Does a Web-Based Exercise Programming System Improve Home Exercise Adherence for People With Musculoskeletal Conditions?: A Randomized Controlled Trial
Abstract
Objective: The aim of the study was to evaluate whether a web-based exercise programming system improves adherence to a home exercise program for people with musculoskeletal conditions. Design: Eligible patients with a musculoskeletal condition presenting to a physical therapist in private practice were randomized to the following: (a) control (home exercise prescribed by therapist’s usual methods) or (b) intervention (home exercise prescribed using a web-based exercise programming system). The primary outcome was self-rated exercise adherence measured at week 3 via 11-point Numeric Rating Scales. Secondary outcomes were satisfaction with exercise delivery and confidence in ability to undertake prescribed exercise. Process measures were also included. Results: We enrolled 305 participants, with loss to follow-up of 14.5% (22/152) and 13.7% (21/153) in intervention and control groups, respectively. Compared with controls, the intervention group reported higher exercise adherence (mean difference Numeric Rating Scale units (95% confidence intervals): adherence overall −1.0 [−1.6 to −0.3] and regarding number of exercises in session −0.7 [−1.3 to −0.1], number of repetitions −0.8 [−1.4 to −0.2], and number of sessions −1.0 [−1.6 to −0.3]). The intervention group showed greater confidence to exercise than control, with no difference in satisfaction. Conclusions: A web-based exercise programming system improved home exercise adherence and confidence in ability to undertake exercise, although the clinical relevance of the results needs to be established.
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The digital format, providing flexibility and convenience, may have been key to enhance adherence.
“In line with current evidence, the digital format, providing flexibility and convenience for participants, may have been key to enhance adherence [76].”
From Telerehabilitation of acute musculoskeletal multi-disorders: prospective, single-arm, interventional study (2022) · cites this paper as [76]
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“Most studies fail to report patient’s engagement metrics, particularly important in unsupervised home-based programs, which typically have the lowest adherence [97].”
Background
- Authors
- Bennell, K. L., Marshall, C. J., Dobson, F., Kasza, J., Lonsdale, C., & Hinman, R. S.
- Affiliations
- The University of Melbourne (AU)
- Corresponding author
- Bennell, Kim L.
- Venue
- American Journal of Physical Medicine & Rehabilitation
- Published
- 2019-04-23
- Volume
- 98
- Issue
- 10
- Pages
- 850-858
- ISSN
- 0894-9115 (ISSN-L)
- 1537-7385
- OpenAlex
- W2942260654
- Cited by
- 125
- References
- 28
- Citations by year
- 2026: 7 · 2025: 14 · 2024: 17 · 2023: 18 · 2022: 31 · 2021: 24 · 2020: 14
- FWCI
- 10.69
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- American Journal of Physical Medicine & Rehabilitation (publishedVersion)
- PubMed (publishedVersion)
- Swinburne figshare (Swinburne University of Technology) (submittedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Health Professions › General Health Professions › Mobile Health and mHealth Applications
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Keywords
- home exercise program, exercise adherence, musculoskeletal disorders, exercise confidence, exercise satisfaction, physiotherapy, exercise prescription
- MeSH terms
- Internet-Based Intervention, Adult, Exercise Therapy, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Patient Compliance, Treatment Outcome, Physical Therapy Modalities
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