Patient discharge instructions; Exercise therapy; Chronically ill--Rehabilitation
Eighteen adults with chronic medical conditions who participated in a university occupational therapy clinic were surveyed about adherence to home program discharge recommendations. Adherence rates for discharge recommendations that were occupation-based or purposeful activities were compared to preparatory activities, including rote exercise. Reported adherence rates were not statistically different. The study also examined barriers and supports that impacted adherence. Statistically significant negative correlations were found between age and adherence to preparatory activity recommendations and between the number of discharge recommendations and adherence to preparatory activities. In order to achieve better adherence, and therefore improve outcomes, occupational therapists should carefully consider the appropriateness and necessity of every discharge recommendation.
Anne B. James
George S. Tomlin
Date of Completion
Master of Science in Occupational Therapy (MSOT)
Date of Award
University of Puget Sound