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Open AccessArticle

Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities

Department of Pathology and Surgery, University Miguel Hernández, Sant Joan, 03550 Alicante, Spain
Departament of Physiotherapy, University of Murcia, Campus de Espinardo, 30100 Murcia, Spain
Research group Fisioterapia y Discapacidad, Instituto Murciano de Investigación Biosanitaria-Virgen de la Arrixaca (IMIB-Arrixaca), El Palmar, 30120 Murcia, Spain
Author to whom correspondence should be addressed.
J. Clin. Med. 2019, 8(4), 456;
Received: 24 January 2019 / Revised: 18 March 2019 / Accepted: 1 April 2019 / Published: 5 April 2019
There is a lack of knowledge with regard to the adherence to different types of exercises prescribed for children with disabilities. The aim was to examine parents’ adherence to prescriptions of different types of home exercises; to identify associated factors related to the parents, the children and the environment, and to assess the relative influence of the behaviour of health professionals. Parents (393) were recruited from 18 early intervention centres. A cross-sectional survey using a self-reported questionnaire was used to examine whether three types of exercises (“flexibility exercises”, “neuromotor development training” and “body mechanics and postural stabilisation”) were prescribed in their home programs; if the child had received exercises according to a prescription; and items related to the parents, child, environment, and health professionals. The adherence rates were different among the types of exercises. Parents with low perception of barriers and high self-efficacy had a higher adherence to neuromotor development training and postural stabilization, whereas parents with a high level of knowledge increased their odds of adherence to flexibility exercises. Health professionals’ behaviour had a distinct influence on the adherence to different exercises. This study suggests the need to specifically consider the types of exercises prescribed in the management of adherence to home programs. View Full-Text
Keywords: exercise; parents; home programs; physiotherapy; adherence; early intervention exercise; parents; home programs; physiotherapy; adherence; early intervention
MDPI and ACS Style

Lillo-Navarro, C.; Montilla-Herrador, J.; Escolar-Reina, P.; Oliveira-Sousa, S.L.; García-Vidal, J.A.; Medina-Mirapeix, F. Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities. J. Clin. Med. 2019, 8, 456.

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