Abstract
The success of hand surgery relies heavily on post-operative therapy. The ability to identify barriers to patient adherence with therapy may therefore allow for improvement in therapeutic and surgical decisions and results. The purpose of this study was to identify significant barriers to adherence with hand therapy following surgery for distal radius fracture. A questionnaire addressing demographic, social, psychological, occupational and medical factors was administered to 20 subjects undergoing surgery for distal radius fracture. Adherence was evaluated by the therapist and by the number of missed sessions. There were 9 males and 11 females. Average age was 46.2 (19–88). The therapists’ evaluation of adherence and number of missed appointments were significantly correlated (R2 = 0.86, p < 0.0001, Spearman’s test). Gender, distance from therapy, and driving status were significantly related to adherence. Difficulty in reaching the therapy sessions was negatively related to adherence with hand therapy in our population. Other parameters such as smoking, were borderline significant. Further study is needed to investigate the effect of additional parameters, in a larger population in order to better define barriers to patient postsurgical adherence.
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References
Groth GN, Wulf MB (1995) Compliance with hand rehabilitation: health beliefs and strategies. J Hand Ther 8(1):18–22
Kirwan T, Tooth L, Harkin C (2002) Compliance with hand therapy programs: therapists’ and patients’ perceptions. J Hand Ther 15(1):31–40
Sandford F, Barlow N, Lewis J (2008) A study to examine patient adherence to wearing 24-hour forearm thermoplastic splints after tendon repairs. J Hand Ther 21(1):44–52, quiz 3
Baskies MA, Tuckman DV, Paksima N (2008) Management of flexor tendon injuries following surgical repair. Bull NYU Hosp Jt Dis 66(1):35–40
World Health Organization [Internet] (2001) Adherence to long –term therapy a policy of action; [cited 2001 Jun 4–5]; Available from: www.who.int/chp/knowledge/publications/adherence
Achille MA, Ouellette A, Fournier S, Vachon M, Hebert MJ (2006) Impact of stress, distress and feelings of indebtedness on adherence to immunosuppressants following kidney transplantation. Clin Transplant 20(3):301–306
Benjey J, Cunanan M, Thomson A (2007) Regulatory compliance in solid-organ transplantation: what you don’t know can hurt your program. Prog Transplant 17(2):129–135
Berquist RK, Berquist WE, Esquivel CO, Cox KL, Wayman KI, Litt IF (2006) Adolescent non-adherence: prevalence and consequences in liver transplant recipients. Pediatr Transplant 10(3):304–310
Shulman N, Cutter G, Daugherty R, Sexton M, Pauk G, Taylor MJ et al (1982) Correlates of attendance and compliance in the hypertension detection and follow-up program. Control Clin Trials 3(1):13–27
Adeyemi AO, Rascati KL, Lawson KA, Strassels SA (2012) Adherence to oral antidiabetic medications in the pediatric population with type 2 diabetes: a retrospective database analysis. Clin Ther 34(3):712–719
O’Neil CR, Palmer AK, Coulter S, O’Brien N, Shen A, Zhang W et al (2012) Factors Associated with Antiretroviral Medication Adherence among HIV-Positive Adults Accessing Highly Active Antiretroviral Therapy (HAART) in British Columbia, Canada. J Int Assoc Phys AIDS Care (Chic) 11(2):134–141
Kane SV, Cohen RD, Aikens JE, Hanauer SB (2001) Prevalence of nonadherence with maintenance mesalamine in quiescent ulcerative colitis. Am J Gastroenterol 96(10):2929–2933
Kane S, Dixon L (2006) Adherence rates with infliximab therapy in Crohn’s disease. Aliment Pharmacol Ther 24(7):1099–1103
Cummings KM, Becker MH, Kirscht JP, Levin NW (1982) Psychosocial factors affecting adherence to medical regiments in a group of hemodialysis patients. Med Care 20(6):567–580
Chen CY, Neufeld PS, Feely CA, Skinner CS (1999) Factors influencing compliance with home exercise programs among patients with upper-extremity impairment. Am J Occup Ther 53(2):171–180
Rosenberg M (1965) Society and the adolescent self-image. Princeton University Press, Princeton
Wakefield AE, McQueen MM (2000) The role of physiotherapy and clinical predictors of outcome after fracture of the distal radius. J Bone Joint Surg (Br) 82(7):972–976
Morris NS (2000) Distal radius fracture in adults: self-reported physical functioning, role functioning, and meaning of injury. Orthop Nurs 19(4):37–48
Lyngcoln A, Taylor N, Pizzari T, Baskus K (2005) The relationship between adherence to hand therapy and short-term outcome after distal radius fracture. J Hand Ther 18(1):2–8, quiz 9
Berecki-Gisolf J, Collie A, McClure RJ (2013) Determinants of physical therapy use by compensated workers with musculoskeletal disorders. J Occup Rehabil 23(1):63–73
Charupanit W (2009) Factors related to missed appointment at psychiatric clinic in Songklanagarind Hospital. J Med Assoc Thail 92(10):1367–1369
Vaiciuniene R, Kuzminskis V, Ziginskiene E, Skarupskiene I, Bumblyte IA (2012) Adherence to treatment and hospitalization risk in hemodialysis patients. J Nephrol 25(5):672–678
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Author Sergio Hickey, Author John Rodgers, and Author Ronit Wollstein declare that they have no conflict of interest.
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Hickey, S., Rodgers, J. & Wollstein, R. Barriers to Adherence with Post-Operative Hand Therapy Following Surgery for Fracture of the Distal Radius. J Hand Microsurg 7, 55–60 (2015). https://doi.org/10.1007/s12593-014-0168-9
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DOI: https://doi.org/10.1007/s12593-014-0168-9