Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs
# Background Patient adherence to home exercise programs (HEPs) is low, and poor patient self-efficacy is a barrier clinicians can influence. However, little evidence suggests that clinicians assess level of patient self-efficacy before prescribing HEPs. # Purpose To determine the importance of pa...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
North American Sports Medicine Institute
2021-02-01
|
| Series: | International Journal of Sports Physical Therapy |
| Online Access: | https://doi.org/10.26603/001c.18957 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1825197037302317056 |
|---|---|
| author | Kelsey J Picha Alison Snyder Valier Nicholas R Heebner John P Abt Ellen L Usher Gilson Capilouto Tim L Uhl |
| author_facet | Kelsey J Picha Alison Snyder Valier Nicholas R Heebner John P Abt Ellen L Usher Gilson Capilouto Tim L Uhl |
| author_sort | Kelsey J Picha |
| collection | DOAJ |
| description | # Background
Patient adherence to home exercise programs (HEPs) is low, and poor patient self-efficacy is a barrier clinicians can influence. However, little evidence suggests that clinicians assess level of patient self-efficacy before prescribing HEPs.
# Purpose
To determine the importance of patient self-efficacy to physical therapists (PTs) when addressing patient barriers, determine how PTs assess and use patient self-efficacy for HEPs, and describe the barriers facing PTs when assessing patient self-efficacy for HEPs.
# Study Design
Survey.
# Methods
Practicing PTs were recruited from the American Physical Therapy Association’s Orthopedic Section and emailed the electronic survey.
# Results
Email invitations were sent to 17730 potential participants, and 462 PTs completed the survey over one month. PTs rated self-efficacy as “very” to “extremely” important for patient adherence (58%, 265/454). Most (71%, 328/462) reported assessing self-efficacy before prescribing HEPs and did so through verbal discussion and observation of the patient (50% and 38% respectively). Half of respondents individualized HEPs through self-efficacy related themes. PTs not assessing self-efficacy reported not knowing how (51%, 68/134), being unsure what to do with the information (24%, 32/134), or reporting other barriers (21%, 28/134).
# Conclusions
Most PTs indicated that self-efficacy was important for patient adherence, but assessment strategies reported, such as verbal discussion and observation, may not be the most accurate. PTs who did not assess self-efficacy reported not knowing how or what to do with the information once collected. These findings suggest that there is a gap in knowledge related to how to evaluate self-efficacy for HEPs. Better assessment of self-efficacy may lead to more appropriate and effective implementation strategies.
# Level of Evidence
Level II |
| format | Article |
| id | doaj-art-bb686c41322f47edb8b8e6844564ab14 |
| institution | Kabale University |
| issn | 2159-2896 |
| language | English |
| publishDate | 2021-02-01 |
| publisher | North American Sports Medicine Institute |
| record_format | Article |
| series | International Journal of Sports Physical Therapy |
| spelling | doaj-art-bb686c41322f47edb8b8e6844564ab142025-02-11T20:27:28ZengNorth American Sports Medicine InstituteInternational Journal of Sports Physical Therapy2159-28962021-02-01161Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise ProgramsKelsey J PichaAlison Snyder ValierNicholas R HeebnerJohn P AbtEllen L UsherGilson CapiloutoTim L Uhl# Background Patient adherence to home exercise programs (HEPs) is low, and poor patient self-efficacy is a barrier clinicians can influence. However, little evidence suggests that clinicians assess level of patient self-efficacy before prescribing HEPs. # Purpose To determine the importance of patient self-efficacy to physical therapists (PTs) when addressing patient barriers, determine how PTs assess and use patient self-efficacy for HEPs, and describe the barriers facing PTs when assessing patient self-efficacy for HEPs. # Study Design Survey. # Methods Practicing PTs were recruited from the American Physical Therapy Association’s Orthopedic Section and emailed the electronic survey. # Results Email invitations were sent to 17730 potential participants, and 462 PTs completed the survey over one month. PTs rated self-efficacy as “very” to “extremely” important for patient adherence (58%, 265/454). Most (71%, 328/462) reported assessing self-efficacy before prescribing HEPs and did so through verbal discussion and observation of the patient (50% and 38% respectively). Half of respondents individualized HEPs through self-efficacy related themes. PTs not assessing self-efficacy reported not knowing how (51%, 68/134), being unsure what to do with the information (24%, 32/134), or reporting other barriers (21%, 28/134). # Conclusions Most PTs indicated that self-efficacy was important for patient adherence, but assessment strategies reported, such as verbal discussion and observation, may not be the most accurate. PTs who did not assess self-efficacy reported not knowing how or what to do with the information once collected. These findings suggest that there is a gap in knowledge related to how to evaluate self-efficacy for HEPs. Better assessment of self-efficacy may lead to more appropriate and effective implementation strategies. # Level of Evidence Level IIhttps://doi.org/10.26603/001c.18957 |
| spellingShingle | Kelsey J Picha Alison Snyder Valier Nicholas R Heebner John P Abt Ellen L Usher Gilson Capilouto Tim L Uhl Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs International Journal of Sports Physical Therapy |
| title | Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs |
| title_full | Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs |
| title_fullStr | Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs |
| title_full_unstemmed | Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs |
| title_short | Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs |
| title_sort | physical therapists assessment of patient self efficacy for home exercise programs |
| url | https://doi.org/10.26603/001c.18957 |
| work_keys_str_mv | AT kelseyjpicha physicaltherapistsassessmentofpatientselfefficacyforhomeexerciseprograms AT alisonsnydervalier physicaltherapistsassessmentofpatientselfefficacyforhomeexerciseprograms AT nicholasrheebner physicaltherapistsassessmentofpatientselfefficacyforhomeexerciseprograms AT johnpabt physicaltherapistsassessmentofpatientselfefficacyforhomeexerciseprograms AT ellenlusher physicaltherapistsassessmentofpatientselfefficacyforhomeexerciseprograms AT gilsoncapilouto physicaltherapistsassessmentofpatientselfefficacyforhomeexerciseprograms AT timluhl physicaltherapistsassessmentofpatientselfefficacyforhomeexerciseprograms |