Adherence to a Rehabilitation Regimen in Stroke Patients: A Concept Analysis
Abstract
Background: Adherence to rehabilitation regimens is a major issue in the treatment of stroke. Despite the agreement on the importance of adherence, there is still no clear definition of this concept in rehabilitation. The aim of this study was the concept analysis of the concept of adherence to rehabilitation regimens in stroke patients.
Materials and Methods: This qualitative concept analysis was performed using Walker and Avant’s method. English and Persian articles were searched using keywords such as “adherence”, “compliance”, “rehabilitation”, “stroke”, and other related keywords among articles published from 1997 to 2018 in PubMed, Scopus, Web of Science, Google Scholar, Iranmedex, Magiran, and Scientific Information Database (SID). Related textbooks were also searched and all articles containing definitions, attributes, antecedents, and consequences of the concept were included in the study.
Results: The attributes of the concept included complex, multidimensional, and dynamic behavior in the treatment process, personal experience, and adaptive behavior in patients, changeable, situational, voluntary, and collaborative behavior, and active communication between the patient and the healthcare provider. Common antecedents of the concept of adherence to the rehabilitation regimen were classified into patient‑related and environmental‑related categories and the consequences were classified into the three categories of patient‑related, healthcare professional‑related, and healthcare system‑related.
Conclusions: This concept analysis can be useful in eliminating any ambiguity of the concept of adherence to rehabilitation regimens. It helps clarify the vague concepts used in nursing rehabilitation instead of adherence. The results of this study can be helpful for researchers for further studies in this context.
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Bissonnette JM. Adherence: A concept analysis. J Adv Nurs 2008;63:634 43.
Dalvandi A, Heikkilä K, Maddah S, Khankeh H, Ekman S L. Life experiences after stroke among Iranian stroke survivors. Int Nurs Rev 2010;57:247 53.
Duncan PW, Horner RD, Reker DM, Samsa GP, Hoenig H, Hamilton B, et al. Adherence to postacute rehabilitation guidelines is associated with functional recovery in stroke. Stroke 2002;33:167 78.
Coetzee N, Andrewes D, Khan F, Hale T, Jenkins L, Lincoln N, et al. Predicting compliance with treatment following stroke: A new model of adherence following rehabilitation. Brain Impair 2008;9:122 39.
Belagaje SR. Stroke rehabilitation. Continuum 2017;23:238 53.
Balkrishnan R. The importance of medication adherence in improving chronic disease related outcomes: What we know and what we need to further know. Med Care 2005;43:517 20.
Dehghan Nayeri N, Mohammadi S, Pedram Razi S, Kazemnejad A. Investigating the effects of a family centered care program on stroke patients’ adherence to their therapeutic regimens. Contemp Nurse 2014;47:88 96.
Dehghan Nayeri N, Mohammadi S, Pedram Razi S, Kazemnejad A. Adherence of family caregivers of patients with stroke to rehabilitation regimen. J Hayat 2012;18:30 41.
O’Carroll RE, Chambers JA, Dennis M, Sudlow C, Johnston M. Improving adherence to medication in stroke survivors: A pilot randomised controlled trial. Ann Behav Med 2013;46:358 68.
Gardner CL. Adherence: A concept analysis. Int J Nurs Knowl 2015;26:96 101.
Sabaté E. Adherence to Long Term Therapies: Evidence for Action: World Health Organization; 2003.
Morisky DE, Ang A, Krousel Wood M, Ward HJ. Predictive validity of a medication adherence measure in an outpatient setting. J Clin Hyperten 2008;10:348 54.
Sakthong P, Chabunthom R, Charoenvisuthiwongs R. Psychometric properties of the Thai version of the 8 item Morisky Medication Adherence Scale in patients with type 2 diabetes. Ann Pharmacother 2009;43:950 7.
Kirkevold M. The role of nursing in the rehabilitation of stroke survivors: An extended theoretical account. Adv Nurs Sci 2010;33:E27 40.
O’Connor S. Mode of care delivery in stroke rehabilitation nursing: A development of Kirkevold’s unified theoretical perspective of the role of the nurse. Clin Eff Nurs 2000;4:180 8.
Williams P, Barclay L, Schmied V. Defining social support in context: A necessary step in improving research, intervention, and practice. Qual Health Res 2004;14:942 60.
Wills E, McEwen M. Concept development: Clarifying meaning of terms. In: McEwen M, Wills EM, editors. Theoretical Basis for Nursing. Philadelphia: Lippincott; 2002. p. 48 68.
Rodgers BL, Knafl KA. Concept Development in Nursing: Foundations, Techniques, and Applications: Saunders Philadelphia, PA; 2000.
Walker LO, Avant KC. Strategies for Theory Construction in Nursing. 4th ed.. Upper Saddle River, NJ: Pearson Prentice Hall; 2005.
Walker LO, Avant KC. Strategies for Theory Construction in Nursing. 5th ed.. Upper Saddle River, NJ: Pearson Prentice Hall; 2011.
Bollen JC, Dean SG, Siegert RJ, Howe TE, Goodwin VA. A systematic review of measures of self reported adherence to unsupervised home based rehabilitation exercise programmes, and their psychometric properties. BMJ Open 2014;4:e005044.
Dimatteo MR, Giordani PJ, Lepper HS, Croghan TW. Patient adherence and medical treatment outcomes a meta analysis. Med Care 2002:794 811.
Lawton M, Haddock G, Conroy P, Sage K. Therapeutic alliances in stroke rehabilitation: A meta ethnography. Arch Phys Med Rehabil 2016;97:1979 93.
