Home > Journals > European Journal of Physical and Rehabilitation Medicine > Past Issues > European Journal of Physical and Rehabilitation Medicine 2017 August;53(4) > European Journal of Physical and Rehabilitation Medicine 2017 August;53(4):545-55

CURRENT ISSUE
 

ARTICLE TOOLS

Publication history
Reprints
Cite this article as

EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

A Journal on Physical Medicine and Rehabilitation after Pathological Events


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
Indexed/Abstracted in: CINAHL, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,827


eTOC

 

ORIGINAL ARTICLE  FREEfree


European Journal of Physical and Rehabilitation Medicine 2017 August;53(4):545-55

DOI: 10.23736/S1973-9087.17.04464-1

Copyright © 2017 EDIZIONI MINERVA MEDICA

language: English

Predictors of parents’ adherence to home exercise programs for children with developmental disabilities, regarding both exercise frequency and duration: a survey design

Francesc MEDINA-MIRAPEIX 1, 2 , Carmen LILLO-NAVARRO 3, Joaquina MONTILLA-HERRADOR 1, 2, Mariano GACTO-SÁNCHEZ 4, María Á. FRANCO-SIERRA 5, Pilar ESCOLAR-REINA 1, 2

1 Instituto Murciano de Investigación Biosanitaria Virgen de la Arrixaca (IMIB), Murcia, Spain; 2 Department of Physical Therapy, University of Murcia, Murcia, Spain; 3 Department of Pathology and Surgery, University “Miguel Hernández”, Alicante, Spain; 4 Department of Physical Therapy, EUSES University of Girona, Girona, Spain; 5 Department of Physiatry and Nursing, University of Zaragoza, Zaragoza, Spain


PDF  


BACKGROUND: Many families have problems adhering to home exercise programs (HEP) for children with developmental disabilities. However, parental participation in HEP is known to have a positive effect on child-related outcome variables, as well as on parental functioning.
AIM: This study examined whether the different behaviours of health professionals, and the behaviour and social characteristics of parents determine rates of parental adherence to both the frequency per week, and duration per session, of HEP for children with developmental disabilities attending paediatric services in early intervention centres. In this study, developmental disabilities include those caused by developmental delay or specific health conditions such as cerebral palsy, congenital illness, or others.
DESIGN: Survey.
SETTING: Eighteen early intervention centers.
POPULATION: Parents of children with developmental disabilities receiving HEP.
METHODS: A self-reported questionnaire was used to examine: whether frequency and duration of weekly exercise sessions was prescribed by physiotherapists; whether the child had received the HEP according to what was prescribed; and items related to the individual, social support, illnesses and the involvement of the health professional. Multiple logistic regression analyses examined their relative relevance.
RESULTS: In this study 219 parents participated. The rate of adherence to the prescribed frequency and duration of the HEP was similar (61.4-57.2%). The probability of adherence to both components increased for parents who had a low perception of the existence of barriers for integrating the exercises into their daily routine (OR=2.62 and 4.83). Furthermore, other cognitive factors of parents had a variable influence. The involvement of the professional had a significant impact regarding the frequency of the HEP. Professional involvement increased the probability of exercises being followed accurately by adopting strategies such as: providing information about the progress and evolution of the exercises (OR=3.75); justifying their usefulness (OR=2.17); giving advice on how to include them into the daily routine (OR=2.54); checking skills during follow-up (OR=2.21) and asking about home adherence (OR=2.20).
CONCLUSIONS: Providing information during clinical encounters, advising how to include exercises into the daily routine, and checking skills and adherence during follow-up represent practical targets for clinicians aiming to improve the frequency of HEP for children with developmental disabilities.
CLINICAL REHABILITATION IMPACT: This study contributes to the knowledge of physicians and therapists regarding how their interventions (in particular, information, instructions for HEP and follow-up) influence parents regarding their adherence to HEP.


KEY WORDS: Parents - Exercise - Patient compliance

top of page

Publication History

Issue published online: August 30, 2017
Article first published online: May 2, 2017
Manuscript accepted: April 21, 2017
Manuscript revised: April 21, 2017
Manuscript received: August 18, 2016

Cite this article as

Medina-Mirapeix F, Lillo-Navarro C, Montilla-Herrador J, Gacto-Sánchez M, Franco-Sierra MÁ, Escolar-Reina P. Predictors of parents’ adherence to home exercise programs for children with developmental disabilities, regarding both exercise frequency and duration: a survey design. Eur J Phys Rehabil Med 2017;53:545-55. DOI: 10.23736/S1973-9087.17.04464-1

Corresponding author e-mail

mirapeix@um.es