Barriers and factors associated with adherence to a home exercise program of adults with musculoskeletal pain.

IF 1.4 4区医学 Q3 ORTHOPEDICS Journal of Back and Musculoskeletal Rehabilitation Pub Date : 2024-01-01 DOI:10.3233/BMR-230178

Hayk Petrosyan, Christopher Leonardi, Aakash Thakral, Jason Roth, Nicholas Russoniello, Yelena Goldin, Sagar Parikh

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Abstract

Background: Home exercise programs (HEPs) are cost-effective and efficacious treatments for musculoskeletal pain conditions. Although HEPs are an important part of the continuum of care, non-adherence limits their effectiveness.

Objective: The objective of this study was to examine adherence and specific barriers to clinician-prescribed HEPs in adults with musculoskeletal pain.

Methods: A cross-sectional study was conducted with a total of 300 patients presenting to an outpatient pain clinic in an academic medical center. Participants' self-reported information, including HEP completion frequency and barriers, was collected through a survey.

Results: The participants' mean age was 54.1 ± 15.8 years (females = 133 (65.5%)). Of 203 participants, 99 (48.8%) adhered to HEP, 56 (27.6%) partially adhered, and 48 (23.6%) did not adhere. One hundred eighty-seven (92.1%) participants reported receiving adequate instructions, and 175 (86.2%) reported receiving instructional materials. Age and "sufficient instructions" were found to be significant determinants of adherence (p< 0.05), while gender and handouts were not (p> 0.05). Pain in more than one body part was significantly (p< 0.05) associated with motivational barriers for non-adherence.

Conclusion: Age and participants' perception of sufficient instructions were significant factors for non-adherence. These results emphasize the importance of therapist-provided instructions to overcome barriers to adherence.

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患有肌肉骨骼疼痛的成年人坚持家庭锻炼计划的障碍和相关因素。

背景：家庭锻炼计划（HEPs）是治疗肌肉骨骼疼痛的一种经济有效的方法。尽管家庭锻炼计划是持续护理的一个重要组成部分，但不坚持却限制了其有效性：本研究的目的是调查患有肌肉骨骼疼痛的成年人在接受临床医生开具的 HEPs 治疗时的依从性和具体障碍：方法：对一家学术医疗中心疼痛门诊的 300 名患者进行了横断面研究。通过调查收集了参与者的自我报告信息，包括完成 HEP 的频率和障碍：参与者的平均年龄为 54.1 ± 15.8 岁（女性 = 133 人（65.5%））。在 203 名参与者中，99 人（48.8%）坚持完成 HEP，56 人（27.6%）部分坚持，48 人（23.6%）未坚持。187名参与者（92.1%）表示收到了充分的指导，175名参与者（86.2%）表示收到了指导材料。研究发现，年龄和 "足够的指导 "是坚持治疗的重要决定因素（p< 0.05），而性别和讲义则不是（p> 0.05）。身体一个以上部位的疼痛与不坚持治疗的动机障碍有明显关系（p< 0.05）：结论：年龄和参与者对充分指导的认知是导致不坚持治疗的重要因素。这些结果强调了治疗师提供指导对克服坚持治疗障碍的重要性。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Back and Musculoskeletal Rehabilitation 医学-康复医学

CiteScore

2.70

自引率

0.00%

发文量

194

审稿时长

6 months

期刊介绍： The Journal of Back and Musculoskeletal Rehabilitation is a journal whose main focus is to present relevant information about the interdisciplinary approach to musculoskeletal rehabilitation for clinicians who treat patients with back and musculoskeletal pain complaints. It will provide readers with both 1) a general fund of knowledge on the assessment and management of specific problems and 2) new information considered to be state-of-the-art in the field. The intended audience is multidisciplinary as well as multi-specialty. In each issue clinicians can find information which they can use in their patient setting the very next day.