Background: Compliance to long term therapy is the extent to which a person's
behavior - taking medication, following a diet or executing lifestyle changes,
corresponds with agreed recommendations from a health care provider.
Aim: To determine the factors influencing
physical therapy treatment compliance and relation of age and gender on compliance.
Study Design: Observational study.
Methodology: Study conducted for 6
months in public sector hospitals of twin cities of Pakistan. Non-probability
convenient sampling technique was used.
Data was collected by interviewing the patients, using self-structured
questionnaire. 141 patients attending physical therapy treatment in outpatient
department for more than three days and willing to participate in the study,
were included in the study. Patient who visited OPD for first time, pediatric
patient and indoor patients were excluded. Data was analyzed by SPSS software,
version 25 as qualitative
variables were expressed as frequencies and percentages.
Results: Most of patient could not adhere to physical
therapy because of unavailability of time (60.28%), lengthy follow up (46.10%),
boredom with exercise (23.4%), unavailability of respective gender (23.4%),
long distance between home and hospital (20.6%), Physical contact with
therapist during session (15.6%) and fear of modality (7.8%). Most patients
within age group of 29-42 and 43-56 responded that frequent visits to hospital
to attend multiple sessions of physical therapy were the reason they left
physical therapy sessions and had unavailability of time to attend physical
Conclusion: We concluded that frequent
visits to hospital to attend multiple sessions of physical therapy and
unavailability of time are two main factors that led to poor compliance to
physical therapy treatment.
Keywords: Barriers, Compliance and Physical Therapy