The reciprocal relationships between autonomous motivation, social cognitive beliefs and rehabilitation adherence: A cross-lagged panel longitudinal study among post-surgery ACL reconstructed patients

IF 2.5 2区心理学 Q1 PSYCHOLOGY, CLINICAL

British Journal of Health Psychology Pub Date : 2025-10-15 DOI:10.1111/bjhp.70028

Alfred S. Y. Lee, Roni M. Y. Chiu, Patrick S. H. Yung, Michael T. Y. Ong, Derwin K. C. Chan

{"title":"The reciprocal relationships between autonomous motivation, social cognitive beliefs and rehabilitation adherence: A cross-lagged panel longitudinal study among post-surgery ACL reconstructed patients","authors":"Alfred S. Y. Lee, Roni M. Y. Chiu, Patrick S. H. Yung, Michael T. Y. Ong, Derwin K. C. Chan","doi":"10.1111/bjhp.70028","DOIUrl":null,"url":null,"abstract":"<div>\n \n \n <section>\n \n <h3> Objective</h3>\n \n <p>The objective of this three-wave longitudinal study was to investigate the temporal precedence between the motivational drivers in self-determination theory (SDT) and the social cognitive factors in theory of planned behaviour (TPB).</p>\n </section>\n \n <section>\n \n <h3> Method</h3>\n \n <p>A total of 236 patients who underwent anterior cruciate ligament (ACL) reconstruction surgery (<i>M</i><sub>age</sub> = 33.58 ± 10.03, range = 18 to 59; female = 46.2%) completed surveys assessing autonomous motivation from SDT, and attitude, subjective norms, perceived behavioural control (PBC), and intention from TPB, and rehabilitation adherence, at baseline (T1), and at 2 months (T2) and 4 months (T3) post-baseline.</p>\n </section>\n \n <section>\n \n <h3> Results</h3>\n \n <p>In a three-wave cross-lagged panel model, autonomous motivation prospectively related to subsequent attitude, subjective norms and PBC, whereas reverse paths were generally small; attitude showed a modest reciprocal link with autonomous motivation. Additionally, a mediation model revealed that T1 autonomous motivation had significant indirect effects on T3 rehabilitation adherence via T2 social cognitive factors and intention, whereas only T1 subjective norms had small indirect effects on T3 rehabilitation adherence through T2 autonomous motivation and intention.</p>\n </section>\n \n <section>\n \n <h3> Conclusions</h3>\n \n <p>These findings support the notion that autonomous motivation precedes social cognitive factors, as proposed in the integrated theoretical model of SDT and TPB. Future research, including experimental interventions, can use the integrated theoretical model to promote various health behaviours, such as rehabilitation protocols, healthy eating habits and hygiene practices.</p>\n </section>\n </div>","PeriodicalId":48161,"journal":{"name":"British Journal of Health Psychology","volume":"30 4","pages":""},"PeriodicalIF":2.5000,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12521878/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"British Journal of Health Psychology","FirstCategoryId":"102","ListUrlMain":"https://bpspsychub.onlinelibrary.wiley.com/doi/10.1111/bjhp.70028","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

Abstract

Objective

The objective of this three-wave longitudinal study was to investigate the temporal precedence between the motivational drivers in self-determination theory (SDT) and the social cognitive factors in theory of planned behaviour (TPB).

Method

A total of 236 patients who underwent anterior cruciate ligament (ACL) reconstruction surgery (M_age = 33.58 ± 10.03, range = 18 to 59; female = 46.2%) completed surveys assessing autonomous motivation from SDT, and attitude, subjective norms, perceived behavioural control (PBC), and intention from TPB, and rehabilitation adherence, at baseline (T1), and at 2 months (T2) and 4 months (T3) post-baseline.

Results

In a three-wave cross-lagged panel model, autonomous motivation prospectively related to subsequent attitude, subjective norms and PBC, whereas reverse paths were generally small; attitude showed a modest reciprocal link with autonomous motivation. Additionally, a mediation model revealed that T1 autonomous motivation had significant indirect effects on T3 rehabilitation adherence via T2 social cognitive factors and intention, whereas only T1 subjective norms had small indirect effects on T3 rehabilitation adherence through T2 autonomous motivation and intention.

Conclusions

These findings support the notion that autonomous motivation precedes social cognitive factors, as proposed in the integrated theoretical model of SDT and TPB. Future research, including experimental interventions, can use the integrated theoretical model to promote various health behaviours, such as rehabilitation protocols, healthy eating habits and hygiene practices.

Abstract Image

查看原文本刊更多论文

自主动机、社会认知信念与康复依从性之间的相互关系：ACL重建术后患者的交叉滞后面板纵向研究。

目的：本研究旨在探讨自我决定理论（SDT）的动机驱动因素与计划行为理论（TPB）的社会认知因素之间的时间优先性。方法：236例接受前交叉韧带（ACL）重建手术的患者（男性= 33.58±10.03，范围= 18 ~ 59；女性= 46.2%）完成了基线（T1）、基线后2个月（T2）和4个月（T3）的调查，评估SDT的自主动机、态度、主观规范、感知行为控制（PBC）、TPB的意图和康复依从性。结果：在三波交叉滞后面板模型中，自主动机与后续态度、主观规范和PBC具有前瞻性相关，而反向路径普遍较小；态度与自主动机表现出适度的相互关系。此外，一个中介模型显示T1自主动机通过T2社会认知因素和意向对T3康复依从性有显著的间接影响，而只有T1主观规范通过T2自主动机和意向对T3康复依从性有较小的间接影响。结论：这些发现支持了SDT和TPB整合理论模型中提出的自主动机先于社会认知因素的观点。未来的研究，包括实验干预，可以使用综合理论模型来促进各种健康行为，如康复方案、健康饮食习惯和卫生习惯。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

British Journal of Health Psychology PSYCHOLOGY, CLINICAL-

CiteScore

14.10

自引率

1.30%

发文量

期刊介绍： The focus of the British Journal of Health Psychology is to publish original research on various aspects of psychology that are related to health, health-related behavior, and illness throughout a person's life. The journal specifically seeks articles that are based on health psychology theory or discuss theoretical matters within the field.