title: A model to increase rehabilitation adherence to home exercise programmes in patients with varying levels of self-efficacy.
abstract: Patient adherence to rehabilitation programmes is frequently low - particularly adherence to home exercise programmes. Home exercise programmes have been identified as complementary to clinic-based physical therapy in an orthopaedic setting. Barriers to patient adherence have previously been identified within the literature. Low self-efficacy is a barrier to adherence that clinicians have the ability to have an impact on and improve. The theory of self-efficacy is defined as a person's confidence in their ability to perform a task. This theory examines the ability of a person to change through exerting control over inner processes of goal setting, self-monitoring, feedback, problem solving and self-evaluation. If clinicians are able to identify patients with low self-efficacy prior to the prescription of a home exercise programme, adjustments to individualized care can be implemented. Individualized care based on improving self-efficacy for home exercise programmes may improve patient adherence to these programmes. The purpose of this article was to use the theory of self-efficacy to direct clinicians in providing individualized programmes to patients with varying levels of self-efficacy.
authors.affiliation: Department of Rehabilitation Sciences, University of Kentucky, Lexington, KY, USA.
authors.forename: Kelsey J
authors.initials: KJ
authors.lastname: Picha
authors.affiliation: Department of Occupational Science and Occupational Therapy, Eastern Kentucky University, Richmond, KY, USA.
authors.forename: Dana M
authors.initials: DM
authors.lastname: Howell
mesh_terms: D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008297:Male; D008962:Models, Theoretical; D010349:Patient Compliance; D020377:Self Efficacy
keywords: home exercise programme; patient adherence; rehabilitation; self-efficacy