Department of Physical Therapy, University of Murcia, Spain.
BMC Health Serv Res. 2010 Mar 10;10:60. doi: 10.1186/1472-6963-10-60.
The aim of this study is to explore perceptions of people with chronic neck or low back pain about how characteristics of home exercise programs and care-provider style during clinical encounters may affect adherence to exercises.
This is a qualitative study consisting of seven focus groups, with a total of 34 participants presenting chronic neck or low back pain. The subjects were included if they were receiving physiotherapy treatment and were prescribed home-based exercises.
Two themes emerged: home-based exercise programme conditions and care provider's style. In the first theme, the participants described their positive and negative experiences regarding time consumption, complexity and effects of prescribed exercises. In the second theme, participants perceived more bonding to prescribed exercises when their care provider presented knowledge about the disease, promoted feedback and motivation during exercise instruction, gave them reminders to exercise, or monitored their results and adherence to exercises.
Our experiential findings indicate that patient's adherence to home-based exercise is more likely to happen when care providers' style and the content of exercise programme are positively experienced. These findings provide additional information to health care providers, by showing which issues should be considered when delivering health care to patients presenting chronic neck or back pain.
本研究旨在探讨慢性颈痛或腰痛患者对以下两方面的看法，即家庭运动方案的特点和临床接触过程中治疗师的风格如何影响其对运动的依从性。
这是一项定性研究，包括 7 个焦点小组，共有 34 名患有慢性颈痛或腰痛的参与者。纳入标准为接受物理治疗且被开具有家庭运动处方的患者。
出现了两个主题：家庭运动方案条件和治疗师的风格。在第一个主题中，参与者描述了他们对规定运动的时间消耗、复杂性和效果的积极和消极体验。在第二个主题中，当治疗师对疾病有一定了解、在指导运动时能提供反馈和激励、提醒他们运动、或监测他们的结果和运动依从性时，患者更愿意坚持规定的运动。
我们的经验性发现表明，当治疗师的风格和运动方案的内容得到积极体验时，患者更有可能坚持家庭运动。这些发现为医疗保健提供者提供了更多信息，表明在为患有慢性颈痛或腰痛的患者提供医疗保健时应考虑哪些问题。
