Compliance in pain rehabilitation: patient and provider perspectives.
OBJECTIVE
To identify potential predictors and correlates of compliance and to examine differences between patient and provider perspectives on compliance.


METHODS
One hundred eighty-four patients (84 men and 96 women) were recruited from a chronic pain treatment program for this telephone follow-up study.


RESULTS
Health care providers (HCPs) reported making more recommendations than patients reported hearing. Patients rated themselves as more compliant than did HCPs. Overall compliance rates at a >6-month follow-up were 89% from the patients' perspective and 70% from the HCPs' perspective. HCPs rated compliance specific to psychological care as more related to positive outcomes than did patients. Participants' pain and anxiety ratings at a >6-month follow-up and satisfaction with treatment were significantly associated with patients' compliance ratings. For HCP-rated compliance, only HCPs' perceived benefit and interference from compliance were associated.


CONCLUSIONS
Results suggest important disparities between HCPs and patients on remembered recommendations, levels of compliance, and health-related importance of complying with recommendations.
Center for Pain Research and Behavioral Health, Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida 32610-0165, USA. merobin@ufl.edu
Michael E
ME
Robinson
Bernard
B
Bulcourf
James W
JW
Atchison
Jerry
J
Berger
Ann
A
Lafayette-Lucy
Adam T
AT
Hirsh
Joseph L
JL
Riley
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000700:Analgesics / Q000627:therapeutic use; D005260:Female; D005500:Follow-Up Studies; D006282:Health Personnel / Q000523:psychology; D006801:Humans; D007407:Interviews as Topic / Q000379:methods; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000188:drug therapy / Q000453:epidemiology* / Q000534:rehabilitation*; D010147:Pain Measurement / Q000523:psychology; D010349:Patient Compliance / Q000523:psychology; D012044:Regression Analysis; D011795:Surveys and Questionnaires
D000700:Analgesics