Behaviour Change Techniques to promote self-management and home exercise adherence for people attending physiotherapy with musculoskeletal conditions: A scoping review and mapping exercise

Chester, Rachel ORCID: https://orcid.org/0000-0003-1979-0682, Daniell, Helena, Belderson, Pippa, Wong, Carl, Kinsella, Paula, McLean, Sionnadh, Hill, Jonathan, Banerjee, Anirban and Naughton, Felix (2023) Behaviour Change Techniques to promote self-management and home exercise adherence for people attending physiotherapy with musculoskeletal conditions: A scoping review and mapping exercise. Musculoskeletal Science and Practice, 66. ISSN 2468-7812

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Abstract

Background: Many patients with musculoskeletal problems do not adhere to home exercises or self-management advice provided by physiotherapists. This is due to numerus factors, many of which can be targeted by Behaviour Change Techniques. Objectives: 1) Undertake a scoping review to identify the modifiable determinants (barriers and facilitators) of home exercise adherence and self-management for the physiotherapy management of people with musculoskeletal problems and map them to the Theoretical Domains Framework and Behaviour Change Techniques. 2) For determinants with supporting evidence from ≥2 studies, provide examples of Behaviour Change Techniques for clinical practice. Design: This review follows the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Method: Four electronic databases were searched from inception to December 2022. Two independent reviewers carried out manuscript selection, data extraction, quality assessment, and mapping, the latter using the Theory and Techniques Tool. Results: Thirteen modifiable determinants were identified in 28 studies. The most frequently identified were self-efficacy, social support, and task appreciation. Determinants were mapped to 7 of 14 Theoretical Domains Framework categories, which in turn mapped onto 42 of 93 Behaviour Change Techniques, the most common being problem solving and instruction on how to perform behaviour. Conclusions: By identifying determinants to home exercise adherence and self-management and mapping these to Behaviour Change Techniques, this review has improved understanding of their selection, targeting, and potential application to musculoskeletal physiotherapy practice. This provides support for physiotherapists targeting the determinants of importance for the patient in front of them.

Item Type: Article
Additional Information: Funding Information: Helena Daniell was supported by Norfolk and Norwich University Hospitals NHS Foundation Trust , Research Capability Funding. Rachel Chester, Pippa Belderson and Felix Naughton were funded by a Musculoskeletal Association of Chartered Physiotherapy Elsevier Research Award (2021).
Uncontrolled Keywords: adherence,behaviour change,home exercise,physiotherapy,self-management,physical therapy, sports therapy and rehabilitation ,/dk/atira/pure/subjectarea/asjc/3600/3612
Faculty \ School: Faculty of Medicine and Health Sciences > School of Health Sciences
Faculty of Social Sciences > School of Psychology
Faculty of Medicine and Health Sciences > Norwich Medical School
UEA Research Groups: Faculty of Medicine and Health Sciences > Research Groups > Rehabilitation
Faculty of Medicine and Health Sciences > Research Centres > Norwich Institute for Healthy Aging
Faculty of Medicine and Health Sciences > Research Groups > Behavioural and Implementation Science
Faculty of Medicine and Health Sciences > Research Groups > Health Promotion
Faculty of Social Sciences > Research Groups > Child Protection & Family Support
Faculty of Social Sciences > Research Centres > Centre for Research on Children and Families
Faculty of Medicine and Health Sciences > Research Centres > Population Health
Faculty of Medicine and Health Sciences > Research Centres > Lifespan Health
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Depositing User: LivePure Connector
Date Deposited: 22 May 2023 14:30
Last Modified: 29 May 2024 01:38
URI: https://ueaeprints.uea.ac.uk/id/eprint/92125
DOI: 10.1016/j.msksp.2023.102776

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