TY  - JOUR
T1  - Adherence to Home Exercise Programs: The Impact of Demographic and Clinical Factors
TT  - Evde Egzersiz Programlarına Uyum: Demografik ve Klinik Faktörlerin Etkisi
AU  - Karataş, Gulsah
AU  - Metin Tarhan, Şengül
AU  - Elpen Kodaz, Çağnur
AU  - Karataş, Fatih
AU  - Tarhan, Rıfat
PY  - 2025
DA  - August
Y2  - 2025
DO  - 10.29058/mjwbs.1758374
JF  - Medical Journal of Western Black Sea
JO  - Med J West Black Sea
PB  - Zonguldak Bülent Ecevit Üniversitesi
WT  - DergiPark
SN  - 2822-4302
SP  - 299
EP  - 305
VL  - 9
IS  - 2
LA  - en
AB  - Aim: This study aimed to explore how well patients receiving physical medicine and rehabilitation adhered to home-based exercise programs,and to better understand which demographic and clinical factors might influence their level of adherence.Material and Methods: In this prospective observational study, 296 patients who had been prescribed a standardized home exerciseprogram were followed. Information on age, education, occupation, pain severity (measured by VAS), and adherence to the exercise planwas collected and statistically analyzed Results: Among the participants, 154 individuals (52%) were regularly following their prescribed home exercise routines. Overall, 68.2%of patients reported a noticeable reduction in pain levels. Notably, those who consistently adhered to the program experienced significantlymore pain relief compared to those who were non-adherent (p  < 0.001). Adherence appeared to be influenced by both education level andoccupation. Patients with higher levels of education were more likely to follow their exercise routines, while individuals such as workers,retirees, and students demonstrated stronger adherence patterns (p = 0.002 and p = 0.019, respectively). In contrast, housewives andindividuals with lower educational attainment were less likely to stay committed—often citing household responsibilities as a barrier to regularparticipation.Conclusion: Sticking to home-based exercise programs seems to make a real difference in outcomes, especially when it comes to reducingpain more quickly and effectively. These findings emphasize the importance of designing support systems that are tailored to the individual—possibly using technology to help patients stay on track, particularly in musculoskeletal rehabilitation.
KW  - Home-based exercise programs
KW  - Adherence
KW  - Pain
KW  - Physical medicine
N2  - Amaç: Bu çalışmanın amacı, fiziksel tıp ve rehabilitasyon alan hastaların evde egzersiz programlarına ne kadar iyi uyduklarını araştırmakve hangi demografik ve klinik faktörlerin uyum düzeylerini etkileyebileceğini daha iyi anlamaktır.Gereç ve Yöntemler: Bu prospektif gözlemsel çalışmada, standart bir ev egzersiz programı reçete edilen 296 hasta takip edilmiştir. Yaş,eğitim, meslek, ağrı şiddeti (VAS ile ölçülmüştür) ve egzersiz planına uyum hakkında bilgiler toplanmış ve istatistiksel olarak analiz edilmiştir.Bulgular: Katılımcılar arasında 154 kişi (%52) reçete edilen ev egzersiz rutinlerini düzenli olarak takip etmiştir. Genel olarak, hastaların%68,2'si ağrı düzeylerinde gözle görülür bir azalma olduğunu bildirmiştir. Programa sürekli uyanlar, uymayanlara kıyasla önemli ölçüde dahafazla ağrı kesici deneyimlemiştir (p  < 0.001). Uyumun hem eğitim düzeyinden hem de meslekten etkilendiği görülmektedir. Daha yüksekeğitim düzeyine sahip hastaların egzersiz rutinlerini takip etme olasılığı daha yüksekken, çalışanlar, emekliler ve öğrenciler gibi bireylerdaha güçlü uyum kalıpları göstermiştir (sırasıyla p = 0.002 ve p = 0.019). Buna karşılık, ev hanımları ve daha düşük eğitim düzeyine sahipbireylerin egzersiz programlarına bağlı kalma olasılıkları daha düşüktü; genellikle ev sorumluluklarını düzenli katılımın önündeki bir engelolarak göstermişlerdir.Sonuç: Evde uygulanan egzersiz programlarına bağlı kalmak, özellikle ağrıyı daha hızlı ve etkili bir şekilde azaltma söz konusu olduğunda,sonuçlarda gerçek bir fark yaratıyor gibi görünmektedir. Bu bulgular, özellikle kas-iskelet sistemi rehabilitasyonunda hastaların programabağlı kalmasına yardımcı olmak için, muhtemelen teknolojiyi kullanarak, bireye özel destek sistemleri tasarlamanın önemini vurgulamaktadır
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UR  - https://doi.org/10.29058/mjwbs.1758374
L1  - https://dergipark.org.tr/tr/download/article-file/5123310
ER  -