Abstract
Patients’ behavior during rehabilitation is central to the success of this team endeavor, and herein is conceptualized within a framework of adherence: the extent to which behavior corresponds with agreed recommendations from rehabilitation providers. Adherence is a dynamic phenomenon, involving a sequence of patient–provider decisions and actions. Many factors known to increase nonadherence are in effect during inpatient rehabilitation, including regimen complexity and the requirement for change in multiple habits and routines. Additionally, rehabilitation patients often have considerable physical and psychological morbidity in the aftermath of critical illness/injury and may have reduced abilities in attention, comprehension, recall, emotional self-regulation, and problem-solving. The context for patients’ behavior includes the physical, administrative, and social environment of the rehabilitation setting, and careful attention to a healing, health-promoting, and empowering environment can increase adherence and forestall the need for many patient-specific “behavior plans.” The ultimate aim is not only adherence, but full engagement in rehabilitative goal setting and creative problem-solving.
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References
Zinn S. Patient adherence in rehabilitation. In: Bosworth H, Oddone E, Weinberger M, editors. Patient treatment adherence: concepts, interventions, and measurement. Mahwah: Lawrence Erlbaum; 2006. p. 195–236.
All, W.H.O. Adherence to long-term therapies: evidence for action. 2003. http://www.who.int/chp/knowledge/publications/adherence_report/en/. Accessed 7 Dec 2015.
Radomski M. More than good intentions: advancing adherence to therapy recommendations. Am J Occup Ther. 2011;65:471–7.
Clay DL, Hopps JH. Treatment adherence in rehabilitation: the role of treatment accommodation. Rehabil Psychol. 2003;48:215.
Fisher L, Dickinson WP. Psychology and primary care: new collaborations for providing effective care for adults with chronic health conditions. Am Psychol. 2014;69:355.
DiMatteo MR, Lepper HS, Croghan TW. Depression is a risk factor for noncompliance with medical treatment: meta-analysis of the effects of anxiety and depression on patient adherence. Arch Intern Med. 2000;160:2101–7.
Richards JS, Waites K, Chen YY, et al. The epidemiology of secondary conditions following spinal cord injury. Top Spinal Cord Inj Rehabil. 2004;10:15–29.
Dimatteo M, Giordani PJ, Lepper HS, et al. Patient adherence and medical treatment outcomes: a meta-analysis. Med Care. 2002;40:794–811.
Lequerica AH, Kortte K. Therapeutic engagement: a proposed model of engagement in medical rehabilitation. Am J Phys Med Rehabil. 2010;89:415–22.
Lenze EJ, Host HH, Hildebrand MW, et al. Enhanced medical rehabilitation increases therapy intensity and engagement and improves functional outcomes in postacute rehabilitation of older adults: a randomized-controlled trial. J Am Med Dir Assoc. 2012;13:708–12.
Schönberger M, Humle F, Teasdale TW. The development of the therapeutic working alliance, patients’ awareness and their compliance during the process of brain injury rehabilitation. Brain Inj. 2006;20:445–54.
Munro S, Lewin S, Swart T, Volmink J. A review of health behaviour theories: how useful are these for developing interventions to promote long-term medication adherence for TB and HIV/AIDS? BMC Public Health. 2007;7:104.
van Dulmen S, Sluijs E, van Dijk L, et al. Patient adherence to medical treatment: a review of reviews. BMC Health Serv Res. 2007;7:55.
Fielding DM, Duff AJA. Adherence to treatment in children and adolescents living with chronic illness. In: Burg FD, Inglelfinger JR, Polin RA, Gershon AA, editors. Gellis and Kagan’s pediatric therapy. 18th ed. New York: Elsevier; 2006. p. 226–31.
Windover AK, Boissy A, Rice TW, et al. The REDE model of healthcare communication: optimizing relationship as a therapeutic agent. J Patient Experience. 2014;1:8–13.
Rettke H, Geschwindner HM, Heuvel WJA. Assessment of patient participation in physical rehabilitation activities: an integrative review. Rehabil Nurs. 2014;40(4):209–23. doi:10.1002/rnj.157.
Elliott T, Bush B, Chen Y. Social problem solving abilities predict pressure sore occurrence in the first three years of spinal cord injury. Rehabil Psychol. 2006;51:69–77.
Bovend’Eerdt TJH, Botell RE, Wade DT. Writing SMART rehabilitation goals and achieving goal attainment scaling: a practical guide. Clin Rehabil. 2009;23:352–61.
Gorske TT. Therapeutic neuropsychological assessment: a humanistic model and case example. J Humanist Psychol. 2008;48:320–39.
Dunn DS. Situations matter: teaching the Lewinian link between social psychology and rehabilitation psychology. Hist Psychol. 2011;14(4):405–11.
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Merbitz, N.H. (2017). Treatment Adherence. In: Budd, M., Hough, S., Wegener, S., Stiers, W. (eds) Practical Psychology in Medical Rehabilitation. Springer, Cham. https://doi.org/10.1007/978-3-319-34034-0_48
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DOI: https://doi.org/10.1007/978-3-319-34034-0_48
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