ABSTRACT

The objective of this article is to review the extant literature on the psychological factors related to adherence to sport injury rehabilitation among athletes. Published English language articles were identified using electronic databases. The quality of the identified articles was assessed using a hybrid quality assessment tool based on the Effective Public Health Practice Project tool and the Health Technology Assessment Programme for evaluating non-randomised intervention studies. Seventeen papers – one using a treatment intervention, two qualitative articles and 14 descriptive studies fulfilled the inclusion criteria and were systematically reviewed. The results suggested that there were two categories of factors that determine adherence to rehabilitation in this population: person and situational. Person-specific factors included the impact of the injury, justification for adherence, motivation, confidence/self-efficacy, coping, social support, locus of control, cognitive appraisal, coping and psychological skills. Situational factors included the characteristics, strategies and effectiveness of the physical therapist and treatment efficacy. Due to the scant nature and quality of the studies included in this review, we conclude that research of strong design is required to provide a greater evidence-base and to help inform the role that sport psychologists could play in designing interventions to improve adherence to rehabilitation.

摘要

本文的目的是回顾有关运动员坚持运动损伤康复的心理因素的现有文献。使用电子数据库识别已发表的英语文章。使用基于有效公共卫生实践项目工具和用于评估非随机干预研究的卫生技术评估计划的混合质量评估工具来评估已识别文章的质量。17 篇论文——一篇使用治疗干预，两篇定性文章和 14 篇描述性研究符合纳入标准并进行了系统审查。结果表明，有两类因素决定了该人群对康复的依从性：个人和情境。特定于个人的因素包括伤害的影响、坚持的理由、动机、信心/自我效能、应对、社会支持、控制点、认知评估、应对和心理技能。情境因素包括物理治疗师的特征、策略和有效性以及治疗效果。由于本综述中研究的性质和质量不足，我们得出结论，需要进行强有力的设计研究，以提供更大的证据基础，并帮助了解运动心理学家在设计干预措施以提高康复依从性方面可以发挥的作用. 情境因素包括物理治疗师的特征、策略和有效性以及治疗效果。由于本综述中研究的性质和质量不足，我们得出结论，需要进行强有力的设计研究，以提供更大的证据基础，并帮助了解运动心理学家在设计干预措施以提高康复依从性方面可以发挥的作用. 情境因素包括物理治疗师的特征、策略和有效性以及治疗效果。由于本综述中研究的性质和质量不足，我们得出结论，需要进行强有力的设计研究，以提供更大的证据基础，并帮助了解运动心理学家在设计干预措施以提高康复依从性方面可以发挥的作用.