TREATMENT EFFICACY AND ADHERENCE: DOES THE THREE BASIC NEEDS MEDIATE THIS RELATIONSHIP
University of Wales Institute Cardiff
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This study examined the relationships between adherence, treatment efficacy and the three basic needs of the Self-determination Theory (SDT). The author looks to find, if the basic needs explains the relationship between treatment efficacy and adherence and therefore can be used as a framework to organise the predictors of adherence. A total of 31 (M=12 F=19) male and females athletes that were injured, out of their sport and had undergone a minimum of six weeks rehabilitation were involved in the study. Participants were asked to complete a questionnaire, comprised of four individual questionnaires, assessing their thoughts and feelings of the three basic needs, treatment efficacy, home-based adherence and adherence during their rehabilitation process. The main results in the study revealed statistically significant positive correlations between adherence, treatment efficacy and the three basic needs. The relationships between home-based adherence and the other subscales were statistically insignificant, due to the questionnaires alpha coefficient being internally unreliable. It was also revealed that the three basic needs significantly predict adherence, and as the relationship between treatment efficacy and adherence was insignificant over this relationship, total mediation occurred. Relatedness was found to be the most significant contributor to adherence; if the athletes’ feel they have support from others and people care about them, they are more likely to adhere. The implications may be of interest to physiotherapists’ that are looking for their patients to adhere more and to coaches who want their athlete returning from injury the quickest time possible. It can be concluded that further examination into the use of the three basic needs as a framework for adherence would be beneficial to increasing athletes’ rehabilitation adherence. The findings and implications are discussed in further detail, and an indication of directions for future research is given, in the main report.
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