- Title
- Patient adherence to physiotherapist-prescribed self-management strategies
- Creator
- Peek, Kerry
- Resource Type
- thesis
- Date
- 2017
- Description
- Professional Doctorate - Doctor of Philosophy (PhD)
- Description
- Self-management strategies including exercise and advice are important components of physiotherapy treatment plans. However, a paucity of research currently exists regarding the prescription of self-management strategies in physiotherapy private practice in Australia. Further, it is widely accepted that the effectiveness of self-management strategies is dependent upon patient adherence. This is an important area to address because evidence suggests that levels of patient adherence to self-management strategies is currently sub-optimal. However, if physiotherapists do not perceive patient adherence to be an issue then methods to aid adherence may not be readily incorporated into routine practice. In addition, there is little consensus in the literature on the characteristics which might be associated with high levels of adherence to prescribed self-management strategies, the types of interventions that can be utilised in physiotherapy to aid patient adherence and how adherence can be accurately measured. This thesis includes seven papers which aimed to address these gaps in the literature by exploring: physiotherapist prescription of self-management strategies in private practice; the perceptions of practising physiotherapists; the levels and characteristics associated with patient-reported adherence; the methods used to measure adherence; and interventions to aid adherence to physiotherapist prescribed self-management strategies. A behavioural model to aid patient adherence is also presented. The results of this thesis supports that self-management strategies are an integral component of private physiotherapy practice. However, the levels of patient adherence to all physiotherapist-prescribed self-management strategies in private practice are low. Patient adherence may be aided by the use of supplementary written information, asking the patient to repeat the self-management instructions and the use of activity monitors. Finally, there is a need to develop a multi-faceted measure of patient adherence to all self-management strategies which accurately captures all of the elements of adherence.
- Subject
- physiotherapy; adherence; self-management; exercise
- Identifier
- http://hdl.handle.net/1959.13/1385449
- Identifier
- uon:32226
- Rights
- Copyright 2017 Kerry Peek
- Language
- eng
- Full Text
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| Thumbnail | File | Description | Size | Format | |||
|---|---|---|---|---|---|---|---|
| View Details Download | ATTACHMENT01 | Thesis | 6 MB | Adobe Acrobat PDF | View Details Download | ||
| View Details Download | ATTACHMENT02 | Abstract | 583 KB | Adobe Acrobat PDF | View Details Download |