Compliance in pain rehabilitation: Patient and provider perspectives

Michael E. Robinson*, Bernard Bulcourf, James W. Atchison, Jerry Berger, Ann Lafayette-Lucy, Adam T. Hirsh, Joseph L. Riley

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

9 Scopus citations

Abstract

Objective. To identify potential predictors and correlates of compliance and to examine differences between patient and provider perspectives on compliance. Patients. One hundred eighty-four patients (84 men and 96 women) were recruited from a chronic pain treatment program for this telephone follow-up study. Results. Health care providers (HCPs) reported making more recommendations than patients reported hearing. Patients rated themselves as more compliant than did HCPs. Overall compliance rates at a >6-month follow-up were 89% from the patients' perspective and 70% from the HCPs' perspective. HCPs rated compliance specific to psychological care as more related to positive outcomes than did patients. Participants' pain and anxiety ratings at a >6-month follow-up and satisfaction with treatment were significantly associated with patients' compliance ratings. For HCP-rated compliance, only HCPs' perceived benefit and interference from compliance were associated. Conclusion. Results suggest important disparities between HCPs and patients on remembered recommendations, levels of compliance, and health-related importance of complying with recommendations.

Original languageEnglish (US)
Pages (from-to)66-80
Number of pages15
JournalPain Medicine
Volume5
Issue number1
DOIs
StatePublished - Mar 2004

Keywords

  • Adherence
  • Chronic pain
  • Compliance
  • Health care provider
  • Patient
  • Perspective

ASJC Scopus subject areas

  • Clinical Neurology
  • Anesthesiology and Pain Medicine

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