What Adherence Measures Should Be Used in Trials of Home-Based Rehabilitation Interventions? A Systematic Review of the Validity, Reliability, and Acceptability of Measures

Abstract

Current rehabilitation adherence measures are limited. Some possess promising validity and acceptability for certain parameters of adherence, situations, and populations and should be used in these situations. Rigorous evaluation of adherence measures in a broader range of populations is needed.

Acceptability and validity of a home exercise diary used in home‐based pulmonary rehabilitation: A secondary analysis of a randomised controlled trial

“…A recent literature review evaluated methods of measuring adherence in home‐based rehabilitation across a wide range of conditions . The review evaluated the quality of adherence measures in terms of validity, reliability, responsiveness to change and acceptability and concluded that self‐documented adherence diaries had moderate to high validity and acceptability rates.…”

“…To assess acceptability of the home exercise diary, the rate of diary return and diary completion rates were recorded. Rates of 71% or higher represents high acceptability while rates of 70%‐50% were considered moderate . Consistent with the attendance criteria of PR, an acceptable completion rate was pre‐defined as reporting 70% of the exercise diary variables .…”

“…This is the first study to assess the acceptability and validity of an exercise diary used during PR in people with COPD . The report provides in‐depth acceptability analyses including completion rates for different sections of the home exercise diary as well as return rates and overall diary completion statistics.…”

Impact of a home-based exercise program on the functional capacity of the person with coronary artery disease

“…Desta forma, os resultados obtidos no estudo demonstram ser coincidentes com a generalidade da literatura, que revelam uma excelente adesão dos doentes aos programas domiciliários de RC. A alta adesão estará relacionada com maior probabilidade de manutenção de um estilo de vida ativo a longo prazo (Frost, Levati, McClurg, Brady, & Williams, 2016;Heron et al, 2016). Uma das primeiras motivações para a realização deste estudo foi a procura de uma resposta para a subutilização dos programas de RC.…”

Measurement of adherence to home‐based exercises among community‐dwelling stroke survivors in India

“…Adherence to dose of exercise program should be measured in terms of duration, frequency, intensity, and correct performance of movement (Frost, Levati, Mcclurg, Brady, & Williams, 2018). A systematic review identified 61 measurement tools of adherence, out of which 29 were questionnaires, 29 were log diaries, 2 were visual analog scale, and one tally counter.…”