dc.contributor.author | Bretherton, C | en_US |
dc.contributor.author | Griffin, X | en_US |
dc.date.accessioned | 2024-07-02T07:44:57Z | |
dc.date.available | 2024-06-26 | en_US |
dc.date.issued | 02-07-2024 | |
dc.identifier.citation | Bretherton, C., Al-Saadawi, A., Thomson, F. et al. Effectiveness of behavior change in rehabilitation interventions to improve functional recovery after lower limb fracture: a systematic review. Musculoskelet Surg (2024). https://doi.org/10.1007/s12306-024-00845-x | |
dc.identifier.issn | 2035-5114 | en_US |
dc.identifier.uri | https://qmro.qmul.ac.uk/xmlui/handle/123456789/97783 | |
dc.description.abstract | Ankle fractures are common injuries that can significantly impact mobility and quality of life. Rehabilitation following ankle fracture treatment is crucial for recovery, yet adherence to regimens remains a challenge. Behaviour Change Techniques (BCTs) have been suggested to improve adherence, but their effectiveness in ankle fracture rehabilitation is not well established. This review aimed to evaluate the effectiveness of BCTs in the rehabilitation of ankle fracture patients. We conducted a comprehensive search across multiple databases, including MEDLINE and EMBASE, focusing on Randomised Controlled Trials (RCTs) that incorporated BCTs into rehabilitation interventions. The effectiveness of BCTs on patient-reported outcomes (PROMs), quality of life, and adverse events was analysed. Nine RCTs met the inclusion criteria, encompassing a range of interventions that employed BCTs, most commonly including goal setting and instruction on how to perform behaviours, specifically physiotherapy exercises. The review found limited evidence supporting their effectiveness in improving PROMs. Only one study showed a significant positive effect, but it was deemed at high risk of bias. The lack of integration of behavioural theory in the design of rehabilitation interventions and the varied nature of the BCTs employed across studies may contribute to these findings. The use of BCTs in ankle fracture rehabilitation is prevalent, but this review highlights a significant gap their role of enhancing patient outcomes. Future research should incorporate a theory-based approach to intervention design, utilising a broader range of BCTs, to fully evaluate their potential in improving rehabilitation adherence and outcomes following ankle fracture . | |
dc.publisher | Springer | en_US |
dc.relation.ispartof | Musculoskeletal Surgery | en_US |
dc.rights | This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. | |
dc.title | Effectiveness of behavior change in rehabilitation interventions to improve functional recovery after lower limb fracture: a systematic review. | en_US |
dc.type | Article | |
dc.rights.holder | © The Author(s) 2024 | |
dc.identifier.doi | doi.org/10.1007/s12306-024-00845-x | |
pubs.notes | Not known | en_US |
pubs.publication-status | Accepted | en_US |
dcterms.dateAccepted | 2024-06-26 | en_US |
rioxxterms.funder | Default funder | en_US |
rioxxterms.identifier.project | Default project | en_US |
qmul.funder | NIHR Barts BRC::NIHR | en_US |