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dc.contributor.authorWilliams, Tom
dc.contributor.authorEvans, Lynne
dc.contributor.authorRobertson, Angus
dc.contributor.authorHardy, Lew
dc.contributor.authorRoy, Stuart
dc.contributor.authorLewis, Daniel
dc.contributor.authorGlendinning, Freya
dc.date.accessioned2020-08-11T12:15:16Z
dc.date.available2020-08-11T12:15:16Z
dc.date.issued2020
dc.identifier.issn2624-9367
dc.identifier.urihttp://hdl.handle.net/10369/11122
dc.descriptionArticle accepted for publication in Frontiers in Sports and Active Livingen_US
dc.description.abstractDespite a growing interest into the role of psychosocial factors during the recovery period following sports injuries, there remains a paucity of longitudinal studies examining the indirect relationships between psychosocial factors, psychological responses, and recovery outcomes. The purpose of this study was to construct and test a conceptual model which examined the indirect relationships between psychosocial factors, rehabilitation adherence, and perceived knee function up to 12 months post anterior cruciate ligament (ACL) surgery. A prospective, longitudinal, and repeated measures design was employed, wherein 81 injured athletes (Mage 26.89, SD = 7.52) completed measures of psychosocial factors, rehabilitation adherence, and perceived knee function on seven occasions (pre-surgery to 1 year post-surgery). Bayesian structural equation modeling evaluated the hypothesized indirect relationships proposed within the conceptual model. The main findings from this study was empirical support for a time-ordered, conceptual model which demonstrated that pre-surgery optimism had a significant overall indirect effect on perceived knee function at 12 months post-surgery (sum of indirect; αβ = .08, post. SD = .05, CI [.01, .04]), as well as a specific indirect effect through secondary appraisal at 1 month post-surgery, efficacy at 2 months post-surgery, and rehabilitation adherence at 6 months post-surgery (αβ = .03, post. SD = .03, CI [.00, .10]). Collectively, this study provides support for a number of previously hypothesized, but not empirically examined, indirect relationships between psychosocial factors and recovery outcomes. In doing so, we provide a conceptual model which has the potential to help guide individualised treatment recommendations, as well as identify individuals at risk of compromised recovery outcomes following ACL surgery.en_US
dc.language.isoenen_US
dc.publisherFrontiers Mediaen_US
dc.relation.ispartofseriesFrontiers in Sports and Active Living;
dc.subjectrehabilitation adherenceen_US
dc.subjectperceived knee functionen_US
dc.subjectBayesian structural equation modellingen_US
dc.titleThe Role of Optimism and Psychosocial Factors in Athletes Recovery from ACL Injury: A Longitudinal Studyen_US
dc.typeArticleen_US
dc.identifier.doihttps://doi.org/10.3389/fspor.2020.00116
dcterms.dateAccepted2020-08-07
rioxxterms.funderCardiff Metropolitan Universityen_US
rioxxterms.identifier.projectCardiff Metropolian (Internal)en_US
rioxxterms.versionVoRen_US
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/under-embargo-all-rights-reserveden_US
rioxxterms.funder.project37baf166-7129-4cd4-b6a1-507454d1372een_US


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