ADHERENCE TO PRESCRIBED EXERCISE PROGRAMS IN JUVENILE ARTHRITIS
Notice bibliographique
Résumé
Children with juvenile arthritis are often prescribed exercise programs to improve joint mobility, strengthen muscles and prevent deformities. Adherence to these programs is often low. PURPOSE To describe adherence to prescribed exercises in patients with juvenile arthritis, to determine whether the physical therapist's and parent's perceptions of adherence were associated and to describe factors associated with adherence. METHODS Parents of children who were prescribed exercise for their arthritis responded to a questionnaire addressing adherence. The treating physical therapist indicated their perception of the patient's adherence to treatment on a visual analog scale. Analysis consisted of correlations of adherence measures and linear regression to explore factors associated with adherence. RESULTS There were 75 children in the cohort who were prescribed exercises. 68% were female, mean age of the children was 10.6 years, and average duration of disease was 5 years. The correlation between parent reported adherence to exercise (mean of 45.2% on the visual analog scale) and physical therapist judged adherence (mean of 50.2%) was 0.2 (p = .3). There were moderate to high correlations between parent reported adherence to exercise and whether the parents considered the exercises to be helpful (0.5; p < 0.0001); and between parent reported level of child's difficulty in doing the exercises and any negative reactions to doing the exercises (0.7; p < 0.0001). Adherence was negatively correlated with the frequency of negative reactions (−0.3; p = .03) and with level of difficulty in doing the exercises (−0.3; p = .01). Higher adherence was associated with younger child's age, but not with disease severity, duration, gender or socioeconomic status. CONCLUSION Adherence to prescribed exercise in children with juvenile arthritis is moderate and is higher in younger children. Parent-reported adherence does not appear to be associated with therapist's perceptions of adherence. Strategies to improve adherence to prescribed exercise in older children should be considered.
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Prédiction distillée sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Apprise à partir de 10 348 étiquettes directes de Codex et de 10 348 étiquettes directes de Gemma. Le mode candidate est l'union des têtes enseignantes seuillées; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont ni des étiquettes humaines ni des étiquettes directes de modèles de pointe.
Scores Codex et Gemma par catégorie
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,002 | 0,000 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,000 |
| Bibliométrie | 0,001 | 0,003 |
| Études des sciences et des technologies | 0,000 | 0,001 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule tête enseignante, pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».