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International Journal of Behavioral Medicine
Published in: International Journal of Behavioral Medicine 5/2022

Open Access 23-12-2021 | Full length manuscript

Health Status Stability of Patients in a Medical Rehabilitation Program: What Are the Roles of Time, Physical Fitness Level, and Self-efficacy?

Authors: Qianqian Ju, Yiqun Gan, Robin Rinn, Yanping Duan, Sonia Lippke

Published in: International Journal of Behavioral Medicine | Issue 5/2022

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Abstract

Background

Individuals’ physical and mental health, as well as their chances of returning to work after their ability to work is damaged, can be addressed by medical rehabilitation.

Aim

This study investigated the developmental trends of mental and physical health among patients in medical rehabilitation and the roles of self-efficacy and physical fitness in the development of mental and physical health.

Design

A longitudinal design that included four time-point measurements across 15 months.

Setting

A medical rehabilitation center in Germany.

Population

Participants included 201 patients who were recruited from a medical rehabilitation center.

Methods

To objectively measure physical fitness (lung functioning), oxygen reabsorption at anaerobic threshold (VO2AT) was used, along with several self-report scales.

Results

We found a nonlinear change in mental health among medical rehabilitation patients. The results underscored the importance of medical rehabilitation for patients’ mental health over time. In addition, patients’ physical health was stable over time. The initial level of physical fitness (VO2AT) positively predicted their mental health and kept the trend more stable. Self-efficacy appeared to have a positive relationship with mental health after rehabilitation treatment.

Conclusions

This study revealed a nonlinear change in mental health among medical rehabilitation patients. Self-efficacy was positively related to mental health, and the initial level of physical fitness positively predicted the level of mental health after rehabilitation treatment.

Clinical Rehabilitation

More attention could be given to physical capacity and self-efficacy for improving and maintaining rehabilitants’ mental health.
Appendix
Available only for authorised users
Footnotes
1
Information about the raw data can be obtained from the PI of the project.
 
2
To understand sensitivity to missing data, the LGCMs based on data without the imputation procedure were conducted (see Supplement 3). To normalize the data without the imputation procedure, the two-step approach was used. The results showed that Model 1 did not fit the data well because the SRMR was .16, which is higher than the recommended value of .08. Models 2 to 4 did not converge. It is possible that the amount of data without imputation was insufficient (for the data at T4, there were only 73 valid data points).
 
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Metadata
Title
Health Status Stability of Patients in a Medical Rehabilitation Program: What Are the Roles of Time, Physical Fitness Level, and Self-efficacy?
Authors
Qianqian Ju
Yiqun Gan
Robin Rinn
Yanping Duan
Sonia Lippke
Publication date
23-12-2021
Publisher
Springer US
Published in
International Journal of Behavioral Medicine / Issue 5/2022
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI
https://doi.org/10.1007/s12529-021-10046-6

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