Perspectives on adherence to prescribed home exercises after polytrauma: A qualitative study

Area of Science:

• Rehabilitation Medicine
• Patient Adherence Research
• Qualitative Health Research

Background:

• Polytrauma necessitates comprehensive rehabilitation to maximize functional outcomes.
• Home exercise programmes (HEPs) are vital for preventing immobility complications in polytrauma patients.
• Factors influencing adherence to HEPs in polytrauma populations are not well understood.

Purpose of the Study:

• To explore the perspectives of polytrauma patients regarding adherence to prescribed home exercise programmes (HEPs).

Main Methods:

• A qualitative, exploratory, and descriptive study design was employed.
• Semi-structured telephone interviews were conducted with 13 polytrauma patients 3 months post-discharge.
• Thematic analysis was used to identify key themes influencing HEP adherence.

Main Results:

• Four major themes emerged: physical, psycho-cognitive, social, and environmental factors.
• Adherence barriers were more prevalent than facilitators among participants.
• Pain was the most frequently reported barrier, while family support was the most common facilitator.

Conclusions:

• Polytrauma patients encounter more challenges than aids in adhering to HEPs.
• Pain significantly impedes adherence, whereas family support is a critical enabler.
• Developing inclusive HEPs considering patient context is essential for effective rehabilitation.