{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T18:17:09Z","timestamp":1785435429794,"version":"3.56.0"},"reference-count":60,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2025,6,11]],"date-time":"2025-06-11T00:00:00Z","timestamp":1749600000000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Background: Polytrauma can be life altering, requiring a holistic approach to reach the highest functional level. Physiotherapists prescribe home exercise programmes (HEPs) to prevent complications associated with immobility. Adherence to HEPs is crucial, yet factors influencing non-adherence remain underexplored.\n\nObjectives: Our study explored patients with polytrauma perspectives on adherence to prescribed HEPs.\n\nMethod: A qualitative exploratory, descriptive design was used to recruit participants purposively from a rehabilitation unit in Tshwane district, South Africa. Participants diagnosed with polytrauma, aged 18 years or older, and prescribed a HEP were included, while those with cognitive impairments or language barriers were excluded. Consent was obtained while hospitalised, and participants were contacted 3 months post-discharge for telephonic semistructured interviews lasting 30\u201345 min. Ethical clearance (reference number: 595\/2022) and institutional permission were granted. Interviews were audio-recorded and conducted until data were saturated. Data were verbatim transcribed and analysed thematically to identify key themes and sub-themes.\n\nResults: Thirteen participants (8 male and 5 female participants) with a mean age of 43.77 (standard deviation = 10.45) were interviewed. The four major themes were physical, psycho-cognitive, social and environmental factors. Adherence barriers were more significant than facilitators. The most frequently reported facilitator was family support, whereas the most commonly reported barrier was pain.\n\nConclusion: Polytrauma patients identified more barriers than facilitators affecting HEP adherence. Pain significantly hindered adherence, while family support was a key enabler.\n\nClinical implication: Physiotherapists should work collaboratively with patients to develop inclusive HEPs that consider their demographic, social, psychological, physical and environmental context.<\/jats:p>","DOI":"10.4102\/sajp.v81i1.2163","type":"journal-article","created":{"date-parts":[[2025,6,6]],"date-time":"2025-06-06T03:17:54Z","timestamp":1749179874000},"update-policy":"https:\/\/doi.org\/10.4102\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["Perspectives on adherence to prescribed home exercises after polytrauma: A qualitative study"],"prefix":"10.4102","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0009-0006-8308-5346","authenticated-orcid":false,"given":"Keamogetswe","family":"Monaiwa","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9311-5063","authenticated-orcid":false,"given":"Mariatha","family":"Yazbek","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1601-6907","authenticated-orcid":false,"given":"Nontembiso","family":"Magida","sequence":"additional","affiliation":[{"id":[{"id":"https:\/\/ror.org\/00g0p6g84","id-type":"ROR","asserted-by":"publisher"}],"name":"University of Pretoria"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2025,6,11]]},"reference":[{"key":"ref0","doi-asserted-by":"crossref","unstructured":"Armstrong, M., Champagne, J. & Mortimer, D.S., 2019, \u2018Department of Veterans Affairs polytrauma rehabilitation centers: Inpatient rehabilitation management of combat-related polytrauma\u2019, Physical Medicine and Rehabilitation Clinics of North America 30(1), 13\u201327. https:\/\/doi.org\/10.1016\/j.pmr.2018.08.013","DOI":"10.1016\/j.pmr.2018.08.013"},{"key":"ref1","doi-asserted-by":"crossref","unstructured":"Attia, M. & Edge, J., 2017, \u2018Be (com) ing a reflexive researcher: A developmental approach to research methodology\u2019, Open Review of Educational Research 4(1), 33\u201345. https:\/\/doi.org\/10.1080\/23265507.2017.1300068","DOI":"10.1080\/23265507.2017.1300068"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Bachmann, C., Oesch, P. & Bachmann, S., 2018, \u2018Recommendations for improving adherence to home-based exercise: A systematic review\u2019, Physikalische Medizin, Rehabilitationsmedizin, Kurortmedizin 28(1), 20\u201331. https:\/\/doi.org\/10.1055\/s-0043-120527","DOI":"10.1055\/s-0043-120527"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Bailey, D.L., Holden, M.A., Foster, N.E., Quicke, J.G., Haywood, K.L. & Bishop, A., 2020, \u2018Defining adherence to therapeutic exercise for musculoskeletal pain: A systematic review\u2019, British Journal of Sports Medicine 54(6), 326\u2013331. https:\/\/doi.org\/10.1136\/bjsports-2017-098742","DOI":"10.1136\/bjsports-2017-098742"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Bakaa, N., Chen, L.H., Carlesso, L., Richardson, J. & Macedo, L., 2021, \u2018Reporting of post-operative rehabilitation interventions for total knee arthroplasty: A scoping review\u2019, BMC Musculoskeletal Disorders 22(1), 602. https:\/\/doi.org\/10.1186\/s12891-021-04460-w","DOI":"10.1186\/s12891-021-04460-w"},{"key":"ref5","doi-asserted-by":"crossref","unstructured":"Behrens, M., Gube, M., Chaabene, H., Prieske, O., Zenon, A., Broscheid, K.-C. et al., 2023, \u2018Fatigue and human performance: An updated framework\u2019, Sports Medicine 53(1), 7\u201331. https:\/\/doi.org\/10.1007\/s40279-022-01748-2","DOI":"10.1007\/s40279-022-01748-2"},{"key":"ref6","doi-asserted-by":"crossref","unstructured":"Braun, V. & Clarke, V., 2006, \u2018Using thematic analysis in psychology\u2019, Qualitative Research in Psychology 3(2), 77\u2013101. https:\/\/doi.org\/10.1191\/1478088706qp063oa","DOI":"10.1191\/1478088706qp063oa"},{"key":"ref7","doi-asserted-by":"crossref","unstructured":"Butcher, N.E. & Balogh, Z.J., 2014, \u2018Update on the definition of polytrauma\u2019, European Journal of Trauma and Emergency Surgery 40(2), 107\u2013111. https:\/\/doi.org\/10.1007\/s00068-014-0391-x","DOI":"10.1007\/s00068-014-0391-x"},{"key":"ref8","doi-asserted-by":"crossref","unstructured":"Campbell, S., Greenwood, M., Prior, S., Shearer, T., Walkem, K., Young, S. et al., 2020, \u2018Purposive sampling: Complex or simple? 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