THE IMPACT OF PSYCHO-SOCIAL FACTORS IN PHYSICAL REHABILITAION ADHERENCE

Non-adherence to rehabilitation protocols is a pervasive issue in healthcare,leading to suboptimal recovery outcomes, increased healthcare costs, and long-term functional impairments. This paper explores the impact of psycho-social factors on physical rehabilitation adherence, focusing on both psychological and social determinants. Psychological barriers, such as depression, anxiety, low motivation, and fear of pain, significantly impede patient engagement, while social factors, including family support, socio-economic status, and cultural beliefs, further influence adherence. The paper also highlights the distinction between chronic and acute conditions, with psycho-social factors affecting rehabilitation differently in each context.Additionally,socio-economic considerations,such as financial constraints and health literacy,are examined.To address these barriers,a biopsychosocial approach is recommended,emphasizing the role of physiotherapists in psycho-social assessment and collaboration with mental health professionals. Tailored rehabilitation programs and behavioural interventions, such as cognitive-behavioural therapy (CBT), are suggested to enhance adherence and improve patient outcomes.