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Predictors of adherence to home-based physical rehabilitation therapies: a systematic review

Predictors of adherence to home-based physical rehabilitation therapies: a systematic review
Predictors of adherence to home-based physical rehabilitation therapies: a systematic review
Purpose: Self-managed, home-based physical therapy (HBPT) is an increasingly common element of physical therapy rehabilitation programmes but non-adherence can reach 70%. Understanding factors that influence patients’ adherence to HBPTs could help practitioners support better adherence. Research to date has focussed largely on clinic-based physiotherapy. The objective of this review, therefore, was to identify specific factors, which influence adherence to home-based, self-managed physical therapies.

Method: A systematic review was conducted, in which eight online databases were searched using combinations of key terms relating to physical therapies, adherence and predictors. Matching records were screened against eligibility criteria and 30 quantitative articles were quality assessed and included in the final review. Relevant data were extracted and a narrative synthesis approach was taken to aggregating findings across studies.

Results: There was relatively strong evidence that the following factors predicted adherence to HBPTs: intention to engage in the HBPT, self-motivation, self-efficacy, previous adherence to exercise-related behaviours and social support.

Conclusions: This review has identified a range of factors that appear to be related to patients’ adherence to their self-managed physical rehabilitation therapies. Awareness of these factors may inform design of interventions to improve adherence.
0963-8288
1-16
Essery, Rosie
6bf53e81-577f-4a95-ba45-11aa64d1ee53
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e
Essery, Rosie
6bf53e81-577f-4a95-ba45-11aa64d1ee53
Geraghty, Adam
2c6549fe-9868-4806-b65a-21881c1930af
Kirby, Sarah
9be57c1b-5ab7-4444-829e-d8e5dbe2370b
Yardley, Lucy
64be42c4-511d-484d-abaa-f8813452a22e

Essery, Rosie, Geraghty, Adam, Kirby, Sarah and Yardley, Lucy (2016) Predictors of adherence to home-based physical rehabilitation therapies: a systematic review. Disability and Rehabilitation, 1-16. (doi:10.3109/09638288.2016.1153160). (PMID:27097761)

Record type: Article

Abstract

Purpose: Self-managed, home-based physical therapy (HBPT) is an increasingly common element of physical therapy rehabilitation programmes but non-adherence can reach 70%. Understanding factors that influence patients’ adherence to HBPTs could help practitioners support better adherence. Research to date has focussed largely on clinic-based physiotherapy. The objective of this review, therefore, was to identify specific factors, which influence adherence to home-based, self-managed physical therapies.

Method: A systematic review was conducted, in which eight online databases were searched using combinations of key terms relating to physical therapies, adherence and predictors. Matching records were screened against eligibility criteria and 30 quantitative articles were quality assessed and included in the final review. Relevant data were extracted and a narrative synthesis approach was taken to aggregating findings across studies.

Results: There was relatively strong evidence that the following factors predicted adherence to HBPTs: intention to engage in the HBPT, self-motivation, self-efficacy, previous adherence to exercise-related behaviours and social support.

Conclusions: This review has identified a range of factors that appear to be related to patients’ adherence to their self-managed physical rehabilitation therapies. Awareness of these factors may inform design of interventions to improve adherence.

Text
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More information

Accepted/In Press date: 8 February 2016
e-pub ahead of print date: 21 April 2016
Organisations: Primary Care & Population Sciences

Identifiers

Local EPrints ID: 394501
URI: https://eprints.soton.ac.uk/id/eprint/394501
ISSN: 0963-8288
PURE UUID: 45409d96-81aa-484a-83a0-56742a37f20a
ORCID for Sarah Kirby: ORCID iD orcid.org/0000-0003-1759-1356
ORCID for Lucy Yardley: ORCID iD orcid.org/0000-0002-3853-883X

Catalogue record

Date deposited: 19 May 2016 13:10
Last modified: 19 Nov 2019 06:48

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