Adherence to Home Exercise Program (Hep) in Patients with Low Back Pain Undergoing Physical Therapy Intervention in Naval, Biliran

This study investigates adherence to HEP in patients with low back pain (LBP) undergoing physical therapy intervention in Naval, Biliran, aiming to identify personal demographics and biopsychosocial factors influencing HEP adherence. A descriptive-correlational design was employed, with data collected through survey questionnaires. Participants included 18 LBP patients, with data analysis revealing that 7 were non-adherent and 11 adhered to their HEPs. Analysis showed no significant association between demographic profiles (socioeconomic status, age, sex, educational attainment, and religion) and HEP adherence. Among the 12 biopsychosocial factors, a significant association was found between the belief that exercise can cause injury and HEP adherence (p-value = 0.016). Other biopsychosocial factors, such as fatigue, time constraints, forgetfulness, family/friend support, difficulty of exercise, interest in exercise, pain, perceived benefits, fit in daily routine, need for physical assistance, and need for a physiotherapist's presence, showed no significant associations with adherence.These findings highlight the need to address specific barriers, particularly exercise-induced injury concerns, to improve HEP adherence and physical therapy outcomes for LBP patients.