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Thus, it is critical for clinics and hospitals to find alternative options to reach and treat underserved patients with a challenging socioeconomic status, especially regarding the long-term management of chronic diseases. This is a serious problem for the patients and for the health care system.
Consequently, the health situation of adults experiencing financial distress can worsen and eventually they may have to lean on resources from the health care system more often. Patients experiencing financial distress do not have as many options to manage their chronic disease as do people with a higher socioeconomic status, who can visit a health club or hire a personal trainer. Low HEP adherence is a serious problem because it will compromise the improvement or stabilization of chronic health issues.Įxercise adherence is even more negatively impacted when patients have a lower socioeconomic status. In fact, a study showed that patients start to slack in HEP adherence as early as after 2 weeks. Low HEP adherence is not entirely surprising as it is challenging for patients to stay on an HEP for an extended period.
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A recent meta-analysis in people with chronic health conditions supports this observation, as the authors reported only 33% full HEP adherence and 37% partial adherence, with no difference in adherence when follow-up was done face-to-face or over the phone. However, low HEP adherence is common, especially when exercising is required over a longer period.
Most HEPs are delivered on paper to be practiced at home, and accountability is checked at the next physical therapy (PT) visit. Patients with chronic health conditions often must adhere to a long-term individualized home exercise program (HEP) to manage their symptoms and improve or maintain their cardiovascular health, flexibility, and/or strength. Approximately 200 million Americans have at least one chronic disease, and 80 million have multiple chronic diseases.