aspects of adherence behaviour. It is therefore important to measure both persistence over time and adherence during sessions, and to investigate the predictors of each dimension of adherence.
      Date
      2008
      Type
      Journal Article
      Publisher
      Routledge Taylor and Francis Group
      Collections
      • Arts and Social Sciences Papers [1423]
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