Non-adherence to prescribed home rehabilitation exercises for musculoskeletal injuries: The role of the patient-practitioner relationship
Open accessAbstract
OBJECTIVE: To identify which factors best explain non-adherence to home rehabilitation exercises (HRE) for patients with musculoskeletal injuries. DESIGN: Cross-sectional study. METHODS: Participants (n = 87) aged 17-91 years completed questionnaires measuring demographic and injury-related information, self-efficacy, personality, health locus of control, patient-practitioner relationship, optimism, health value and adherence to HRE. In addition, each participant's attending physiotherapist assessed the participant's adherence and effort during the appointment. RESULTS: A hierarchical regression with 3 steps (step 1: disposition; step 2: cognitive factors; step 3: patient-practitioner relationship) and adherence to HRE as the dependent variable was conducted. The factors in step 3 were the most significant and explained 16% (p < 0.001) of the variance in adherence to HRE. In addition, a high score for patient neuroticism was found to correlate with poor adherence to HRE. CONCLUSION: These preliminary results suggest that the patient-practitioner relationship is the best predictor of adherence to HRE, and that improving patient perception of the clinician's productivity, communication of information and trust during consultations may improve adherence to HRE.
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- Authors
- Wright, B., Galtieri, N., & Fell, M.
- Affiliations
- La Trobe University (AU)
- ORCID
- Wright, B
- Venue
- Journal of Rehabilitation Medicine
- Published
- 2014
- Volume
- 46
- Issue
- 2
- Pages
- 153-158
- ISSN
- 1650-1977 (ISSN-L)
- OpenAlex
- W2317831393
- Cited by
- 62
- References
- 29
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 3 · 2023: 7 · 2022: 10 · 2021: 6 · 2020: 5 · 2019: 8 · 2018: 7 · 2017: 3 · 2016: 5 · 2015: 2
- FWCI
- 2.45
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Journal of Rehabilitation Medicine (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Musculoskeletal pain and rehabilitation
- Health Sciences › Medicine › Family Practice › Medication Adherence and Compliance
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Medical Practices and Rehabilitation
- Keywords
- exercise adherence, musculoskeletal injuries, patient-practitioner relationship, self-efficacy, health locus of control, optimism, neuroticism, physiotherapy, patient trust, health values
- MeSH terms
- Adolescent, Adult, Aged, Aged, 80 and over, Cross-Sectional Studies, Female, Humans, Male, Middle Aged, Musculoskeletal Diseases, Patient Compliance, Professional-Patient Relations, Surveys and Questionnaires, Self Care, Wounds and Injuries, Young Adult, Physical Therapists
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