Why Are Patients Not Doing Their Prescribed Home-Based Exercises? An Updated Review of the Factors Affecting Adherence to Prescribed Home-Based Exercise in Patients With Chronic Low Back Pain

IF 0.8 Q4 NURSING

Home Health Care Management and Practice Pub Date : 2022-08-11 DOI:10.1177/10848223221116143

G. McLeod, Eva Morgan, Skye McMillan, Sarah McCahon, Niribi Sanna

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引用次数: 2

Abstract

Prescribed home-based exercise programs have been found to be an effective non-pharmacological treatment for the management of chronic low back pain. However, such programs rely on continued patient adherence to performing the exercises. The purpose of this integrative review is to present the key factors that influence adherence to prescribed home-based exercise for individuals with chronic low back pain. Searches of AMED, SPORTDiscus, CINAHL, MEDLINE, ScienceDirect, and Cochrane Library databases were performed for the period 2015 to 2021, using the following key search terms: exercise adherence, exercise compliance, exercise therapy, home-based exercise, chronic low back pain, and enabler, barrier or factor. Eight studies met the inclusion criteria and included Qualitative, Prospective Observation, Feasibility, Case Series and Randomised Controlled Trial studies. All participants were adults ranging from 18 to 85 years old with chronic low back pain and there was an overall female representation of 53.4%. Studies were assessed for methodological quality using the Critical Appraisal Skills Programme (CASP) checklist. The findings highlighted 2 key factors influencing adherence to home-based exercise programs for individuals with chronic low back pain: (1) the need for practitioners to develop effective communication skills that focus on the individual’s needs, including personalisation of exercise programs aimed at an individual’s symptoms, lifestyle and treatment goals; and (2) follow-up feedback and support strategies via electronic (virtual) or face to face in-clinic and home visits. Adherence to home-based exercise programs requires effective practitioner communication and targeted follow-up support and feedback.

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为什么病人不按规定做家庭运动?影响慢性腰痛患者坚持家庭运动的因素的最新综述

处方家庭锻炼计划已被发现是一种有效的非药物治疗慢性腰痛的管理。然而，这样的项目依赖于病人持续的坚持练习。本综合综述的目的是提出影响慢性腰痛患者坚持家庭锻炼的关键因素。对2015年至2021年期间的AMED、SPORTDiscus、CINAHL、MEDLINE、ScienceDirect和Cochrane图书馆数据库进行检索，使用以下关键搜索词:运动依从性、运动依从性、运动疗法、家庭运动、慢性腰痛和使能者、障碍或因素。8项研究符合纳入标准，包括定性研究、前瞻性观察研究、可行性研究、病例系列研究和随机对照试验研究。所有参与者都是患有慢性腰痛的成年人，年龄从18岁到85岁不等，女性占53.4%。使用关键评估技能计划(CASP)检查表评估研究的方法学质量。研究结果强调了影响慢性腰痛患者坚持在家锻炼计划的两个关键因素:(1)从业者需要培养有效的沟通技巧，关注个人需求，包括针对个人症状、生活方式和治疗目标的个性化锻炼计划;(2)通过电子(虚拟)或面对面的门诊和家访进行随访反馈和支持策略。坚持以家庭为基础的锻炼计划需要有效的从业者沟通和有针对性的后续支持和反馈。

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来源期刊

Home Health Care Management and Practice NURSING-

CiteScore

2.30

自引率

18.20%

发文量

期刊介绍： Home Health Care Management & Practice is a comprehensive resource for clinicians, case managers, and administrators providing home and community based health care. Articles address diverse issues, ranging from individual patient care and case management to the human resource management and organizational operations management and administration of organizations and agencies. Regular columns focus on research, legal issues, psychosocial perspectives, accreditation and licensing, compliance, management, and cultural diversity. Specific topics include treatment, care and therapeutic techniques, cultural competence, family caregivers, equipment management, human resources, home health center.