Determining Predictors of Self-reported Adherence to Rehabilitation Home Programs for Persons with Acquired Brain Injury: A Prospective Observational Study.

BackgroundPersons with acquired brain injury are often prescribed home programs to extend rehabilitation services and support recovery, however adherence to these recommendations is often low.ObjectiveThe purpose of this study was to determine factors that predict differing levels of self-reported adherence.MethodsThis was a prospective observational study that was completed from June 2022 to December 2023. We recruited persons with acquired brain injury who met specific inclusion and exclusion criteria. Before leaving the inpatient rehabilitation hospital, they completed a medical history form, home program description interview, and a modified version of the Self-Efficacy for Exercise Scale. Then, participants completed a weekly survey regarding self-reported home program adherence. At the end of six months, the participants did a closing interview.ResultsSeventy-seven participants completed the intake procedures and at least one weekly survey. Several models were developed to determine predictive factors. Higher self-efficacy, fewer reported barriers, and the perception of social support were all predictors of self-reported home program adherence.ConclusionThe predictors identified here can be leveraged by therapists to determine the need for additional support or intervention around home program adherence.