Résumé :
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[BDSP. Notice produite par INIST x2NpR0x9. Diffusion soumise à autorisation]. Study objectives-To understand reasons for compliance and non-compliance with a home based exercise regimen by patients with osteoarthritis of the knee. Design-A qualitative study, nested within a randomised controlled trial, examining the effectiveness of physiotherapy in reducing pain and increasing mobility in knee osteoarthritis. In the intervention arm, participants undertook a series of simple exercises and repositioning of the kneecap using tape. In depth interviews were conducted with a subset of participants in the intervention arm using open ended questions, guided by a topic schedule, to encourage patients to describe their experiences and reflect on why they did or did not comply with the physiotherapy. Interviews were audiotaped, fully transcribed and analysed thematically according to the method of constant comparison. A model explaining factors influencing compliance was developed. Setting-Patients were interviewed at home. The study was nested within a pragmatic randomised controlled trial. Participants-Twenty participants in the intervention arm of the randomised trial were interviewed three months after they had completed the physiotherapy programme. Eight were interviewed again one year later. Main results-Initial compliance was high because of loyalty to the physiotherapist. (...)
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