Interventions for enhancing adherence with physiotherapy: A systematic review

McLean, Sionnadh Mairi; Burton, Maria; Bradley, Lesley; Littlewood, Chris

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 (CB) 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.

Citation

McLean, S. M., Burton, M., Bradley, L., & Littlewood, C. (2010). Interventions for enhancing adherence with physiotherapy: A systematic review. Manual Therapy, 15(6), 514-521. https://doi.org/10.1016/j.math.2010.05.012

• Journal Article Type: Article
• Acceptance Date: May 27, 2010
• Online Publication Date: Jul 14, 2010
• Publication Date: 2010-12
• Deposit Date: Dec 20, 2024
• Journal: Manual Therapy
• Print ISSN: 1356-689X
• Publisher: Elsevier
• Peer Reviewed: Peer Reviewed
• Volume: 15
• Issue: 6
• Pages: 514-521
• DOI: https://doi.org/10.1016/j.math.2010.05.012
• Keywords: Adherence, Intervention, Musculoskeletal, Review