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...

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Autores principales:	Kelsey J Picha, Alison Snyder Valier, Nicholas R Heebner, John P Abt, Ellen L Usher, Gilson Capilouto, Tim L Uhl
Formato:	article
Lenguaje:	EN
Publicado:	North American Sports Medicine Institute 2021
Materias:	Sports medicine RC1200-1245
Acceso en línea:	https://doaj.org/article/bb686c41322f47edb8b8e6844564ab14
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spelling	oai:doaj.org-article:bb686c41322f47edb8b8e6844564ab142021-12-02T17:43:02ZPhysical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs10.26603/001c.189572159-2896https://doaj.org/article/bb686c41322f47edb8b8e6844564ab142021-02-01T00:00:00Zhttps://ijspt.scholasticahq.com/article/18957-physical-therapists-assessment-of-patient-self-efficacy-for-home-exercise-programs.pdfhttps://doaj.org/toc/2159-2896# 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 IIKelsey J PichaAlison Snyder ValierNicholas R HeebnerJohn P AbtEllen L UsherGilson CapiloutoTim L UhlNorth American Sports Medicine InstitutearticleSports medicineRC1200-1245ENInternational Journal of Sports Physical Therapy, Vol 16, Iss 1 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Sports medicine RC1200-1245
spellingShingle	Sports medicine RC1200-1245 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
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
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
title	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_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_sort	physical therapists’ assessment of patient self-efficacy for home exercise programs
publisher	North American Sports Medicine Institute
publishDate	2021
url	https://doaj.org/article/bb686c41322f47edb8b8e6844564ab14
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Physical Therapists’ Assessment of Patient Self-Efficacy for Home Exercise Programs

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