Adherence Flashcards
What is the definition of adherence?
Active, voluntary collaborative involvement of the client in a mutually acceptable course of behavior to produce a desired preventative or therapeutic result.
How is adherence defined in the context of sport rehabilitation?
The extent to which an individual completes behaviors as part of a treatment regimen designed to facilitate recovery from injury.
Why is adherence important in rehabilitation?
It is essential for successful physical and psychological recovery and is linked to positive rehabilitation outcomes. Nonadherence leads to poorer outcomes.
What percentage of sport injury patients fail to adhere to prescribed home modalities and rest periods?
60% fail to adhere to prescribed home modalities; 54% fail to adhere to prescribed rest periods.
What personal characteristics make athletes more likely to adhere to rehabilitation?
Self-motivation, tough-mindedness, pain tolerance, and internal locus of control (LOC).
What environmental factors encourage rehabilitation adherence?
Perceiving the injury as serious but manageable, high self-efficacy, greater understanding of the injury, and using psychological skills like goal setting, imagery, and positive self-talk.
How can sports rehab professionals create an environment conducive to adherence?
Developing trust, listening to athletes, explaining activities clearly, and recognizing the need for both informational and socio-emotional communication.
What are common methods to measure adherence?
Attendance at rehab sessions, home exercise completion, compliance with activity restrictions, healing rate, and reports by sports rehabilitators?
What is a limitation of measuring adherence based on attendance at rehab sessions?
It often records only attendance, not the quality or extent of participation.
How is home-based rehab adherence typically measured?
Through self-reporting, such as daily logs, diaries, or questionnaires, which can be subjective and biased.
What is a limitation of using healing rate to assess adherence?
Healing rate measures treatment outcomes rather than the behavioral process of adherence.
What is the Sport Injury Rehabilitation Adherence Scale (SIRAS)?
A tool to measure clinic-based adherence with three items assessing intensity of rehabilitation completion, frequency of following instructions, and receptivity to changes.
What is the Rehabilitation Adherence Measure for Athletic Training (RAdMAT)?
A scale with 16 items and three subscales: attendance/participation, communication, and attitude/effort.
What educational strategies can enhance rehabilitation adherence?
Educating clients about their injuries, the rehabilitation process, treatment rationale, and setting realistic recovery expectations.
