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PATIENT COMPLIANCE

FRANK NGO, SPT


UNIVERSITY OF FLORIDA
PATIENT COMPLIANCE
The degree to which a patient adheres to his or her physical
therapy intervention, which is constructed from his or her goals
A big problem in the physical therapy profession
9-60% of patients were non-compliant
20-30% did not show up for appointments they scheduled
Up to 14% of patients did not return for follow-up appointments

OBJECTIVES
Discuss potential barriers patients may have with compliance
Discuss general psychological schema seen in clinics
Discuss potential methods of getting patients to adhere to
interventions

RESOURCES
Primarily used search engines: PUBMED and APA
Most of the publications consisted of favorable patient compliance
in congruence to:
Athletic injuries population
Acute injuries population
and less favorable to:
Chronic injuries population

BARRIERS FOR
COMPLIANCE
Depression
Lack of knowledge
Different interpretation
Mental Incapacity
Lack of support
Personality disorders
Lack of support
Socioeconomic status
Accessibility of clinic
Environmental
factors
Time constraints
Amount of effort
Lack of fun
Perception of
progress
Level of stress
Ulterior motives
SOME BARRIERS ARENT
PERMANENT
Depression
Lack of knowledge
Different interpretation
Mental incapacity
Lack of support
Personality disorders
Lack of support
Socioeconomic status
Accessibility of clinic
Environmental
factors
Time constraints
Amount of effort
Lack of fun
Perception of
progress
Level of stress
Ulterior motives
RESOURCES
Primarily used search engines: PUBMED and APA
Most of the publications consisted of favorable patient compliance
in congruence to:
Athletic injuries population
Acute injuries population
and less favorable to:
Chronic injuries population

NPR SEGMENT
Some people cant study until the last few days prior to their exam,
where they will themselves to pull consecutive all nighters because
they face an imminent danger of failing their course
Some people cant change their haphazard lifestyle until their
health deteriorates significantly, where they will themselves to go
cold turkley because they face an imminent danger of severe
disability (ie. amputation from diabetes) or death (ie. from cancer)

Is there a correlation between these two?
YES!
They found the motivation they needed to jump barriers they
previously saw impossible because their impulsivity pushed them
past that threshold of being indifferent
FUJI FACTOR
Ma
Fear of loss
sense of Urgency
Jones effect
Indifference