Barriers and Facilitators in Rehabilitation in Chronic Diseases and After Surgery: Is It a Matter of Adherence?
Although it has been generally acknowledged that participating in rehabilitation programs is better for chronic diseases or post-surgery, the adherence rates of these programs remain lower than expected. According to the World Health Organization (WHO), adherence has been defined as follows: "t...
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Published in | Curēus (Palo Alto, CA) Vol. 13; no. 12; p. e20173 |
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Main Authors | , , , , , |
Format | Journal Article |
Language | English |
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Cureus Inc
05.12.2021
Cureus |
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Abstract | Although it has been generally acknowledged that participating in rehabilitation programs is better for chronic diseases or post-surgery, the adherence rates of these programs remain lower than expected. According to the World Health Organization (WHO), adherence has been defined as follows: "the extent to which a person's behavior corresponds with agreed recommendations from a healthcare provider." In general, rehabilitation is well investigated, and in chronic diseases like chronic obstructive pulmonary disease (COPD), cardiovascular disease, neuromuscular disease, cancer, and even psychiatric diseases like depression, it has been shown that exercise therapy, in particular, has beneficial effects on morbidity, mortality, and convalescence of these patients. The aim of this review is to give an overview of the barriers and facilitators in rehabilitation practices and possible reasons why adherence rates remain low. Regarding potential future research, barriers and facilitators also need to be taken into account. Despite promising research in the field of preoperative exercise therapy (PET) and preoperative rehabilitation (prehab) and the enormous body of evidence in postoperative rehabilitation or rehabilitation in chronic diseases, it is also needed to take into account the accessibility of these prehab facilities in research and in clinical practice. |
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AbstractList | Although it has been generally acknowledged that participating in rehabilitation programs is better for chronic diseases or post-surgery, the adherence rates of these programs remain lower than expected. According to the World Health Organization (WHO), adherence has been defined as follows: "the extent to which a person's behavior corresponds with agreed recommendations from a healthcare provider." In general, rehabilitation is well investigated, and in chronic diseases like chronic obstructive pulmonary disease (COPD), cardiovascular disease, neuromuscular disease, cancer, and even psychiatric diseases like depression, it has been shown that exercise therapy, in particular, has beneficial effects on morbidity, mortality, and convalescence of these patients. The aim of this review is to give an overview of the barriers and facilitators in rehabilitation practices and possible reasons why adherence rates remain low. Regarding potential future research, barriers and facilitators also need to be taken into account. Despite promising research in the field of preoperative exercise therapy (PET) and preoperative rehabilitation (prehab) and the enormous body of evidence in postoperative rehabilitation or rehabilitation in chronic diseases, it is also needed to take into account the accessibility of these prehab facilities in research and in clinical practice. Although it has been generally acknowledged that participating in rehabilitation programs is better for chronic diseases or post-surgery, the adherence rates of these programs remain lower than expected. According to the World Health Organization (WHO), adherence has been defined as follows: "the extent to which a person's behavior corresponds with agreed recommendations from a healthcare provider." In general, rehabilitation is well investigated, and in chronic diseases like chronic obstructive pulmonary disease (COPD), cardiovascular disease, neuromuscular disease, cancer, and even psychiatric diseases like depression, it has been shown that exercise therapy, in particular, has beneficial effects on morbidity, mortality, and convalescence of these patients. The aim of this review is to give an overview of the barriers and facilitators in rehabilitation practices and possible reasons why adherence rates remain low. Regarding potential future research, barriers and facilitators also need to be taken into account. Despite promising research in the field of preoperative exercise therapy (PET) and preoperative rehabilitation (prehab) and the enormous body of evidence in postoperative rehabilitation or rehabilitation in chronic diseases, it is also needed to take into account the accessibility of these prehab facilities in research and in clinical practice. |
Author | Sanches, Elijah E Aupers, Emily Pouwels, Sjaak Kostka, Tomasz Sakran, Nasser Navalta, James |
AuthorAffiliation | 2 Surgery, Haaglanden Medical Center, The Hague, NLD 6 Geriatrics and Sports Medicine, Medical University of Lodz, Lodz, POL 5 Kinesiology and Nutrition Sciences, University of Nevada Las Vegas School of Medicine, Las Vegas, USA 4 Surgery, Emek Medical Center, Afula, ISR 1 Surgery, Leiden University Medical Center, Leiden, NLD 3 Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, NLD |
AuthorAffiliation_xml | – name: 3 Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, NLD – name: 6 Geriatrics and Sports Medicine, Medical University of Lodz, Lodz, POL – name: 4 Surgery, Emek Medical Center, Afula, ISR – name: 5 Kinesiology and Nutrition Sciences, University of Nevada Las Vegas School of Medicine, Las Vegas, USA – name: 1 Surgery, Leiden University Medical Center, Leiden, NLD – name: 2 Surgery, Haaglanden Medical Center, The Hague, NLD |
Author_xml | – sequence: 1 givenname: Elijah E surname: Sanches fullname: Sanches, Elijah E organization: Surgery, Haaglanden Medical Center, The Hague, NLD – sequence: 2 givenname: Emily surname: Aupers fullname: Aupers, Emily organization: Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, NLD – sequence: 3 givenname: Nasser surname: Sakran fullname: Sakran, Nasser organization: Surgery, Emek Medical Center, Afula, ISR – sequence: 4 givenname: James surname: Navalta fullname: Navalta, James organization: Kinesiology and Nutrition Sciences, University of Nevada Las Vegas School of Medicine, Las Vegas, USA – sequence: 5 givenname: Tomasz surname: Kostka fullname: Kostka, Tomasz organization: Geriatrics and Sports Medicine, Medical University of Lodz, Lodz, POL – sequence: 6 givenname: Sjaak surname: Pouwels fullname: Pouwels, Sjaak organization: Intensive Care Medicine, Elisabeth-Tweesteden Hospital, Tilburg, NLD |
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Keywords | preoperative exercise therapy pulmonary rehabilitation complications cardiac rehabilitation surgery |
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Snippet | Although it has been generally acknowledged that participating in rehabilitation programs is better for chronic diseases or post-surgery, the adherence rates... Although it has been generally acknowledged that participating in rehabilitation programs is better for chronic diseases or post-surgery, the adherence rates... |
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SubjectTerms | Cardiovascular disease Chronic illnesses Chronic obstructive pulmonary disease Exercise Gastrointestinal surgery Heart attacks Heart failure Hospitals Low income groups Medical referrals Pain Participation Patients Physical fitness Physical Medicine & Rehabilitation Physicians Preventive Medicine Quality Improvement Rehabilitation Social support Sports injuries Systematic review Telemedicine |
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Title | Barriers and Facilitators in Rehabilitation in Chronic Diseases and After Surgery: Is It a Matter of Adherence? |
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