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TerminatedNCT02822755Updated Apr 17, 2019

Home Exercise Adherence in Physical Therapy

An interventional study of Home Exercise Program and Adherence Logs in Adherence, sponsored by Evan J. Petersen. Terminated at 1 site in United States. Open to participants aged 18 Years to 65 Years. Per ClinicalTrials.gov, last updated 2019-04-17.

Sponsored by Evan J. Petersen · Not applicable, Interventional, and Treatment

Why this study was terminated
Data collection sites lost research personnel that were recruiting subjects.
Phase
Not applicable
Study type
Interventional
Enrollment
25
Allocation
Randomized
Ages
18 Years to 65 Years
Sex
All
01

Study summary

The purpose of this study is to determine the effectiveness of an individualized video recording in improving adherence in home exercise programs for orthopaedic physical therapy patients.

Specific aims:

  1. Evaluate whether individualized video recordings improve adherence with home exercise programs (HEP) as compared with conventional printed instructions measured by a self-report exercise log. (1-tail analysis)
Read the detailed description

This investigation will focus on the specific issues surrounding adherence to the use of individualized video recordings via smartphone versus conventional printed instructions in patients with orthopaedic injuries. The data reported will be used to explore the feasibility and potential benefits of smartphone usage for home exercise adherence.

02

Conditions studied

  • Adherence

Keywords

  • Exercise
  • Adherence
  • Physical Therapy
03

In context

Lead sponsor

This is the only study on the registry with Evan J. Petersen as lead sponsor.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years to 65 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Participants who can read and understand the English language,
  • adults between 18-65 years of age,
  • have a referral to an outpatient physical therapy clinic for an orthopaedic condition, and
  • who own a smartphone with video recording capabilities and available data storage space (at least 500 MB or 0.5 GB).

Exclusion criteria

Exclusion Criteria:

  • Individuals referred for non-orthopaedic conditions,
  • individuals currently on an established, prescribed home exercise program,
  • individuals requiring more than 4 home exercises at one time as part of their rehabilitation program, and
  • individuals who do not own a smartphone device with the required storage and recording specifications.
05

Study design

Phase
Not applicable
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
Single (Outcomes assessor)
Enrollment
25 participants (actual)

Study arms

  • Experimental
    Video Recording Group

    The experimental group participants will be recorded on their personal smartphone performing their prescribed exercises with individualized instruction from the participating physical therapist. The prescribing therapist will record participants on their own smartphones doing the exercise program in the clinic so that participants can have that video recording of the exercises to help remind them how to do the exercises properly at home. Participants will not be asked to record themselves performing future exercise sessions as documentation of improvement. Intervention: Home Exercise Program and Adherence Logs

    Other: Home Exercise Program and Adherence Logs

  • Active comparator
    Conventional Printed Group

    The active comparator group will receive individualized instruction from the participating physical therapist on how to perform their home exercise program as well as printed instructions of the exercises. No video recording of the control group participants will be performed. Intervention: Home Exercise Program and Adherence Logs

    Other: Home Exercise Program and Adherence Logs

Interventions

  • OtherHome Exercise Program and Adherence Logs

    Both groups will receive physical therapy prescribed home exercises and be asked to record adherence to their program on an exercise log.

    Also known as: HEP

06

What researchers measure

Primary outcomes

  1. Home Exercise Adherence

    Data will be recorded via a self-reported exercise log that includes number of days exercises were completed per week. Participants will record the number of days participants did "All" of the program (defined as doing 100% of their exercises), "Most" of the program (defined as doing 75% of their exercises), "Some" of the program (defined as doing 50% of their program, and "None" of the program (defined as doing 0% of their exercise program).

    Time frame: Weekly for 6 weeks

07

Study locations

1 site
  • Texas Physical Therapy Specialists
    San Antonio, Texas 78209, United States
08

