Article

OBJECTIVE: To identify which factors best explain non-adherence to home
rehabilitation exercises (HRE) for patients with musculoskeletal injuries.
DESIGN: Cross-sectional study. 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's attending physiotherapist assessed the participant's adherence and
effort during the appointment. 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 < 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. 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's
productivity, communication of information and trust during consultations may
improve adherence to HRE.

Langue : ANGLAIS