Question 1

What is the difference between adherence and compliance?

Accepted Answer

Adherence is the extent to which someone follows a plan they have agreed to, an active partnership. Compliance describes following instructions without that agreement, which is less likely to last.

Question 2

Why do patients stop doing their home exercises?

Accepted Answer

Common reasons are low confidence, pain, low mood, poor understanding, a monotonous or time-consuming programme, no sense of progress and weak social support. Most are modifiable, so ask openly and without judgement rather than assuming the plan is being followed.

Question 3

What are the importance and confidence rulers?

Accepted Answer

A quick tool from motivational interviewing. The person rates from 0 to 10 how important the change is and how confident they feel, then explains the number, which opens a conversation about what would raise it.

Question 4

Can an athlete adhere too much to rehabilitation?

Accepted Answer

Yes. Over-adherence, training through pain and progressing too fast, can undermine recovery as much as doing too little. Distress on rest days or training far beyond the plan should prompt assessment for compulsive exercise, disordered eating or low energy availability.

Motivation and Adherence

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