Patient discharge instructions; Exercise therapy; Goal (Psychology)
Research has shown full adherence to occupational therapy home program recommendations varies between 40 and 70%. Considering many clients have chronic conditions and are not completely recovered at discharge, this rate of adherence is far less than ideal and has been associated with poor overall health outcomes. Previous research has also suggested that people respond better to activities that have a goal-embedded component than they do to traditional or rote exercise. The current study examined client adherence based on the type of discharge recommendation given to adult clients at an on-campus clinic. Recommendations were categorized into those which were goal-embedded: occupation-based and purposeful and those which did not have a goal-embedded component: preparatory. Adherence rates to occupation-based recommendations had a statistically significant higher adherence than did those that were preparatory. No statistically significant differences were found between preparatory and purposeful or purposeful and occupation-based recommendations. Additionally, facilitators and barriers were examined and discussed, including the appropriateness, feasibility, and likability of a discharge recommendation and how they affect adherence.
Anne James, PhD, OTR/L
Martins Linauts, PhD, PT
Date of Completion
Master of Science in Occupational Therapy (MSOT)
Date of Award
University of Puget Sound