Document Detail


Interventions for enhancing adherence with physiotherapy: a systematic review.
MedLine Citation:
PMID:  20630793     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
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.
Authors:
Sionnadh Mairi McLean; Maria Burton; Lesley Bradley; Chris Littlewood
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Publication Detail:
Type:  Journal Article     Date:  2010-07-14
Journal Detail:
Title:  Manual therapy     Volume:  15     ISSN:  1532-2769     ISO Abbreviation:  Man Ther     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2010-10-22     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9610924     Medline TA:  Man Ther     Country:  Scotland    
Other Details:
Languages:  eng     Pagination:  514-21     Citation Subset:  IM    
Copyright Information:
Copyright © 2010. Published by Elsevier Ltd.
Affiliation:
Faculty of Health and Well Being, Sheffield Hallam University, Broomhall Road, Sheffield S10 2BP, UK. S.McLean@shu.ac.uk
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