Occupational Therapy, Gannon University, Ruskin FL, USA.
Occupational Therapy, Gannon University, Ruskin FL, USA.
J Hand Ther. 2020 Jan-Mar;33(1):67-72. doi: 10.1016/j.jht.2018.09.006. Epub 2019 Jan 21.
This was a cross-sectional study.
Home exercise programs (HEPs) are frequently prescribed to maximize a patient's recovery and ensure maintenance of therapeutic gains produced during supervised treatment. Improved understanding of patient preferences and incorporation of simple mobile health technologies may be beneficial strategies for improving patient HEP adherence.
The purpose of this study was to determine client's preferred mode of home exercise program delivery when offered a choice between a cellular video and paper handout.
A convenience sample was recruited from clients receiving services at an upper extremity rehabilitation facility. Participants were provided a paper handout with written instructions and an audiovisual recording of themselves performing the exercises. A questionnaire was developed to compare clients' preferences and perceptions. Quantitative data regarding patient preference were gathered and analyzed with descriptive statistics. Collected qualitative data were themed to determine the characteristics of home exercise programs (HEPs) perceived by patients.
A total of 30 patients participated in the study. Of the 29 responses regarding patient preference of HEP mode, 20 (69%) patients preferred a video, 4 (14%) patients preferred a paper handout, and 5 (17%) patients preferred both paper and video HEP. Patients with preference to a paper HEP reported the handout was helpful to be accessed in a simple manner and could be displayed as a visual reminder to perform the exercises. Those who preferred the cellular video reported increased understanding and confidence with accurate performance of exercises using audiovisual instructions.
HEP adherence enhancement techniques include improved understanding of patient preferences in order to facilitate customized client-centered treatment.
The majority of participants in this study preferred a mobile-based video HEP. Participants perceived the video as visually appealing and a more effective mode of instruction than paper handouts.
这是一项横断面研究。
家庭运动方案（HEP）经常被规定为最大限度地提高患者的恢复，并确保在监督治疗期间产生的治疗效果得以维持。更好地了解患者的偏好并结合简单的移动健康技术可能是改善患者HEP 依从性的有益策略。
本研究旨在确定当患者在细胞视频和纸质讲义之间选择时，他们首选的家庭运动方案交付模式。
从上肢康复机构接受服务的患者中招募了一个方便样本。参与者获得了一份带有书面说明和自己进行练习的视听记录的纸质讲义。开发了一份问卷来比较患者的偏好和看法。使用描述性统计方法收集和分析有关患者偏好的定量数据。收集的定性数据进行主题分析，以确定患者感知的家庭运动方案（HEP）的特征。
共有 30 名患者参加了这项研究。在 29 份关于 HEP 模式患者偏好的回复中，20 名（69%）患者更喜欢视频，4 名（14%）患者更喜欢纸质讲义，5 名（17%）患者更喜欢纸质和视频 HEP。喜欢纸质 HEP 的患者报告说，讲义以简单的方式获取很有帮助，并且可以作为执行练习的视觉提示。那些喜欢细胞视频的人报告说，使用视听指令可以更准确地理解和增强他们对练习的信心。
HEP 依从性增强技术包括更好地了解患者的偏好，以便为患者提供定制的以客户为中心的治疗。
在这项研究中，大多数参与者更喜欢基于移动的视频 HEP。参与者认为视频比纸质讲义更具吸引力，是一种更有效的教学模式。
