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Recommendations for Improving Adherence to Home-Based Exercise: A Systematic Review
Open accessAbstract
Purpose The aim of this review is to list the factors that influence adherence to home-based exercise, and to make recommendations about how to improve adherence. Materials and Methods A literature search was performed in Web of Science Core Collection (Library of ETH Zurich), PubMed and PEDro databases. The following search categories were used: “physiotherapy”, “home-based exercises”, “adherence”, “effectiveness”, “motivation” and “barriers”. Results A total of 38 studies were identified and title and abstract analysis was performed. 14 studies were included for further analysis. The factors found to contribute to adherence to home-based exercise programmes are: intensive social support and guidance from a physiotherapist; prescription of a low number of exercises (<4); high levels of self-motivation and self-efficacy; and a lack of psychological influences, such as helplessness, depression and anxiety. Conclusion Adherence to home-based exercise could be increased relatively simply, through provision of good support of the patient from physiotherapists, instruction of 2 to a maximum of 4 exercises, and by increasing the patients’ self-motivation and self-efficacy (Recommendation level B+).
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Patients with depression are more likely to abandon the exercise program.
“those patients with depression will also be more likely to abandon the exercise program [43,72,80].”
From Key Factors Associated with Adherence to Physical Exercise in Patients with Chronic Diseases and Older Adults: An Umbrella Review (2021) · cites this paper as [72]
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Metadata
- Authors
- Bachmann, C., Oesch, P., & Bachmann, S.
- Affiliations
- ETH Zurich (CH)
- Valens Clinics (CH)
- Corresponding author
- Bachmann, Stefan
- ORCID
- Bachmann, Stefan
- Venue
- Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin
- Publisher
- Georg Thieme Verlag KG
- Published
- 2017-12-18
- Volume
- 28
- Issue
- 01
- Pages
- 20-31
- ISSN
- 0940-6689 (ISSN-L)
- 1439-085X
- OpenAlex
- W2778268688
- Cited by
- 101
- References
- 33
- Citations by year
- 2026: 7 · 2025: 10 · 2024: 20 · 2023: 19 · 2022: 12 · 2021: 18 · 2020: 5 · 2019: 9 · 2018: 1
- FWCI
- 0.52
- Type
- journal article
- Language
- de
- Open access
- bronze
- doi.org
- Locations
- Physikalische Medizin Rehabilitationsmedizin Kurortmedizin (publishedVersion)
- BORIS (University Library Bern) (submittedVersion)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Physical Activity and Health
- Keywords
- home-based exercise, exercise adherence, physiotherapy, social support, self-motivation, self-efficacy, exercise prescription, barriers to exercise, anxiety and depression, patient guidance
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