TY - JOUR
T1 - Interventions for enhancing adherence with physiotherapy
T2 - A systematic review
AU - McLean, Sionnadh Mairi
AU - Burton, Maria
AU - Bradley, Lesley
AU - Littlewood, Chris
PY - 2010/12/1
Y1 - 2010/12/1
N2 - 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.
AB - 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.
KW - Adherence
KW - Intervention
KW - Musculoskeletal
KW - Review
UR - http://www.scopus.com/inward/record.url?scp=77958110502&partnerID=8YFLogxK
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U2 - 10.1016/j.math.2010.05.012
DO - 10.1016/j.math.2010.05.012
M3 - Review article
C2 - 20630793
AN - SCOPUS:77958110502
SN - 2468-8630
VL - 15
SP - 514
EP - 521
JO - Musculoskeletal Science and Practice
JF - Musculoskeletal Science and Practice
IS - 6
ER -