Client preferences and perceptions regarding a written home exercise program or video self-modeling: A cross-sectional study

Abstract

Study DesignThis was a cross-sectional study. IntroductionHome exercise programs (HEPs) are frequently prescribed to maximize a patient’s recovery and ensure maintenance of therapeutic gains produced during supervised treatment. Improved understanding of patient preferences and incorporation of simple mobile health technologies may be beneficial strategies for improving patient HEP adherence. PurposeThe purpose of this study was to determine client's preferred mode of home exercise program delivery when offered a choice between a cellular video and paper handout. MethodsA convenience sample was recruited from clients receiving services at an upper extremity rehabilitation facility. Participants were provided a paper handout with written instructions and an audiovisual recording of themselves performing the exercises. A questionnaire was developed to compare clients' preferences and perceptions. Quantitative data regarding patient preference were gathered and analyzed with descriptive statistics. Collected qualitative data were themed to determine the characteristics of home exercise programs (HEPs) perceived by patients. ResultsA total of 30 patients participated in the study. Of the 29 responses regarding patient preference of HEP mode, 20 (69%) patients preferred a video, 4 (14%) patients preferred a paper handout, and 5 (17%) patients preferred both paper and video HEP. Patients with preference to a paper HEP reported the handout was helpful to be accessed in a simple manner and could be displayed as a visual reminder to perform the exercises. Those who preferred the cellular video reported increased understanding and confidence with accurate performance of exercises using audiovisual instructions. DiscussionHEP adherence enhancement techniques include improved understanding of patient preferences in order to facilitate customized client-centered treatment. ConclusionThe majority of participants in this study preferred a mobile-based video HEP. Participants perceived the video as visually appealing and a more effective mode of instruction than paper handouts.