title: Patients' expectations, motivation and multi-dimensional subjective and objective socio-medical success in medical rehabilitation measures.
abstract: This report describes the subjective and objective socio-medical rehabilitation success of a cohort of patients with a primary musculoskeletal or cardiovascular diagnosis 1 year after medical rehabilitation. Furthermore, the predictive value of patients' motivation, expectations and subjective need for rehabilitation, at time of application, on rehabilitation success are examined. Data were derived from a German study, comparing different methods of social medical assessments for the selection of patients for inpatient medical rehabilitation. The results discussed refer to a sample of 352 patients with primary orthopaedic or cardiovascular disease who replied to the 1-year follow-up survey. Rehabilitation subjectively had positive effects for the majority and a positive socio-medical outcome (for at least 80% of the participants); although there was lower subjective success concerning job-related problems and working ability. Multiple regression analysis showed that somatic impairments, functional disabilities in general life as well as health and coping-related expectations/motivation are significant predictors of rehabilitation success. Generally, the explained variance by the regression model was low and further potential criteria of rehabilitation success should be investigated.
authors.affiliation: Institute of Psychotherapy and Medical Psychology, Rehabilitation Science Unit, University of Würzburg, Marcusstrasse 9-11, 97070 Würzburg, Germany. k.meng@mail.uni-wuerzburg.de
authors.forename: Karin
authors.initials: K
authors.lastname: Meng
authors.forename: Julia
authors.initials: J
authors.lastname: Zdrahal-Urbanek
authors.forename: Susanne
authors.initials: S
authors.lastname: Frank
authors.forename: Anton
authors.initials: A
authors.lastname: Holderied
authors.forename: Heiner
authors.initials: H
authors.lastname: Vogel
mesh_terms: D000293:Adolescent; D000328:Adult; D001290:Attitude; D000072038:Cardiac Rehabilitation; D002318:Cardiovascular Diseases / Q000523:psychology; D004185:Disability Evaluation; D005260:Female; D005500:Follow-Up Studies; D005858:Germany; D006801:Humans; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009140:Musculoskeletal Diseases / Q000523:psychology / Q000534:rehabilitation*; D017060:Patient Satisfaction; D011788:Quality of Life; D012044:Regression Analysis; D011795:Surveys and Questionnaires; D014937:Work; D014942:Workers' Compensation / Q000592:standards