Factors influencing compliance with home exercise programs among patients with upper-extremity impairment

Chiung Ying Chen, Peggy Strecker Neufeld, Christine A. Feely, Celette Sugg Skinner

Research output: Contribution to journalArticle

67 Citations (Scopus)

Abstract

Objective. Patient cooperation and satisfaction with home exercise programs are important for successful outcomes of intervention. This study investigated factors from three models to predict increased compliance and satisfaction with home exercise programs: the Model of Human Occupation (MOHO), including the volition subsystem (interests), habituation subsystem (roles), and performance subsystem (reported physical capacity); the Health Belief Model (HBM), including perceived barriers, benefits, self-efficacy, and severity; and the Health Locus of Control (HLOC). Method. Sixty-two outpatients at an orthopedic upper-extremity rehabilitation facility completed a battery of questionnaires and self-report instruments, including a health belief survey to assess HBM factors, the Multidimensional Health Locus of Control Scale, the Modified Activity Profile to assess the performance subsystem of the MOHO, a demographic questionnaire (including roles), a report of home exercise, and a satisfaction scale of their therapist's treatment. Compliance was determined by comparing participants' report of exercises performed to exercises specified on their medical chart. Results. Stepwise regression identified two predictors of compliance: perceived self-efficacy and internal HLOC, R2 = .16. Conclusion. Results supported the role of the MOHO's volition subsystem, but roles and physical capacity - representing the habituation and performance subsystems of the MOHO - did not contribute significantly to the prediction of compliance.

Original languageEnglish (US)
Pages (from-to)171-180
Number of pages10
JournalAmerican Journal of Occupational Therapy
Volume53
Issue number2
StatePublished - Mar 1999

Fingerprint

Upper Extremity
Internal-External Control
Exercise
Health
Compliance
Self Efficacy
Patient Compliance
Health Surveys
Patient Satisfaction
Self Report
Orthopedics
Outpatients
Rehabilitation
Demography
Surveys and Questionnaires
Therapeutics

Keywords

  • Human activities and occupations
  • Models, occupational therapy
  • Therapeutic exercise
  • Volition

ASJC Scopus subject areas

  • Rehabilitation
  • Health Professions(all)

Cite this

Factors influencing compliance with home exercise programs among patients with upper-extremity impairment. / Chen, Chiung Ying; Neufeld, Peggy Strecker; Feely, Christine A.; Skinner, Celette Sugg.

In: American Journal of Occupational Therapy, Vol. 53, No. 2, 03.1999, p. 171-180.

Research output: Contribution to journalArticle

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