Tara E Lambert|L A Harvey|Christos Avdalis|Lydia W. Chen|Sayanthinie Jeyalingam|Carin A Pratt|Holly J Tatum|Jocelyn L. Bowden|Barbara R. Lucas
An app with remote support achieves better adherence to home exercise programs than paper handouts in people with musculoskeletal conditions: a randomised trial
North Shore Hospital|Royal North Shore Hospital|Walsh University|Royal North Shore Hospital|North Shore Hospital|Royal North Shore Hospital|North Shore Hospital|Royal North Shore Hospital|North Shore Hospital|Royal North Shore Hospital|North Shore Hospital|Royal North Shore Hospital|North Shore Hospital|Royal North Shore Hospital|Walsh University|Royal North Shore Hospital|North Shore Hospital|Royal North Shore Hospital
people musculoskeletal conditions better adhere home exercise programs provided app remote support compared paper handouts randomised parallelgroup trial intentiontotreat analysis eighty participants upper lower limb musculoskeletal conditions recruited trial participant prescribed 4week home exercise program physiotherapist tertiary teaching hospital australia participants randomly assigned via computergenerated concealed block randomisation procedure either intervention n 40 control n 40 groups participants intervention group received home exercise programs app linked freely available website wwwphysiotherapyexercisescom also received supplementary phone calls motivational text messages participants control group received home exercise programs paper handout blinded assessors collected outcome measures baseline 4 weeks primary outcome selfreported exercise adherence five secondary outcomes captured functional performance disability patient satisfaction perceptions treatment effectiveness different aspects adherence outcomes available 77 participants mean betweengroup difference selfreported exercise adherence 4 weeks 1311 points 95 ci 02 23 favouring intervention group mean betweengroup difference function 0911 points 95 ci 01 17 patientspecific functional scale also favouring intervention group significant betweengroup differences remaining outcomes people musculoskeletal conditions adhere better home exercise programs programs provided app remote support compared paper handouts however clinical importance added adherence unclear actrn12616000066482 lambert te harvey la avdalis c chen lw jeyalingam pratt ca tatum hj bowden jl lucas br 2017 app remote support achieves better adherence home exercise programs paper handouts people musculoskeletal conditions randomised trial journal physiotherapy 63 161167