Hubbard IJ, Harris D, Kilkenny MF, Faux SG, Pollack MR, Cadilhac DA. Adherence to clinical guidelines improves patient outcomes in Australian audit of stroke rehabilitation practice. Arch Phys Med Rehabil 2012;93:965 71.
Hardage J, Peel C, Morris D, Graham C, Brown CJ, Foushee RH, et al. Adherence to exercise scale for older patients : A measure for predicting exercise adherence in older adults after discharge from home health physical therapy. J Geriatr Phys Ther 2007;30:69 78.
Vermeire E, Hearnshaw H, Van Royen P, Denekens J. Patient adherence to treatment: Three decades of research. A comprehensive review. J Clin Pharm Ther 2001;26:331 42.
Brewer BW, Van Raalte JL, Petitpas AJ, Sklar JH, Pohlman MH, Krushell RJ, et al. Preliminary psychometric evaluation of a measure of adherence to clinic based sport injury rehabilitation. Phys Ther Sport 2000;1:68 74.
Momsen A M, Rasmussen JO, Nielsen CV, Iversen MD, Lund H. Multidisciplinary team care in rehabilitation: An overview of reviews. J Rehabil Med 2012;44:901 12.
Brewer BW, Cornelius AE, Van Raalte JL, Petitpas AJ, Sklar JH, Pohlman MH, et al. Protection motivation theory and adherence to sport injury rehabilitation revisited. Sport Psychol 2003;17:95 103.
Carpenter R. Perceived threat in compliance and adherence research. Nurs Inq 2005;12:192 9.
Kortte KB, Falk LD, Castillo RC, Johnson Greene D, Wegener ST. The Hopkins rehabilitation engagement rating scale: Development and psychometric properties. Arch Phys Med Rehabil 2007;88:877 84.
Lenze EJ, Munin MC, Quear T, Dew MA, Rogers JC, Begley AE, et al. The Pittsburgh rehabilitation participation scale: Reliability and validity of a clinician rated measure of participation in acute rehabilitation 1. Arch Phys Med Rehabil 2004;85:380 4.
Couppe C, Comins J, Beyer N, Hansen S, Stodolsky D, Siersma V. Health related quality of life in patients with chronic rheumatic disease after a multidisciplinary rehabilitation regimen. Qual Life Res 2017;26:381 91.
Wilson HS, Hutchinson SA, Holzemer WL. Reconciling incompatibilities: A grounded theory of HIV medication adherence and symptom management. Qual Health Res 2002;12:1309 22.
Simpson SH, Eurich DT, Majumdar SR, Padwal RS, Tsuyuki RT, Varney J, et al. A meta analysis of the association between adherence to drug therapy and mortality. BMJ 2006;333:15.
Ridner S, Deng J, Rhoten BA. Adherence and Quality of Life. Lymphedema: Springer; 2018. p. 493 501.
Buchmann WF. Adherence: A matter of self efficacy and power. J Adv Nurs 1997;26:132 7.
Rafii F, Parvizy S, Mehrdad N, Peyrovi H, Khoddam H. Clarification of knowledge translation in health system. 2012.
Christensen AJ. Patient Adherence to Medical Treatment Regimens: Bridging the Gap between Behavioral Science and Biomedicine. New Haven, CT: Yale University Press; 2004.
Taylor AH, May S. Threat and coping appraisal as determinants of compliance with sports injury rehabilitation: An application of protection motivation theory. J Sports Sci 1996;14:471 82.
Rafii F, Fatemi NS, Danielson E, Johansson CM, Modanloo M. Compliance to treatment in patients with chronic illness: A concept exploration. Iranian J Nurs Midwifery Res 2014;19:159.
Robinson JH, Callister LC, Berry JA, Dearing KA. Patient centered care and adherence: Definitions and applications to improve outcomes. J Am Acad Nurse Pract 2008;20:600 7.
Lequerica AH, Rapport LJ, Whitman RD, Millis SR, Vangel SJ Jr, Hanks RA, et al. Psychometric properties of the rehabilitation therapy engagement scale when used among individuals with acquired brain injury. Rehabil Psychol 2006;51:331.
Bosworth H. Improving Patient Treatment Adherence: A Clinician’s Guide. Springer Science and Business Media; 2010.
Dalvandi A, Ekman S L, Reza Khankeh H, Seyed Bagher Maddah S, Heikkilä K. Rehabilitation experts’ experience of community rehabilitation services for stroke survivors in Iran. Topics Stroke Rehabil 2012;19:395 404.
Dalvandi A, Ekman S L, Khankeh HR, Maddah SSB, Lutzen K, Heikkilä K. Lack of continuity of rehabilitation care for stroke survivors: Iranian family caregivers’ experience. Middle East Journal of Age and Ageing 2011;8:28 34.
Langhorne P, Bernhardt J, Kwakkel G. Stroke rehabilitation. Lancet 2011;377:1693 702.
McKenna H. Nursing Theories and Models. Routledge. London: Taylor and Francis e Library; 2006.
Bates B, Choi JY, Duncan PW, Glasberg JJ, Graham GD, Katz RC, et al. Veterans affairs/department of defense clinical practice guideline for the management of adult stroke rehabilitation care: Executive summary. Stroke 2005;36:2049 56.
Plakas S, Mastrogiannis D, Mantzorou M, Adamakidou T, Fouka G, Bouziou A, et al. Validation of the 8 item morisky medication ADHERENCE SCALE in chronically ill ambulatory patients in rural Greece. Open J Nurs 2016;6:158.
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