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

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dc.contributor.authorTijou, Imogen
dc.contributor.authorYardley, Lucy
dc.contributor.authorSedikides, Constantine
dc.contributor.authorBizo, Lewis A.
dc.date.accessioned2009-08-18T01:25:12Z
dc.date.available2009-08-18T01:25:12Z
dc.date.issued2008
dc.description.abstractThis 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.en
dc.identifier.citationTijou, 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.en
dc.identifier.doi10.1080/08870440802372431en
dc.identifier.urihttps://hdl.handle.net/10289/2843
dc.language.isoen
dc.publisherRoutledge Taylor and Francis Groupen_NZ
dc.relation.isPartOfPsychology and Healthen_NZ
dc.relation.urihttp://prod.informaworld.com/smpp/content~content=a905044543~db=all~jumptype=rssen
dc.subjectadherenceen
dc.subjectphysiotherapyen
dc.subjectsimulationen
dc.subjectobservationen
dc.titleUnderstanding adherence to physiotherapy: findings from an experimental simulation and an observational clinical studyen
dc.typeJournal Articleen
pubs.begin-page231en_NZ
pubs.elements-id34283
pubs.end-page247en_NZ
pubs.issue2en_NZ
pubs.volume25en_NZ
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