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首页> 外文期刊>Journal of athletic training >Injury Rehabilitation Overadherence: Preliminary Scale Validation and Relationships With Athletic Identity and Self-Presentation Concerns
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Injury Rehabilitation Overadherence: Preliminary Scale Validation and Relationships With Athletic Identity and Self-Presentation Concerns

机译：伤害康复的依从性：初步的量表验证以及与运动身份和自我表达关注的关系

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Context: 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. Objective: 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). Design: Cross-sectional study. Setting: High school athletes (study 1) and collegiate athletes (study 2). Patients or Other Participants: 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. Results: 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. Conclusions: The Rehabilitation Overadherence Questionnaire is a valid and reliable measure of overadherence.
机译：背景：证据表明，不遵守康复方案可能与较差的临床和功能康复结果有关。最近，人们认识到不遵守可能不仅反映出缺乏康复参与，而且一些运动员可能“过分遵守”他们的伤病康复方案，或冒过早返回运动的风险。目前，还没有衡量过分坚持的措施，过分坚持和冒险过早回归运动的相关性仍不确定。目的：提供一种新型的伤害康复康复依从性措施的初步验证（研究1），并检查过度依从性和可能过早返回运动的风险（研究2）。设计：横断面研究。地点：高中运动员（研究1）和大学运动员（研究2）。患者或其他参与者：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，有105名目前受伤的大学运动员（国家大学体育协会I–III部）自愿参加。主要观察指标：康复过度依从性问卷是一种新颖的工具，用于评估受伤运动员的过度依从行为和信念倾向。我们使用了《伤害心理准备程度重返运动》量表的改编版来评估冒险过早返回运动的趋势。结果：在研究1中，使用主轴因子支持了过度粘附性度量的构造效度。此外，双变量相关和回归分析表明，自我表现的关注和运动身份是青少年康复过度坚持和过早回归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中发现的过分粘附性措施的2因子结构提供了支持。还指出了对自我表现关注，运动身份和康复过度坚持之间关系的进一步支持。结论：康复过度依从性问卷是对过度依从性的一种有效而可靠的度量。

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