Motivational factors for physiotherapy from the out-and inpatients' perspective. A hermeneutic interpretative study

Rucker , Alfred Maria Lorenz and Baier, Jürgen and Clijsen , Ron and Landenberger , Margarete and Ayerle , Gertrud (2014) Motivational factors for physiotherapy from the out-and inpatients' perspective. A hermeneutic interpretative study. Italian journal of Physiotherapy, 4 (1). pp. 3-13. ISSN 2240-4929

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Abstract

Aim. The aim of this study was to clarify motivating factors of outpatients (OPT) and inpatients (INPT) with musculoskeletal disorder to avail themselves of physiotherapy. Methods. Multicenter based hermeneutic study using semistructured interviews on 12 OPT and 14 INPT and an inductive analysis. Results. For outpatients 26 and for inpatients 25 motivational factors were identified and grouped in major categories. While the participative aspect dominates the motivation for inpatients the motives of outpatients are triggered by structural and functional reasons. In both cases essential impulses are mainly based on the quality of the patientphysiotherapist relationship, the focus on success, and perception of one’s physical condition. Conclusion. The multidimensionality of motivation factors could be confirmed. Therefore a broader basis of patients’ motivation to avail themselves of physiotherapy could be established. The absence of the participative aspect in the outpatient group may hamper the motivation of outpatients, which should be taken into account by any future investigation. Also, the extent to which the system of the ICF is suitable to detect motivational needs has to be clarified in further research. The findings inform clinicians about motivational factors they may be able to actively enhance and to increase patients’ adherence to the course of their physiotherapy. The study also provides insights for generating quantifying hypotheses which in turn may serve to guide intervention studies that aim at improving the effectiveness of physiotherapy. Key words: Exercise - Physical therapy modalities - Inpatients

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