References and documents

Publications

  • Gonzalez JS, McCarl LA, Wexler D DD, Cagliero E, Delahanty L, Soper TD, Goldman V, Knauz R, Safren SA. Cognitive Behavioral Therapy for Adherence and Depression (CBT-AD) in Type 2 Diabetes. J Cogn Psychother. 2010 Nov 1;24(4):329-343. doi: 10.1891/0889-8391.24.4.329. PubMed 23667294 ↗
  • Hammer C, Degerfeldt L, Denison E. Mechanical diagnosis and therapy in back pain: Compliance and social cognitive theory. Adv Physiother. 2007;9(4):190-197.
  • Marks R, Allegrante JP. Chronic osteoarthritis and adherence to exercise: a review of the literature. J Aging Phys Act. 2005 Oct;13(4):434-60. doi: 10.1123/japa.13.4.434. PubMed 16301755 ↗
  • Papaioannou A, Kennedy CC, Dolovich L, Lau E, Adachi JD. Patient adherence to osteoporosis medications: problems, consequences and management strategies. Drugs Aging. 2007;24(1):37-55. doi: 10.2165/00002512-200724010-00003. PubMed 17233546 ↗
  • Conraads VM, Deaton C, Piotrowicz E, Santaularia N, Tierney S, Piepoli MF, Pieske B, Schmid JP, Dickstein K, Ponikowski PP, Jaarsma T. Adherence of heart failure patients to exercise: barriers and possible solutions: a position statement of the Study Group on Exercise Training in Heart Failure of the Heart Failure Association of the European Society of Cardiology. Eur J Heart Fail. 2012 May;14(5):451-8. doi: 10.1093/eurjhf/hfs048. Epub 2012 Apr 11. Erratum In: Eur J Heart Fail. 2012 Jul;14(7):802. PubMed 22499542 ↗
  • Jordan JL, Holden MA, Mason EE, Foster NE. Interventions to improve adherence to exercise for chronic musculoskeletal pain in adults. Cochrane Database Syst Rev. 2010 Jan 20;2010(1):CD005956. doi: 10.1002/14651858.CD005956.pub2. PubMed 20091582 ↗
  • Yuen HK, Wang E, Holthaus K, Vogtle LK, Sword D, Breland HL, Kamen DL. Self-reported versus objectively assessed exercise adherence. Am J Occup Ther. 2013 Jul-Aug;67(4):484-9. doi: 10.5014/ajot.2013.007575. PubMed 23791324 ↗
  • Holden MA, Haywood KL, Potia TA, Gee M, McLean S. Recommendations for exercise adherence measures in musculoskeletal settings: a systematic review and consensus meeting (protocol). Syst Rev. 2014 Feb 10;3:10. doi: 10.1186/2046-4053-3-10. PubMed 24512976 ↗
  • Kramer A, Dettmers C, Gruber M. Exergaming with additional postural demands improves balance and gait in patients with multiple sclerosis as much as conventional balance training and leads to high adherence to home-based balance training. Arch Phys Med Rehabil. 2014 Oct;95(10):1803-9. doi: 10.1016/j.apmr.2014.04.020. Epub 2014 May 10. PubMed 24823959 ↗
  • Friedrich M, Cermak T, Maderbacher P. The effect of brochure use versus therapist teaching on patients performing therapeutic exercise and on changes in impairment status. Phys Ther. 1996 Oct;76(10):1082-8. doi: 10.1093/ptj/76.10.1082. PubMed 8863761 ↗
  • Harkapaa K, Jarvikoski A, Mellin G, Hurri H. A controlled study on the outcome of inpatient and outpatient treatment of low back pain. Part I. Pain, disability, compliance, and reported treatment benefits three months after treatment. Scand J Rehabil Med. 1989;21(2):81-9. PubMed 2526364 ↗
  • Khalil H, Quinn L, van Deursen R, Martin R, Rosser A, Busse M. Adherence to use of a home-based exercise DVD in people with Huntington disease: participants' perspectives. Phys Ther. 2012 Jan;92(1):69-82. doi: 10.2522/ptj.20100438. Epub 2011 Sep 29. PubMed 21960468 ↗
  • Roddey TS, Olson SL, Gartsman GM, Hanten WP, Cook KF. A randomized controlled trial comparing 2 instructional approaches to home exercise instruction following arthroscopic full-thickness rotator cuff repair surgery. J Orthop Sports Phys Ther. 2002 Nov;32(11):548-59. doi: 10.2519/jospt.2002.32.11.548. PubMed 12449254 ↗

Individual participant data

Plan to share: No — All individual data will be reported as a group

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Apr 17, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT02822755
Lead sponsor
Evan J. Petersen
Responsible party
Evan J. Petersen (Dr., PT, DSc, OCS, FAAOMPT, University of the Incarnate Word) — Sponsor-investigator
First posted
Jul 4, 2016
Start date
Jun 2016
Primary completion
Sep 2018
Completion
Sep 2018
Last update
Apr 17, 2019

Study contacts

Evan J Petersen, PT, DSc
study chair · University of the Incarnate Word

Oversight

Data monitoring committee
Yes
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is terminated, as verified in Apr 2019. You cannot join it, but the record below documents what was studied.

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