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Health professionals’ motivational strategies to enhance adherence in the rehabilitation of people with lower limb fractures : scoping review

datacite.subject.fosCiências Médicas::Ciências da Saúde
datacite.subject.sdg03:Saúde de Qualidade
dc.contributor.authorFernandes, Júlio Belo
dc.contributor.authorFerreira, Noélia
dc.contributor.authorDomingos, Josefa
dc.contributor.authorFerreira, Rui
dc.contributor.authorAmador, Catarina
dc.contributor.authorPardal, Nelson
dc.contributor.authorCastro, Cidália
dc.contributor.authorSimões, Aida
dc.contributor.authorFernandes, Sónia
dc.contributor.authorBernardes, Catarina
dc.contributor.authorVareta, Diana Alves
dc.contributor.authorPeças, Dina
dc.contributor.authorLadislau, Dora
dc.contributor.authorSousa, Natacha
dc.contributor.authorDuarte, Andreia
dc.contributor.authorGodinho, Catarina
dc.date.accessioned2026-03-02T15:41:47Z
dc.date.available2026-03-02T15:41:47Z
dc.date.issued2023-11
dc.description.abstractPatients with lower limb fractures require rehabilitation but often struggle with adherence to interventions. Adding motivational strategies to rehabilitation programs can increase patient adherence and enhance outcomes. This review aims to identify the motivational strategies used by health professionals in the rehabilitation of people with lower limb fractures. We used Arksey and O’Malley’s methodological framework to structure and conduct this scoping review. The literature search was performed using the Scopus, CINAHL, MEDLINE, Nursing & Allied Health, and Cochrane Central Register of Controlled Trials databases. The final search was conducted in February 2023. A total of 1339 articles were identified. After selecting and analyzing the articles, twelve studies were included in this review. Health professionals use several strategies to motivate patients with lower limb fractures to adhere to rehabilitation programs. These strategies include building a therapeutic alliance, increasing patients’ health literacy, setting achievable goals, personalizing the rehabilitation program, managing unpleasant sensations of exercise, using persuasion, providing positive reinforcement, avoiding negative emotional stimulation, and helping to seek support. The motivational strategies identified may help professionals to increase patient adherence to rehabilitation for lower limb fractures. This knowledge will allow these professionals to help patients overcome barriers to rehabilitation, enhance their motivation, and ultimately improve their recovery outcomes.eng
dc.identifier.citationFernandes JB, Ferreira N, Domingos J, Ferreira R, Amador C, Pardal N, Castro C, Simões A, Fernandes S, Bernardes C, et al. Health Professionals’ Motivational Strategies to Enhance Adherence in the Rehabilitation of People with Lower Limb Fractures: Scoping Review. International Journal of Environmental Research and Public Health. 2023; 20(22):7050. https://doi.org/10.3390/ijerph20227050
dc.identifier.doi10.3390/ijerph20227050
dc.identifier.issn1660-4601
dc.identifier.urihttp://hdl.handle.net/10400.26/61922
dc.language.isoeng
dc.peerreviewedyes
dc.publisherMDPI
dc.relation.hasversionhttps://doi.org/10.3390/ijerph20227050
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/
dc.subjectfractures
dc.subjectbone
dc.subjecthip fractures
dc.subjectmotivational interviewing
dc.subjectpatient compliance
dc.subjectrehabilitation
dc.titleHealth professionals’ motivational strategies to enhance adherence in the rehabilitation of people with lower limb fractures : scoping revieweng
dc.typecontribution to journal
dspace.entity.typePublication
oaire.citation.issue22
oaire.citation.startPage7050
oaire.citation.titleInternational Journal of Environmental Research and Public Health
oaire.citation.volume20
oaire.versionhttp://purl.org/coar/version/c_970fb48d4fbd8a85

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