A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self ‐efficacy

Abstract Patient adherence to rehabilitation programmes is frequently low – particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic‐based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self‐efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self‐efficacy is defined as a person's confidence in their ability to perform a task. This theory examines the ability of a person to change through exerting control over inner processes of goal setting, self‐monitoring, feedback, problem solving and self‐evaluation. If clinicians are able to identify patients with low self‐efficacy prior to the prescription of a home exercise programme, adjustments to individualized care can be implemented. Individualized care based on improving self‐efficacy for home exercise programmes may improve patient adherence to these programmes. The purpose of this article was to use the theory of self‐efficacy to direct clinicians in providing individualized programmes to patients with varying levels of self‐efficacy.
Source: Musculoskeletal Care - Category: Physiotherapy Authors: Tags: PRACTICE DEVELOPMENT Source Type: research