Use of Goal Setting to Enhance Self-Efficacy After Sports-Related Injury: A Critically Appraised Topic

in Journal of Sport Rehabilitation
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Clinical Scenario: Patients after sports-related injury experience deficits in self-efficacy. Goal setting may be an appropriate psychoeducation technique to enhance self-efficacy after sports-related injury. Clinical Question: Does goal setting–enhanced rehabilitation improve self-efficacy compared with traditional rehabilitation alone in individuals with sports-related injury? Summary of Key Findings: Two randomized controlled trials were included. The two studies selected assessed changes in self-efficacy before and after a goal-setting intervention following sports-related injury in an athletic population. Both studies used the Sports Injury Rehabilitation Beliefs Survey to evaluate self-efficacy. Clinical Bottom Line: There is currently consistent, good-quality, patient-oriented evidence that supports the use of goal setting to improve self-efficacy in patients undergoing rehabilitation for sports-related injury compared with the standard of care group. Future research should examine optimal timing for the implementation of goal setting in order to enhance self-efficacy following sports-related injury. Strength of Recommendation: The grade of A is recommended by the Strength of Recommendation Taxonomy for consistent, good-quality, patient-oriented evidence.

Brinkman and Genoese are with the Post-Professional Athletic Training Program, University of Kentucky, Lexington, KY. Baez is with the Department of Kinesiology, Michigan State University, East Lansing, Michigan. Hoch is with the Department of Athletic Training and Clinical Nutrition, University of Kentucky, Lexington, KY.

Brinkman (c.brinkman@uky.edu) is corresponding author.
  • 1.

    Burt CW, Overpeck MD. Emergency visits for sports-related injuries. Ann Emerg Med. 2001;37(3):301–308. PubMed ID: 11223767 doi:

  • 2.

    Everhart JS, Best TM, Flanigan DC. Psychological predictors of anterior cruciate ligament reconstruction outcomes: a systematic review. Knee Surg Sports Traumatol Arthrosc. 2013;23(3):752–762. PubMed ID: 24126701 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 3.

    Thomee P, Wahrborg P, Borjesson M, Thomee R, Eriksson BI, Karlsson J. Self-efficacy, symptoms and physical activity in patients with an anterior cruciate ligament injury: a prospective study. Scand J Med Sci Sports. 2007;17(3):238–245. PubMed ID: 16774652

    • PubMed
    • Search Google Scholar
    • Export Citation
  • 4.

    Bandura A. Self-efficacy: toward a unifying theory of behavioral change. Psychol Rev. 1977;84(2):191–215. PubMed ID: 847061 doi:

  • 5.

    Woby SR, Urmston M, Watson PJ. Self-efficacy mediates the relation between pain-related fear and outcome in chronic low back pain patients. Eur J Pain. 2007;11(7):711–718. PubMed ID: 17218132 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 6.

    Dohnke B, Knäuper B, Müller-Fahrnow W. Perceived self-efficacy gained from, and health effects of, a rehabilitation program after hip joint replacement. Arthritis Care Res. 2005;53(4):585–592. doi:

    • Crossref
    • Search Google Scholar
    • Export Citation
  • 7.

    Evans L, Hardy L. Injury rehabilitation: a goal-setting intervention study. Res Q Exerc Sport. 2002;73(3):310–319. PubMed ID: 12230338 doi:

  • 8.

    Coppack RJ, Kristensen J, Karageorghis CI. Use of a goal setting intervention to increase adherence to low back pain rehabilitation: a randomized controlled trial. Clin Rehabil. 2012;26(11):1032–1042. PubMed ID: 22357799 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 9.

    Taylor AH, May S. Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: an application of Protection Motivation Theory. J Sports Sci. 1996;14(6):471–482. PubMed ID: 8981286 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 10.

    Rosenthal R. Parametric measures of effect size. In: Cooper H, Hedges LV, eds. The Handbook of Research Synthesis (pp. 231–244). New York, NY: Russell Sage Foundation.

    • Search Google Scholar
    • Export Citation
  • 11.

    Husted JA, Cook RJ, Farewell VT, Gladman DD. Methods for assessing responsiveness: a critical review and recommendations. J Clin Epidemiol. 2000;53(5):459–468. PubMed ID: 10812317 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 12.

    Ebell MH, Siwek J, Weiss BD, et al. Strength of recommendation taxonomy (SORT): a patient-centered approach to grading evidence in the medical literature. Am Fam Physician 2004;69(3):548–556. PubMed ID: 14971837

    • Search Google Scholar
    • Export Citation
  • 13.

    Covassin T, Beidler E, Ostrowski J, Wallace J. Psychosocial aspects of rehabilitation in sports. Clin Sports Med. 2015;34(2):199–212. PubMed ID: 25818709 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
  • 14.

    Baez S, Hoch MC, Hoch JM. Evaluation of cognitive behavioral interventions and psychoeducation implemented by rehabilitation specialists to treat fear-avoidance beliefs in patients with low back pain: a systematic review. Arch Phys Med Rehabil. 2018;99(11):2287–2298. PubMed ID: 29247627 doi:

    • Crossref
    • PubMed
    • Search Google Scholar
    • Export Citation
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