The process of rehabilitation is often long and challenging, requiring active participation from the care team and the patient. Patient participation, however, is often lacking in rehabilitation settings.1-3 Some of the most common reasons for patients’ lack of participation and adherence to treatment are poor communication with providers, complex treatment regimens, cost, and access barriers.1,4 A lack of motivation has also been cited as a common reason for low adherence.1 In a general sense, adherence is how closely and how often a patient follows the treatment plan recommended by their care team. The World Health Organization defines adherence as “the extent to which a person’s behavior…corresponds with agreed recommendations from a healthcare provider.”1 Increased adherence has been linked to positive outcomes, including patient satisfaction, function, quality of life, and long-term overall health-related costs.1,5
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