Discussion: This study examined the perceptions of Physiotherapists about factors influencing adherence of patients to physiotherapy treatment. Some barriers were identified which may be common to patients of all nationalities. Forgetfulness, time and treatment cost were identified in this study as barriers to poor adherence with physiotherapy treatment. Cost of treatment was also identified as a reason for non-adherence in patients attending private physiotherapy practices in Holland6 and the USA7 though it is likely to be a variable barrier depending on how physiotherapy is funded in different countries. Time issues associated with work or family commitments and forgetfulness have also been identified by Dutch6, American7, Spanish8, and British patients.9 Physiotherapist in this study identified a variety of issues which as far as we are aware have not previously been identified as barriers to adherence. Various social and cultural factors, such as the familial obligations of many Indian women, bonds within the family, the stigma of disability, a belief in other forms of alternative treatment may be unique to certain Asian cultures.
Physiotherapists also identified that inter-professional communication was a potential threat to adherence. Poor inter-professional communication may lead to poor inter-professional working, poor understanding of the capabilities of other groups of health professionals and consequently ineffective delivery of healthcare programmes such as physiotherapy
Discussion: This study examined the perceptions of Physiotherapists about factors influencing adherence of patients to physiotherapy treatment. Some barriers were identified which may be common to patients of all nationalities. Forgetfulness, time and treatment cost were identified in this study as barriers to poor adherence with physiotherapy treatment. Cost of treatment was also identified as a reason for non-adherence in patients attending private physiotherapy practices in Holland6 and the USA7 though it is likely to be a variable barrier depending on how physiotherapy is funded in different countries. Time issues associated with work or family commitments and forgetfulness have also been identified by Dutch6, American7, Spanish8, and British patients.9 Physiotherapist in this study identified a variety of issues which as far as we are aware have not previously been identified as barriers to adherence. Various social and cultural factors, such as the familial obligations of many Indian women, bonds within the family, the stigma of disability, a belief in other forms of alternative treatment may be unique to certain Asian cultures.
Physiotherapists also identified that inter-professional communication was a potential threat to adherence. Poor inter-professional communication may lead to poor inter-professional working, poor understanding of the capabilities of other groups of health professionals and consequently ineffective delivery of healthcare programmes such as physiotherapy
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