Characteristics and Reasons for Non-attendance at Exercise Therapy and Self-Management Support Among Patients With Multimorbidity. An Exploratory Cross-sectional Study From the MOBILIZE Trial

IF 4 2区医学 Q1 REHABILITATION

Archives of physical medicine and rehabilitation Pub Date : 2026-10-01 Epub Date: 2026-06-12 DOI:10.1016/j.apmr.2026.06.008

Susie M. Kaalund MSc, Søren T. Skou PhD, Sofie R. Mortensen PhD, Mette Dideriksen MSc, Mette Nyberg MSc, Alessio Bricca PhD

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引用次数: 0

Abstract

Objective

To describe and compare the characteristics of people living with multimorbidity randomly assigned to personalized exercise therapy and self-management support (the MOBILIZE intervention) stratified by low-to-medium and high attendance.

Design

Cross-sectional study from the MOBILIZE randomized controlled trial, following a prespecified statistical analysis plan (https://osf.io/tsmjf/).

Setting

The intervention was delivered by physiotherapists across 5 municipalities.

Participants

A total of 114 patients (N=114) with multimorbidity (≥2 chronic conditions).

Interventions

Twenty-four sessions of exercise therapy and self-management support.

Main Outcome Measures

We compared the characteristics of the low-to-medium (<75% of 24 sessions) and high (≥75%) attendance groups using t test, chi-square test, or the Mann-Whitney U test, and reasons for non-attendance were identified through participant diary entries.

Results

Among 114 randomly assigned patients (mean age: 70.0y; 39% women; mean chronic conditions: 7, range 2-19), 76% had high attendance. The low-to-medium attendance group was younger (−6y; 95% CI, −9.44 to −1.67; P=.006), had lower self-efficacy (Self-Efficacy for Managing Chronic Disease 6-Item Scale −1.5 points; z=−2.5; P=.01), and reported more depressive symptoms (Personal Health Questionnaire Depression Scale +2 points; z=3.1; P<.001) and higher treatment burden (Multimorbidity Treatment Questionnaire +7.5; z=2.7; P=.01). In 61% of missed sessions, the reason for non-attendance was unknown. Common reasons for non-attendance included illness (18%), vacation (5%), and planned health care visits (5%).

Conclusions

Patients with low-to-medium attendance were younger, had lower self-efficacy, higher depressive symptoms, and higher treatment burden compared with those with high attendance. Reasons for non-attendance varied widely and should be addressed when prescribing exercise therapy and self-management support for patients with multimorbidity.

查看原文本刊更多论文

多病患者不参加运动治疗和自我管理支持的特点及原因。一项来自动员试验的探索性横断面研究。

目的：描述和比较按低、中、高出勤率分层进行个性化运动治疗和自我管理支持（动员干预）的多病患者的特征。设计：动员随机对照试验的横断面研究，遵循预先指定的统计分析计划（https://osf.io/tsmjf/）。环境：干预由五个城市的物理治疗师提供。参与者：114例多病患者（≥2种慢性疾病）。干预：24个疗程的运动治疗和自我管理支持。主要结局指标：我们比较了中低两组的特征(结果：在114例随机患者中（平均年龄：70.0岁；39%为女性；平均慢性疾病：7，范围2-19），76%的患者有高出勤率。中低出勤组较年轻（-6岁，95% CI -9.44; -1.67, p=0.006），自我效能较低（SEMCD6 -1.5分，z=-2.5, p=0.01），报告抑郁症状较多（PHQ-8 +2分，z=3.1, p）。结论：与高出勤组相比，中低出勤组患者较年轻，自我效能较低，抑郁症状较高，治疗负担较高。不出勤的原因各不相同，在为多病患者开运动疗法和自我管理支持处方时应加以解决。

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来源期刊

Archives of physical medicine and rehabilitation 医学-康复医学

CiteScore

6.20

自引率

4.70%

发文量

495

审稿时长

38 days

期刊介绍： The Archives of Physical Medicine and Rehabilitation publishes original, peer-reviewed research and clinical reports on important trends and developments in physical medicine and rehabilitation and related fields. This international journal brings researchers and clinicians authoritative information on the therapeutic utilization of physical, behavioral and pharmaceutical agents in providing comprehensive care for individuals with chronic illness and disabilities. Archives began publication in 1920, publishes monthly, and is the official journal of the American Congress of Rehabilitation Medicine. Its papers are cited more often than any other rehabilitation journal.