Motivation for change and personal resources in patients with prolonged musculoskeletal disorders

The purpose of this qualitative 2-year follow-up study was to obtain a deeper understanding of motivation for change towards an active and independent life in patients with prolonged musculoskeletal disorders and to explore and identify personal resources that might influence such improvements. Data collection and analysis were performed according to the qualitative case study design. An initial conceptual framework was developed to bound and guide the study. Twenty patients were selected using purposive sampling with respect to motivational level (highly to latently motivated) to create a sample of maximum variety. Data were collected using repeated interviews and additional quantitative instruments (health-related quality of life, body image, movement ability, postural control, pain rating). The study comprised three data collection periods. Motivation for change was associated with the use of personal resources. The central themes to emerge were body awareness, self-focus, locus of control and coping ability. The results emphasized the indivisible unity of body and mind. The efficacy of rehabilitation might improve if the individual's own resources were taken into account