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- Author: Rachel E. Brinkman x
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History of Ankle Sprain as a Risk Factor of Future Lateral Ankle Sprain in Athletes
Rachel E. Brinkman and Todd A. Evans
The Influence of the Motivational Climate on Rehabilitation Behaviors and Patient Satisfaction
Rachel E. Brinkman-Majewski and Windee M. Weiss
Context: Athletic trainers influence the motivational climate in rehabilitation, but little is known about the role of the motivational climate on patient outcomes. The purpose of this study was to investigate the influence of the motivational climate in rehabilitation on athletes’ behaviors in rehabilitation (eg, effort and energy) and overall satisfaction with rehabilitation. Design: Cross-sectional, descriptive research. Methods: A total of 78 male and female, NCAA Division II injured athletes receiving rehabilitation services, and 7 certified athletic trainers, and 8 athletic training students providing rehabilitation health care participated. All injured athletes completed an adapted version of the Perceived Motivational Climate in Sport Questionnaire 2 to measure perceptions of the motivational climate in rehabilitation, along with the Overall Satisfaction with Rehabilitation Scale. Athletic trainers and athletic training students completed a training behaviors assessment to rate the athletes’ energy, effort, and persistence in rehabilitation. Results: Injured athletes’ perceptions of the motivational climate predicted rehabilitation behaviors and patient satisfaction. Higher perceptions of having an important role in rehabilitation predicted higher rehabilitation behaviors (F 3,74 = 4.45, P < .01), while higher perceptions of unequal recognition during rehabilitation predicted lower desirable behaviors (F 3,74 = 4.90, P < .01). Higher perceptions of a mastery climate in rehabilitation predicted greater patient satisfaction (F 3,74 = 7.41, P < .001) and lower perceptions of being punished for mistakes predicted greater satisfaction (F 3,74 = 5.92, P < .001). Conclusions: Productive athlete behaviors during rehabilitation and greater patient satisfaction with rehabilitation can be expected when athletes perceive a mastery motivational climate during rehabilitation. Athletic trainers can facilitate creating a mastery motivational climate by focusing on individual improvement, putting forth high effort, and evaluating success based on personal improvement.
The Motivational Climate and Intrinsic Motivation in the Rehabilitation Setting
Rachel E. Brinkman-Majewski and Windee M. Weiss
Context: The motivational climate created by the athletic trainer in rehabilitation may be critical in influencing athletes’ intrinsic motivation and other psychosocial outcomes in the rehabilitation and the recovery processes. Objective: To examine intercollege athletes’ perceptions of the motivational climate in the rehabilitation setting. Specifically, examining if perceptions of the motivational climate can predict athletes’ levels of intrinsic motivation with rehabilitation as well as the relationship between perceptions of the motivational climate and athlete demographics (gender, starter status, athletic trainer gender, etc). Design: Cross-sectional, descriptive research. Setting: College sport team and athletic training center. Participants: National Collegiate Athletic Association Division II intercollege athletes from one institution (n = 187; 125 males and 62 females). Main Outcome Measures: Paper-based survey measuring mastery and performance perceptions of the motivational climate in rehabilitation, athletes’ goal orientation in sport, and athletes’ levels of motivation in rehabilitation. Results: Perceptions of a performance climate were positively related to intrinsic motivation effort–improvement (effect size = 25.34%). Perceptions of a mastery climate were positively related to interest–enjoyment and perceived competence and negatively related to tension–pressure (effect size = 39.03%). In general, female athletes, as well as athletes with a female athletic trainer, had significantly higher perceptions of mastery motivational climate effort–improvement than male athletes and athletes with male athletic trainers. While male athletes and athletes with male athletic trainers had higher perceptions of intrateam member rivalry in rehabilitation. Conclusions: The athlete’s gender and goal orientation, as well as the gender of the athletic trainer creating the motivational climate, can influence whether the environment is perceived as more mastery or performance. The recovering athletes’ perceptions of the climate in rehabilitation can, in turn, affect their intrinsic motivation toward the therapeutic interventions.