Disability and rehabilitation · 2025
Mechanisms influencing adult adherence to physiotherapist-delivered rehabilitation for Achilles tendinopathy: a longitudinal qualitative study.
СтатьяНазвание и аннотация: Перевод пока не подготовлен
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Phillips Rebecca, Morrissey Dylan, Malliaras Peter, Farlie Melanie K
Аннотация
PURPOSE: Achilles tendinopathy rehabilitation can be complex to deliver. Outcomes are variable, with low adherence a likely contributory factor. We aimed to identify the mechanisms influencing adult adherence behaviour to physiotherapist-delivered rehabilitation for Achilles tendinopathy.
METHOD: We applied interpretative descriptive design, utilising semi-structured interviews of 30 adults with Achilles tendinopathy who were interviewed at six-timepoints across 52-weeks. Data were analysed using Framework Analysis.
RESULTS: We identified twelve mechanisms influencing adherence behaviour and grouped these into four themes: Tendinopathy paradigm consisted of "meaning-making of load and pain", "comprehension of new knowledge" and "operationalising knowledge." Self-management skills consisted of "internal self-management capability", "external life-rhythm management" and "managing physical capability." Therapeutic relationship consisted of "pre-scheduled regular check-ins", "personal and professional connection", and "coaching support." Focus on outcome consisted of "motivation to maintain functional ability with progressing age", "framing success" and, "it's a trial."Three delivery profiles were identified guiding clinicians in the application of the mechanisms to optimise adherence.
CONCLUSION: Identification of mechanisms influencing adult adherence behaviour to physiotherapist-delivered rehabilitation for Achilles tendinopathy and delivery profiles to support implementation may optimise adherence, with the potential to improve outcomes.
METHOD: We applied interpretative descriptive design, utilising semi-structured interviews of 30 adults with Achilles tendinopathy who were interviewed at six-timepoints across 52-weeks. Data were analysed using Framework Analysis.
RESULTS: We identified twelve mechanisms influencing adherence behaviour and grouped these into four themes: Tendinopathy paradigm consisted of "meaning-making of load and pain", "comprehension of new knowledge" and "operationalising knowledge." Self-management skills consisted of "internal self-management capability", "external life-rhythm management" and "managing physical capability." Therapeutic relationship consisted of "pre-scheduled regular check-ins", "personal and professional connection", and "coaching support." Focus on outcome consisted of "motivation to maintain functional ability with progressing age", "framing success" and, "it's a trial."Three delivery profiles were identified guiding clinicians in the application of the mechanisms to optimise adherence.
CONCLUSION: Identification of mechanisms influencing adult adherence behaviour to physiotherapist-delivered rehabilitation for Achilles tendinopathy and delivery profiles to support implementation may optimise adherence, with the potential to improve outcomes.