Abstract

This retrospective, descriptive study used the Ecological Model of Adherence to examine how client, provider, intervention, and contextual factors are associated with client adherence with home programs, two months after discharge from a campus-based occupational therapy clinic. Twelve participants (M = 60.67 years, SD = 13.68, range: 30-78 years) were interviewed and occupational therapy clinic records were reviewed. The reported rate of adherence with home programs was 25% (n = 4). Point-biserial correlations and Phi coefficient cross-tabulations were calculated between 10 variables and client-reported adherence with home programs, two of which were high, positive, and statistically significant: the correlations between client-reported adherence and the inclusion of client-identified occupational performance problems in the home program (rj(1) = .63, p = .028) and the time required to perform the home program (rj(1) = .82, p = .017). These findings suggest that home programs that explicitly included clients’ occupational performance problems and required a greater investment of time were strongly associated with higher levels of adherence, two months after discharge. Results should be interpreted with caution due to the low power of the study. Although the results of this study did not demonstrate sufficient support for the Ecological Model of Adherence, further investigation of the mechanisms that influence client adherence with home programs could improve occupational therapists’ understanding of these factors.

Publication Place

Tacoma, Washington

Publisher

University of Puget Sound

Faculty Advisor

Anne B. James, PhD, OTR/L, FAOTA

Committee Chairperson

Publication Date

12-2017

Genre

Electronic Thesis

Format

PDF

Language

English

Degree Program

Occupational Therapy

Degree Level

Doctor

Discipline

Occupational Therapy

School

University of Puget Sound

Additional Files
Wendell Nakamura Signature Page.pdf (59 kB)
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