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Building motivation and sustainability into the prescription and recommendations for physical activity and exercise therapy: the evidence.

机译:将动机和可持续性纳入体育锻炼和运动疗法的处方和建议中:证据。

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摘要

Client adherence to exercises prescribed by a physical therapist is very important to successful treatment outcomes. Unfortunately, many clients struggle with adherence and thus efficient and effective motivational interventions are desirable. The purpose of this article was to review the available evidence for: 1) the modifiable factors associated with adherence to physical therapy recommended exercise and 2) the efficacy of exercise intervention efforts to make conclusions and suggestions toward practice. Articles were limited to English peer-reviewed journals and published from 1993 to 2008. Major findings from 13 studies were summarized based on common subtopics of: outcome expectations, self-efficacy expectations, cognitive-behavioural and educational interventions, and intervention medium. The review provided evidence for the importance of self-efficacy in exercise adherence to physical therapy, but it showed that current cognitive-behavioural interventions have had limited effectiveness. It was recommended that future research broaden the scope of predictor variables with social ecological designs, increase the length of prospective follow-up in assessments, include larger and more diverse samples, and focus on innovative aesthetic and affective-based intervention strategies.
机译:客户坚持由物理治疗师进行的锻炼对成功的治疗结果非常重要。不幸的是,许多客户都难以坚持,因此需要有效的激励措施。本文的目的是回顾以下方面的可用证据:1)与坚持物理疗法推荐的运动有关的可改变因素,以及2)运动干预措施的有效性,以得出对实践的结论和建议。文章仅限于英语同行评议的期刊,并于1993年至2008年发表。基于常见的子主题总结了13项研究的主要发现:结果期望,自我效能期望,认知行为和教育干预以及干预介质。该综述提供了证据,证明自我效能对坚持物理疗法的重要性,但它表明当前的认知行为干预措施的有效性有限。建议未来的研究通过社会生态学设计扩大预测变量的范围,增加评估中预期随访的时间,包括更大和更多样化的样本,并关注创新的美学和基于情感的干预策略。

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