Interventions for enhancing adherence with physiotherapy: a systematic review.

نویسندگان

  • Sionnadh Mairi McLean
  • Maria Burton
  • Lesley Bradley
  • Chris Littlewood
چکیده

Poor adherence to treatment is commonplace and may adversely affect outcomes, efficiency and healthcare cost. The aim of this systematic review was to identify strategies to improve adherence with musculoskeletal outpatient treatment. Five suitable studies were identified which provided moderate evidence that a motivational cognitive-behavioural (CB) programme can improve attendance at exercise-based clinic sessions. There was conflicting evidence that adherence interventions increase short-term adherence with exercise. There was strong evidence that adherence strategies are not effective at improving long-term adherence with home exercise. Due to the multi-dimensional nature of non-adherence, the strategies to improve adherence with physiotherapy treatment are likely to be broad in spectrum. Combined interventions may be effective at promoting adherence with clinic appointments and exercise, though further research would be required to confirm this. Further research to increase basic understanding of the factors, which act as a barrier to adherence, could facilitate development of strategies to overcome non-adherence.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Program-related factors are associated with adherence to group exercise interventions for the prevention of falls: a systematic review.

QUESTIONS What factors are associated with adherence of older adults to group exercise interventions for the prevention of falls? What is the relationship between adherence and the falls prevention efficacy of the intervention? DESIGN Systematic review with meta-analysis of randomised trials. PARTICIPANTS Older adults (60 years and older) undertaking a group exercise intervention for falls ...

متن کامل

Effectiveness of behavioural change techniques in physiotherapy interventions to promote physical activity adherence in patients with hip and knee osteoarthritis: a systematic review protocol

INTRODUCTION Osteoarthritis (OA) is a common degenerative articular disease, the highest cause of individual level disability and a significant socioeconomic burden to healthcare services. Patient education and physical activity (PA) prescription are recommended components of interventions in several healthcare guidelines and are commonly provided by physiotherapists. However, these interventio...

متن کامل

Evaluating conservative treatments to reduce coccydynia symptoms: a systematic review

Background: There are many conservative interventions to reduce the symptoms of coccydynia, but it is not clear which treatment can be more effective. The aim of this review study was to evaluate the types of conservative interventions and the effectiveness of each of them in reducing coccydynia symptoms. Methods: This systematic review was carried out based on PRISMA (Preferred Reporting Item...

متن کامل

Interventions to improve adherence to antiretroviral therapy: a rapid systematic review.

INTRODUCTION Access to antiretroviral treatment (ART) has substantially improved over the past decade. In this new era of HIV as a chronic disease, the continued success of ART will depend critically on sustained high ART adherence. The objective of this review was to systematically review interventions that can improve adherence to ART, including individual-level interventions and changes to t...

متن کامل

The Autonomy-supportive Approach: The Key to Promoting Rehabilitation Adherence?

Poor adherence (i.e., “the extent to which a person’s behaviour . . . corresponds with agreed recommendations from a healthcare provider” [1]) is a common problem in a range of healthcare settings, including those offering physiotherapy [2]. In fact, research has suggested that adherence to rehabilitation is as low as 30% [3]. A systematic review by Jack et al. [4] proposed that common barriers...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:
  • Manual therapy

دوره 15 6  شماره 

صفحات  -

تاریخ انتشار 2010