NON-ADHERENCE TO PRESCRIBED HOME REHABILITATION EXERCISES FOR MUSCULOSKELETAL INJURIES: THE ROLE OF THE PATIENT-PRACTITIONER RELATIONSHIP

作者：Wright Bradley James^*; Galtieri Nicholas Justin; Fell Michelle

来源：Journal of Rehabilitation Medicine, 2014, 46(2): 153-158.

DOI：10.2340/16501977-1241

• adherence
• rehabilitation
• physiotherapy
• patient-practitioner relationship

Objective: To identify which factors best explain non-adherence to home rehabilitation exercises (HRE) for patients with musculoskeletal injuries. %26lt;br%26gt;Design: Cross-sectional study. %26lt;br%26gt;Methods: Participants (n=87) aged 17-91 years completed questionnaires measuring demographic and injury-related information, self-efficacy, personality, health locus of control, patient-practitioner relationship, optimism, health value and adherence to HRE. In addition, each participant%26apos;s attending physiotherapist assessed the participant%26apos;s adherence and effort during the appointment. %26lt;br%26gt;Results: A hierarchical regression with 3 steps (step 1: disposition; step 2: cognitive factors; step 3: patient-practitioner relationship) and adherence to HRE as the dependent variable was conducted.. The factors in step 3 were the most significant and explained 16% (p%26lt;0.001) of the variance in adherence to HRE. In addition, a high score for patient neuroticism was found to correlate with poor adherence to HRE. %26lt;br%26gt;Conclusion: These preliminary results suggest that the patient-practitioner relationship is the best predictor of adherence to HRE, and that improving patient perception of the clinician%26apos;s productivity, communication of information and trust during consultations may improve adherence to HRE.

• 出版日期2014-2