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Barriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies

hal.structure.identifierService de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis [CHU Cochin]
dc.contributor.authorPALAZZO, Clémence
hal.structure.identifierEcole Supérieure d'Informatique Electronique Automatique [Paris] [ESIEA]
dc.contributor.authorKLINGER, Evelyne
hal.structure.identifierÉcole des hautes études en sciences sociales [EHESS]
dc.contributor.authorDORNER, Véronique
hal.structure.identifierLaboratoire Angevin de Mécanique, Procédés et InnovAtion [LAMPA]
dc.contributor.authorKADRI, Abdelmajid
hal.structure.identifierÉcole des hautes études en sciences sociales [EHESS]
dc.contributor.authorTHIERRY, Olivier
hal.structure.identifierEcole Supérieure d'Informatique Electronique Automatique [Paris] [ESIEA]
dc.contributor.authorBOUMENIR, Yasmine
hal.structure.identifierService de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis [CHU Cochin]
dc.contributor.authorMARTIN, William
hal.structure.identifierService de rééducation et de réadaptation de l'appareil locomoteur et des pathologies du rachis [CHU Cochin]
dc.contributor.authorPOIRAUDEAU, Serge
hal.structure.identifierÉcole des hautes études en sciences sociales [EHESS]
dc.contributor.authorVILLE, Isabelle
dc.date.accessioned2021-05-14T09:36:26Z
dc.date.available2021-05-14T09:36:26Z
dc.date.issued2016
dc.identifier.issn1877-0657
dc.identifier.urihttps://oskar-bordeaux.fr/handle/20.500.12278/76277
dc.description.abstractEnObjective: To assess views of patients with chronic low back pain (cLBP) concerning barriers to homebased exercise program adherence and to record expectations regarding new technologies.Design: Qualitative study based on semi-structured interviews.Participants: A heterogeneous sample of 29 patients who performed a home-based exercise program for cLBP learned during supervised physiotherapy sessions in a tertiary care hospital.Interventions: Patients were interviewed at home by the same trained interviewer. Interviews combined a funnel-shaped structure and an itinerary method.Results: Barriers to adherence related to the exercise program (number, effectiveness, complexity and burden of exercises), the healthcare journey (breakdown between supervised sessions and home exercise, lack of follow-up and difficulties in contacting care providers), patient representations (illness and exercise perception, despondency, depression and lack of motivation), and the environment (attitudes of others, difficulties in planning exercise practice). Adherence could be enhanced by increasing the attractiveness of exercise programs, improving patient performance (following a model or providing feedback), and the feeling of being supported by care providers and other patients. Regarding new technologies, relatively younger patients favored visual and dynamic support that provided an enjoyable and challenging environment and feedback on their performance. Relatively older patients favored the possibility of being guided when doing exercises. Whatever the tool proposed, patients expected its use to be learned during a supervised session and performance regularly checked by care providers; they expected adherence to be discussed with care providers.Conclusions: For patients with cLBP, adherence to home-based exercise programs could be facilitated by increasing the attractiveness of the programs, improving patient performance and favoring a feeling of being supported. New technologies meet these challenges and seem attractive to patients but are not a substitute for the human relationship between patients and care providers.
dc.language.isoen
dc.publisherElsevier Masson
dc.subject.enLow back pain
dc.subject.enVirtual reality
dc.subject.enRehabilitation
dc.subject.enAdherence
dc.subject.enHome-based exercise
dc.title.enBarriers to home-based exercise program adherence with chronic low back pain: Patient expectations regarding new technologies
dc.typeArticle de revue
dc.identifier.doi10.1016/j.rehab.2016.01.009
dc.subject.halSciences de l'Homme et Société/Psychologie
dc.subject.halSciences du Vivant [q-bio]/Médecine humaine et pathologie/Physiologie [q-bio.TO]
bordeaux.journalAnnals of Physical and Rehabilitation Medicine
bordeaux.page107-113
bordeaux.volume59
bordeaux.hal.laboratoriesInstitut de Mécanique et d’Ingénierie de Bordeaux (I2M) - UMR 5295*
bordeaux.issue2
bordeaux.institutionUniversité de Bordeaux
bordeaux.institutionBordeaux INP
bordeaux.institutionCNRS
bordeaux.institutionINRAE
bordeaux.institutionArts et Métiers
bordeaux.peerReviewedoui
hal.identifierhal-02486162
hal.version1
hal.origin.linkhttps://hal.archives-ouvertes.fr//hal-02486162v1
bordeaux.COinSctx_ver=Z39.88-2004&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.jtitle=Annals%20of%20Physical%20and%20Rehabilitation%20Medicine&rft.date=2016&rft.volume=59&rft.issue=2&rft.spage=107-113&rft.epage=107-113&rft.eissn=1877-0657&rft.issn=1877-0657&rft.au=PALAZZO,%20Cl%C3%A9mence&KLINGER,%20Evelyne&DORNER,%20V%C3%A9ronique&KADRI,%20Abdelmajid&THIERRY,%20Olivier&rft.genre=article


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