Investigating trends into the compliance of patients who are given exercise prescriptions. What factors influence compliance levels and how could motivation be improved?
Item
- Title
- Investigating trends into the compliance of patients who are given exercise prescriptions. What factors influence compliance levels and how could motivation be improved?
- Author(s)
- Winter, I
- Abstract
- Background Patient adherence to ET has been widely researched amongst physiotherapy patients and non-adherence reported as an issue on multiple occasions. However, current evidence supports the benefits of prescribing exercise therapy (ET) alongside manual therapy (MT). There is very limited research into the use of ET within an osteopathic setting or adherence to ET by osteopathic patients. In order to improve patient adherence within any healthcare setting it is important to identify why patients do not adhere to advice and factors that would motivate them to do so. Objective To identify trends of adherence amongst osteopathic patients whom are prescribed exercises as well as identify causative factors for non-adherence and motivational factors to improve adherence. Design A cross-sectional questionnaire. Methods Patients from the European School of Osteopathy (ESO) clinic were recruited to take part in the questionnaire. New patients and students from the ESO were excluded. Data was gathered using Google Forms and analysed using Analyse IT; more specifically using Pearson’s Chi Squared and Kruskal-Wallis statistical tests. Results A total of 51 participants completed the questionnaire. Statistical significance was found between motivation and health, suggesting that those with optimal health were more motivated to complete their exercises than those with suboptimal health (p-value 0.0278). The most common reason for non-adherence was that patients simply “forgot” with the second most common reason being “lack of time”. Participants felt that reminders or an application with live feedback would be most helpful to increase their motivation. Discussion Findings suggest that patients are just generally forgetful when it comes to adhering to ET, and therefore reminders could be a useful way to increase adherence. However, lack of statistically significant data highlights the need for further investigation of the topic on a larger population scale. Most current research into adherence has been carried out with physiotherapy patients, future research should consider looking at osteopathy patients. Previous research indicated an issue with osteopathic education of ET, another topic which would benefit from further research. Conclusion Adherence to ET is an ongoing issue for manual therapists, suggesting further research needs to be carried out into how to improve adherence rates, followed by manual therapists implementing such findings.
- presented at
- European School of Osteopathy
- Date Accepted
- 2020
- Date Submitted
- 28.10.2020 18:08:19
- Type
- osteo_thesis
- Language
- English
- Submitted by:
- 62
- Pub-Identifier
- 16700
- Inst-Identifier
- 1229
- Keywords
- Adherence questionnaire, exercise therapy, manual therapy, osteopathy
- Recommended
- 0
- Item sets
- Thesis
Winter, I, “Investigating trends into the compliance of patients who are given exercise prescriptions. What factors influence compliance levels and how could motivation be improved?”, Osteopathic Research Web, accessed May 2, 2024, https://www.osteopathicresearch.com/s/orw/item/903