Supporting data for “Applying Integrated Behaviour Change Theories and Mobile Health Technology for Promoting Sport Injury Prevention and Rehabilitation”

Sport injury is one of the leading causes of injury
among youth. The medical and economic burdens for sport injury are always being
overlooked. Injury may not only lead to temporary impairment of sport performance
and absence from sport, but it can also result in early retirement from
competitive sport, lower future commitment to physical activity and prolonged
recovery when following a rehabilitation programme. Sport injury prevention strategies and
rehabilitation programmes have been developed to lower the risk of occurrence
and negative impacts of sport injury. However, the prevention of sport injury
and compliance of rehabilitation are self-regulatory behaviours that require
motivation and perseverance to maintain. In the current thesis, two inter-related
integrated behaviour change models were adopted, (1) the integrated model of
self-determination theory (SDT) and the theory of planned behaviour (TPB), and (2)
trans-contextual model (TCM). Under these two integrated models, concepts of
motivation, social cognitive beliefs, and intention were applied to better understand
the psychological processes involved in the management of sport injury. In this PhD thesis, a total of five studies (Chapter 2-6) were
employed with an aim to
explain and promote individuals’ sport injury prevention and rehabilitation
behavioural adherence using the integrated behaviour change theories.

Chapter 2 describes a
qualitative study that aimed to explore junior secondary
school students’ experiences and perspectives of in-school and out-of-school
sport-safety, with a particular focus on the meaning and content that they
applied to the motivational and social cognitive factors within the TCM. Chapter
3 records a three-month prospective study that adopted the
TCM to investigate if students’ motivation of learning sport safety in an
in-school context was transferrable to the motivation, social cognitive
factors, and intention of sport injury prevention in an out-of-school context.
Chapter 4 presents a TCM-driven intervention study, which included components
of mHealth and conventional intervention to facilitate secondary students’
behavioural adherence to sport injury prevention. Chapter 5 reports a two-month
prospective study that applied the integrated model of SDT and TPB in the
prediction of patients’ adherence to rehabilitation programme following sport
injury. Chapter 6 documents a mHealth interventional
study which aimed at promoting patients’ rehabilitation adherence to sport
injury by applying the integrated model of SDT and TPB. The final chapter
(Chapter 7) summarises the findings from the five studies and highlights the
implications, limitations of the current thesis, and future directions. This
thesis provides fundamental evidence of the integrated models in explaining and
promoting sport injury management behaviours. With the advancement of
technology, it is believed that the application of theory-driven mHealth can be
extended to other health behaviours.

体育运动损伤是青少年损伤的主要原因之一。体育运动损伤在医疗和经济负担方面往往被忽视。损伤不仅可能导致运动表现暂时受损及缺席运动，还可能引发运动员提前退役、未来对体育锻炼的投入减少，以及康复计划中的长期恢复。为降低体育运动损伤发生的风险及其负面影响，已开发出体育运动损伤预防策略和康复计划。然而，体育运动损伤的预防和康复计划的依从性属于自我调节行为，需要动机和毅力以维持。在本篇博士论文中，采用了两种相互关联的整合行为改变模型：(1) 自我决定理论（SDT）与计划行为理论（TPB）的整合模型，以及(2) 跨情境模型（TCM）。在这两种整合模型下，运用动机、社会认知信念和意图等概念，旨在更好地理解体育运动损伤管理中的心理过程。本研究共采用五项研究（第2章至第6章），旨在运用整合行为改变理论解释和促进个体的体育运动损伤预防及康复行为依从性。第2章描述了一项定性研究，旨在探讨初中学生校内和校外的体育运动安全体验与观点，特别关注他们应用于TCM中动机和社会认知因素的内涵与内容。第3章记录了一项为期三个月的前瞻性研究，采用TCM调查学生在校内学习体育运动安全时的动机是否可以迁移到校外环境中预防体育运动损伤的动机、社会认知因素和意图。第4章呈现了一项由TCM驱动的干预研究，包括mHealth和传统干预措施，以促进中学生遵守体育运动损伤预防的行为。第5章报告了一项为期两个月的 prospective study，应用SDT和TPB的整合模型预测患者在接受体育运动损伤后的康复计划中的依从性。第6章记录了一项mHealth干预研究，旨在通过应用SDT和TPB的整合模型促进患者对体育运动损伤康复的依从性。最后章节（第7章）总结了五项研究的发现，并强调了当前论文的启示、局限性和未来方向。本论文为整合模型在解释和促进体育运动损伤管理行为提供了基本证据。随着技术的进步，相信以理论驱动的mHealth的应用可以扩展到其他健康行为。