Document Detail


The role of theory in increasing adherence to prescribed practice.
MedLine Citation:
PMID:  20190989     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
PURPOSE: The purpose of this article is to apply theoretical frameworks to adherence behaviour and to guide the development of an intervention to increase adherence to prescribed home programmes.
SUMMARY OF KEY POINTS: Delivering an effective intervention requires establishing one that is evidence based and of adequate dosage. Two-thirds of patients who receive home exercise prescriptions do not adhere to their home programme, which may contribute to their physiotherapy's being ineffective. The mediating concepts of self-efficacy (SE) and outcome expectations (OE) are common to the five relevant theories used to explain adherence to exercise: the health belief model, protection motivation theory, theory of reasoned action, theory of planned behaviour, and social cognitive theory.
CONCLUSION/RECOMMENDATIONS: Few intervention studies with any theoretical underpinning have examined adherence to exercise. Even fewer have been designed to affect and measure change in the theoretical mediators of SE and OE in patient populations. Physiotherapists must consider increasing adherence as a component of effective physiotherapy. Ongoing research is needed to increase our understanding of adherence to prescribed home programmes and to design interventions to affect theoretical mediators for increasing adherence.
Authors:
Ruth Sirur; Julie Richardson; Laurie Wishart; Steven Hanna
Related Documents :
22402029 - A comparison of low- and high-impact forced exercise: effects of training paradigm on l...
22474739 - Does gender affect the rates of abnormal exercise stress echocardiography in patients w...
8475229 - Aerobic exercise and the placebo effect: a controlled study.
3735179 - Psychological effects of exercise: a randomized cross-over trial.
7988519 - Physical exercise in women with intractable epilepsy.
17549179 - A survey of ontario chiropractors: their views on maximizing patient compliance to pres...
6273009 - Response of the systemic and pulmonary circulation to converting-enzyme inhibition (cap...
8282639 - Effect of ventilation frequency and tidal volume on pleural space thickness in rabbits.
19951229 - An investigation of metabolic prioritization in the european sea bass, dicentrarchus la...
Publication Detail:
Type:  Journal Article     Date:  2009-05-12
Journal Detail:
Title:  Physiotherapy Canada. Physiothérapie Canada     Volume:  61     ISSN:  0300-0508     ISO Abbreviation:  Physiother Can     Publication Date:  2009  
Date Detail:
Created Date:  2010-03-01     Completed Date:  2011-08-31     Revised Date:  2014-11-13    
Medline Journal Info:
Nlm Unique ID:  0346574     Medline TA:  Physiother Can     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  68-77     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Comments/Corrections

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Atrioventricular muscular dystrophy in a 5-month-old English springer spaniel.
Next Document:  Clinical utility of the 2-minute walk test for older adults living in long-term care.