Interventions for enhancing adherence with physiotherapy: a systematic review

MCLEAN, S., BURTON, M., BRADLEY, L. and LITTLEWOOD, C. (2010). Interventions for enhancing adherence with physiotherapy: a systematic review. Manual Therapy, 15 (6), 514-521.

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Link to published version:: https://doi.org/10.1016/j.math.2010.05.012
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    Abstract

    Poor adherence to treatment is commonplace and may adversely affect outcomes, efficiency and healthcare cost. The aim of this systematic review was to identify strategies to improve adherence with musculoskeletal outpatient treatment. Five suitable studies were identified which provided moderate evidence that a motivational cognitive-behavioural programme can improve attendance at exercise-based clinic sessions. There was conflicting evidence that adherence interventions increase short-term adherence with exercise. There was strong evidence that adherence strategies are not effective at improving long-term adherence with home exercise. Due to the multi-dimensional nature of non-adherence, the strategies to improve adherence with physiotherapy treatment are likely to be broad in spectrum. Combined interventions may be effective at promoting adherence with clinic appointments and exercise, though further research would be required to confirm this. Further research to increase basic understanding of the factors which act as a barrier to adherence could facilitate development of strategies to overcome non-adherence.

    Item Type: Article
    Additional Information: This is the final authors' version of an article published in Manual therapy
    Research Institute, Centre or Group - Does NOT include content added after October 2018: Centre for Health and Social Care Research
    Identification Number: https://doi.org/10.1016/j.math.2010.05.012
    Page Range: 514-521
    Depositing User: Users 4 not found.
    Date Deposited: 22 Jul 2010 10:42
    Last Modified: 08 Jul 2019 16:02
    URI: http://shura.shu.ac.uk/id/eprint/2353

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