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Table 5 Strategies used to improve adherence in practice before the educational session

From: A therapist-focused knowledge translation intervention for improving patient adherence in musculoskeletal physiotherapy practice

Themes

Components

Percent

Motivational and Behavioral

• Facilitate internal locus of control

• Encouragement

• Focusing on progress

• Focus on long term benefits

• Assess stages of change

• Graded exposure to exercise

• Behavior change techniques

32.3

Communication

• Active listening

• Providing feedback

11.7

Exercise prescription

• Limiting number of exercises prescribed

• Exercises that are not time consuming

• Incorporate exercise into daily activities/routine

• Design program around available equipment/resources

• Personalized program, patient preferences

• Appropriate progression

• Prescribe functional and purposeful activity

• Fun activities

55.8

Patient

• Leave responsibility to the patient

• Identify and understand patient interest

• Facilitate active involvement

• Group counseling and education

11.7

Education

• Review of anatomical structures and effect of exercise

• Understanding of exercise parameters

• Improve understanding of rationale for treatment

• Patient education

• Open discussion

• Pain education/fear of re-injury

• Education on risk and benefits

38.2

Technique

• Ensure proper demonstration

11.7

Visual aids

• Use of print materials

• Attendance sign-in sheets

• Use of reminders and logs

23.5

Follow-up

• Review of home exercises regularly

• Review after every program progression

11.7

Goal planning and setting

• Plan a daily consistent routine

• Build exercise based on goals

• Setting meaningful goals

• Progress goals

• Collaborative goals

26.4

Treatment

• Participation in group program

• Use of a workout buddy

• Supervised exercise

• Simplified programs

• Time management

17.6

Technology

• Wearable devices

5.7

Outcomes

• Functional outcomes

• Objective performance measures

5.7