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Changes in return to work among patients in vocational rehabilitation : a self-determination theory perspective

FARHOLM A; HALVARI H; NIEMIEC CP; WILLIAMS GC; DECI EL
DISABIL REHABIL , 2017, vol. 39, n° 20, p. 2039-2046
Doc n°: 184592
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1080/09638288.2016.1215559
Descripteurs : JK2 - READAPTATION PROFESSIONNELLE - HANDICAP

The aim of the current study was to examine whether patient perceptions
of autonomy support from the treatment team in a vocational rehabilitation
program will be associated with change (increase) in need satisfaction,
autonomous motivation, perceived competence, well-being, physical activity, and
return to work (RTW), and whether the self-determination theory (SDT) Model of
Health Behavior will provide adequate fit to the data. METHOD: A total of 90
participants were enrolled in a longitudinal study and completed measures at four
time points over 15 months. RESULTS: Participants reported increases in all
variables, and in general these changes were maintained at six weeks
post-rehabilitation and at 15 months post-baseline. As well, the SDT Model of
Health Behavior provided adequate fit to the data. CONCLUSIONS: These results
underscore the importance of health care practitioners' providing support for
their patients' autonomy, competence, and relatedness to improve well-being,
physical activity, and RTW in the context of vocational rehabilitation.
Implications for Rehabilitation Vocational rehabilitation that emphasizes
physical activity is associated with increases in patients' well-being, physical
activity, and return to work (RTW). It is important for health care practitioners
to provide support for their patients' autonomy, competence, and relatedness in
the context of vocational rehabilitation, as doing so is associated with
increases in patients' autonomous motivation, perceived competence, and
psychosocial outcomes.

Langue : ANGLAIS

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