Treatmet Adherence

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Jun 14, 2024

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TREATMENT ADHERENCE TO PHYSICAL THERAPY Lexi Trejo PSY 440-01 DECEMBER 8, 2023 Treatment adherence refers to the patients consistency when following a rehab plan as recommended by a physical therapist including exercises, lifestyle modifications, and daily life activities. Treatment adherence is critical for patients to achieve optimal outcomes following rehab, ensuring full benefits of therapeutic interventions, functional abilities, pain reduction, cost-effective care, and increased quality of life (Fritz et al., 2007). Increased physical therapy treatment adherence contributes to positive clinic reputations for effective and successful rehab services, positive patient-provider relationships, increased patient satisfaction, and patient loyalty (Fiscella et al., 2004). Patient education plays a critical role in increasing physical therapy treatment adherence. Education would provide a deeper understanding to patients about their condition(s), and the importance of consistency in treatment participation. The more educated patients are about their condition(s) and the treatment process, positive health impacts, active engagement in exercises, and lifestyle changes are likely to follow. Additionally, the increased communication between patients and providers, fosters for trust and motivation, which also contributes to adherence and positive health outcomes (Zolnierek & DiMatteo, 2009). What is Treatment Adherence? Why is it Important? IMPORTANCE OF TREATMENT ADHERENCE PATIENT EDUCATION COSTS & EXPENSES BENEFITS OF EDUCATION & POLICY CHANGE IN THIS PROPOSAL

P H O T O B Y M A R T I N R . S M I T H DECEMBER 2023 VOL. 29 Treatment non-adherence in physical therapy poses significant challenges and health concerns for patients, potentially leading to negative health outcomes such as longer recovery periods, increased costs, and risk of complications. Underutilization of physical therapy resources compromises the goal of physical therapy; increasing quality of life by restoring function and reducing pain (Simon, 2013). It is essential for providers to educate their patients about their condition(s) and treatment plan. Emphasizing the importance of consistent treatment participation, and discussing the positive health outcomes following complete rehabilitation. Maintaining positive patient-provider relationships contributes to treatment adherence, treatment success rates, patient satisfaction, and a positive clinic reputation (Fiscella et al., 2004). Importance behind policy and education changes A study done on patient education with nurses states the unreimbursed cost averaged roughly $28,000 to $49,000 annually. This cost does not include continuing education needed to maintain and upgrade patient education (Williams et al., 2004). Additional costs may include updating websites, staff training, materials, etc.. Clinical non-adherence represents wasted resources, making patients more likely to develop more intense conditions that are more expensive to treat. Maintaining patient loyalty will likely result in returning patients, and more patients through referrals (Al-Ubaydli et al., 2017). REFERENCES Al-Ubaydli, O., List, J. A., LoRe, D., & Suskind, D. (2017). Scaling for Economists: Lessons from the Non-Adherence Problem in the Medical Literature. The Journal of Economic Perspectives, 31(4), 125–143. http://www.jstor.org/stable/44425384 Fiscella, K., Sean Meldrum, Franks, P., Cleveland G. Shields, Paul Duberstein, McDaniel, S. H., & Ronald M. Epstein. (2004). Patient Trust: Is It Related to Patient-Centered Behavior of Primary Care Physicians? Medical Care, 42(11), 1049–1055. http://www.jstor.org/stable/4640855 Fritz, J. M., Cleland, J. A., & Brennan, G. P. (2007). Does Adherence to the Guideline Recommendation for Active Treatments Improve the Quality of Care for Patients with Acute Low Back Pain Delivered by Physical Therapists? Medical Care, 45(10), 973–980. http://www.jstor.org/stable/40221538 Simon, Claire. (2013). Multiple Sclerosis, Physical Therapy, and Quality of Life Insights. Volume 1, Issue 2 (2013) Focus on Student Research. https://jstor.org/stable/community.36092975 Williams, A. R., McDougall, J. C., Bruggeman, S. K., Erwin, P. J., Kroshus, M. E., & Naessens, J. M. (2004). Estimation of unreimbursed patient education costs at a large group practice. The Journal of continuing education in the health professions, 24(1), 12–19. https://doi.org/10.1002/chp.1340240104 Wong, W. S., & Fielding, R. (2008). The Association between Patient Satisfaction and Quality of Life in Chinese Lung and Liver Cancer Patients. Medical Care, 46(3), 293–302. http://www.jstor.org/stable/40221657 Zolnierek, K. B. H., & DiMatteo, M. R. (2009). Physician Communication and Patient Adherence to Treatment: A Meta-Analysis. Medical Care, 47(8), 826–834. http://www.jstor.org/stable/40221984 Lexi Trejo • @trejol@lopers.unk.edu

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