- Title
- Characteristics associated with high levels of patient-reported adherence to self-management strategies prescribed by physiotherapists
- Creator
- Peek, Kerry; Carey, Mariko; Mackenzie, Lisa; Sanson-Fisher, Robert
- Relation
- International Journal of Therapy and Rehabilitation Vol. 27, Issue 1, p. 1-15
- Publisher Link
- http://dx.doi.org/10.12968/ijtr.2018.0098
- Publisher
- Mark Allen Group
- Resource Type
- journal article
- Date
- 2020
- Description
- Background/aims: Physiotherapist-prescribed self-management strategies are an important component of physiotherapy practice but they can only be effective if patients adhere. The aim of this study was to explore patient-reported adherence to physiotherapist-prescribed self-management strategies, and the extent to which patient, physiotherapist, consultation and prescription characteristics are associated with high levels of adherence. Methods: A cross-sectional observational study across four private practices; including 14 physiotherapists and 113 patients was conducted. Data were collected in two stages. The first stage consisted of observing a patient at their physiotherapist consultation to collect data regarding the physiotherapist's prescription of self-management strategies. The second stage consisted of a follow-up telephone interview with each observed patient to record the patient-reported level of adherence to each prescribed self-management strategy. Results: Prescribed self-management strategies where physiotherapists asked patients to repeat details of the self-management strategy were 6.54 times (95% confidence interval 2.91–14.98) more likely to be highly adhered to than strategies where the physiotherapist did not do this. Prescribed strategies accompanied by printed information were 2.73 times (95% confidence interval 1.24–6.00) more likely to be highly adhered to than strategies that were not. Advice such as to rest from activity (odds ratio=0.18; 95% confidence interval 0.08–0.40) was less likely to be highly adhered to when compared to home-based exercise programmes. Conclusions: To improve patient-reported adherence to self-management strategies, physiotherapists should be encouraged to provide supplementary printed information and ask their patients to repeat details of the prescribed strategy.
- Subject
- compliance; exercise; physiotherapy; rehabilitation; self-care
- Identifier
- http://hdl.handle.net/1959.13/1425346
- Identifier
- uon:38236
- Identifier
- ISSN:1741-1645
- Language
- eng
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