Evidence map›Paper›PMID 39443854›Full record

ArticleBMC geriatrics2024

Physiotherapy in acute geriatrics wards: What (de)motivates patients? A qualitative study based on self-determination theory.

Lucie Vancraeynest, Marie Vermeer, Marjorie Iacovelli, Caroline Naert, Zoé Coget, Etienne Toussaint, Didier Schoevaerdts

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Article in BMC geriatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Lucie VancraeynestFaculty of Movement and Rehabilitation Sciences, UCLouvain, Louvain-la-Neuve, Belgium. lucie.vancraeynest@gmail.com.
Marie VermeerGeriatrics Ward, CHU UCL Namur (Godinne), Yvoir, Belgium.
Marjorie IacovelliGeriatrics Ward, CHU UCL Namur (Godinne), Yvoir, Belgium.
Caroline NaertGeriatrics Ward, CHU UCL Namur (Godinne), Yvoir, Belgium.
Zoé CogetGeriatrics Ward, CHU UCL Namur (Godinne), Yvoir, Belgium.
Etienne ToussaintGeriatrics Ward, CHU UCL Namur (Godinne), Yvoir, Belgium.
Didier SchoevaerdtsFaculty of Movement and Rehabilitation Sciences, UCLouvain, Louvain-la-Neuve, Belgium.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWhile the benefits of physiotherapy for hospitalized older patients (HOPs) are well established, these patients are often considered demotivated by healthcare team members (HTMs), which is perceived as a hindrance to their rehabilitation. The quantitative data currently available on the lack of involvement of HOPs are mainly measures of mobility. Motivation as such has, to our knowledge, never been measured. Therefore, this study aims to quantify for the first time the motivation levels of HOPs in their participation in activities of daily living (ADLs) and physiotherapy, and to explore the motivating factors behind their participation in physiotherapy.

methodsThe motivation of 60 older patients hospitalized in an acute geriatrics ward was quantified using the Scale of Demotivation Assessment (SDA). Out of these participants, 14 were interrogated through individual semi-structured face-to-face interviews. After transcription, data were analyzed according to Self-Determination Theory, which has been proven effective in the understanding of motivational mechanisms.

resultsThe prevalence of demotivation was 47% (95% CI: [0.34;0.6]) for ADLs and 35% (95% CI: [0.23;0.48]) for physiotherapy. The main demotivating factors were the feeling of external control (lack of autonomy) and dependance experienced by HOPs, as well as the limited availability of staff during hospitalization. Conversely, feelings of competence, security, respect for limits, and commitment from the HTMs were important motivating factors.

conclusionA large number of relational factors have an impact on the motivation of HOPs regarding their participation in ADLs and in physiotherapy sessions. Appropriate time and space organizing and the provision of suitable equipment, combined with a genuine caring and respectful attitude from the HTMs, could considerably encourage the expression of intrinsic motivation and thus the involvement of HOPs in their own care program.

Indexed as

MotivationPersonal AutonomyPhysical Therapy ModalitiesQualitative ResearchActivities of Daily LivingAgedAged, 80 and overFemaleGeriatricsHospitalizationHospital UnitsHumansMaleAcute geriatrics wardDemotivationMotivationOlderPhysical therapyPhysiotherapySDTSelf-determinationSelf-determination theory

Identifiers

PMID39443854
PMCPMC11515552

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.