Evidence map›Paper›PMID 20163979›Full record

SynthesisManual therapy2010

Barriers to treatment adherence in physiotherapy outpatient clinics: a systematic review.

Kirsten Jack, Sionnadh Mairi McLean, Jennifer Klaber Moffett, Eric Gardiner

7 registry-linked trialsOpen access · hybridAbstract readSystematic Review
PubMed Full text at PMC Publisher
In one paragraph

Synthesis in Manual therapy, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 7 registered trials, which are not on this map. Cited by 364 papers, 9 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
364citing papers in PubMed, 9 pooled it
11.9field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03470753 nacompletednot on this mapstarted 2018, after this paper: background citation

The Impact of Home Exercise Program Delivery Type on Exercise Compliance and Clinical Outcomes for Musculoskeletal Pain

TypeinterventionalSponsorDan RhonRan2018 to 2019Enrolled116ConditionsChronic Pain, Compliance, Patient, Chronic Low Back Pain, Knee Pain ChronicArmsNumber of Exercises, Type of Instruction, Delivery Type, Mobile Reminder
NCT04629417 nacompletednot on this mapstarted 2019, after this paper: background citation

Measuring Adherence to Home Shoulder Physiotherapy With Artificial Intelligence

TypeinterventionalSponsorSunnybrook Health Sciences CentreRan2019 to 2024Enrolled103ConditionsRotator Cuff PathologyArmsSmart Physiotherapy Activity Recognition System (SPARS)
NCT05736393 nacompletednot on this mapstarted 2024, after this paper: background citation

Translation of Robotic Apparel for Alleviating Low Back Pain: Back Pain Consortium (BACPAC)

TypeinterventionalSponsorBoston University Charles River CampusRan2024 to 2025Enrolled44ConditionsLow Back PainArmsBack Exosuit
NCT05897593 nanot yet recruitingnot on this mapstarted 2026, after this paper: background citation

Clinical Feasibility & Validation of the Augmented Reality-Delivered GlenxRose Programs for Acquired Brain Injury

TypeinterventionalSponsorUniversity of AlbertaRan2026 to 2027Enrolled30ConditionsAcquired Brain Injury, Stroke, Traumatic Brain InjuryArmsGlenXRose Augmented Reality Acquired Brian Injury Therapies
NCT06164847 nacompletednot on this mapstarted 2023, after this paper: background citation

Effectiveness of the Adherence for Exercise Rehabilitation in Older People (AERO) Program to Improve Adherence in People with Osteoporosis in a German Context: a Randomized Parallel, Pilot Study

TypeinterventionalSponsorHochschule OsnabruckRan2023 to 2024Enrolled24ConditionsOsteoporosis, Osteopenia, Bone LossArmsAERO Program, Standard Care
NCT06795243 narecruitingnot on this mapstarted 2025, after this paper: background citation

Efficacy of Physical Therapy Treatment in Endometriosis and Its Relationship to Adherence Rates.

TypeinterventionalSponsorUniversity of SevilleRan2025 to 2026Enrolled32ConditionsEndometriosis, Endometriosis Related Pain, Endometriosis, Pain, Endometriosis-related PainArmsPAIN NEUROSCIENCE EDUCATION AND THERAPEUTIC EXERCISE PROGRAM, USUAL CARE
NCT07154355 narecruitingnot on this mapstarted 2025, after this paper: background citation

Clinical Study Protocol on the Impact of Community-Based Exercise Training on the Exercise Capacity of Patients With Reduced Cardiovascular and Pulmonary Function

TypeinterventionalSponsorGuangdong Provincial People's HospitalRan2025 to 2030Enrolled200ConditionsCoronary Heart Disease (CHD), Heart Failure, Cardiomyopathy, COPDArmscommunity-based exercise training
3 · Its place in the literature

Who cites it

364 citing papers in PubMed, 9 syntheses or guidelines pooled it, 912 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Pooled it
  5. Pooled it
  6. Pooled it
  7. Effect of mobile application types on stroke rehabilitation: a systematic review.Journal of neuroengineering and rehabilitation · 2023
    Pooled it
  8. Pooled it
  9. Pooled it
  10. Trial
  11. Trial
  12. Trial
  13. Trial
  14. Trial
  15. Trial
  16. Trial
  17. Trial
  18. Trial
  19. Trial
  20. Trial

304 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 1 country.

Kirsten JackHull & East Yorkshire Hospital, Anlaby Road, Hull HU3 2JZ, United Kingdom.
Sionnadh Mairi McLean
Jennifer Klaber Moffett
Eric Gardiner
Hull and East Yorkshire Hospitals NHS Trust · GBSheffield Hallam University · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Poor adherence to treatment can have negative effects on outcomes and healthcare cost. However, little is known about the barriers to treatment adherence within physiotherapy. The aim of this systematic review was to identify barriers to treatment adherence in patients typically managed in musculoskeletal physiotherapy outpatient settings and suggest strategies for reducing their impact. The review included twenty high quality studies investigating barriers to treatment adherence in musculoskeletal populations. There was strong evidence that poor treatment adherence was associated with low levels of physical activity at baseline or in previous weeks, low in-treatment adherence with exercise, low self-efficacy, depression, anxiety, helplessness, poor social support/activity, greater perceived number of barriers to exercise and increased pain levels during exercise. Strategies to overcome these barriers and improve adherence are considered. We found limited evidence for many factors and further high quality research is required to investigate the predictive validity of these potential barriers. Much of the available research has focussed on patient factors and additional research is required to investigate the barriers introduced by health professionals or health organisations, since these factors are also likely to influence patient adherence with treatment.

Indexed as

Patient CompliancePhysical Therapy ModalitiesAmbulatory CareHumansMusculoskeletal Diseases

Identifiers

PMID20163979
PMCPMC2923776
OpenAlexW2018022155

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

and 1 more above

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.