BAŞARAN et al. (2014). Adherence to Home Exercise Program among Caregivers of Children with Cerebral Palsy | 147 parents (43.5% females, mean age [MA] = 34.3), Turkey | 52.9% | 2–18 years | A self-designed questionnaire with three close-ended questions assessing adherence. | Gross motor function classification system, OR = 1.50, p = 0.01), Emotional exhaustion, OR = 0.92, p < 0.001), Depression and anxiety were significantly not associated with adherence. | | NOS-7 stars |
Alwhaibi et al. (2022). Factors Affecting Mothers’ Adherence to Home Exercise Programs Designed for Their Children with Cerebral Palsy | 109 parents (99 females, MA = 33.7, Saudi Arabia | 66.10% | Below 12 years | An adapted questionnaire composed of 17 items scored on a 5-point Likert scale. | | Social support, β = 0.156, p = 0.041. Health professionals’ behaviour, β = 0.268, p = 0.026. Mother’s sense of unsureness, β= -0.306, p = 0.003 | NOS-8 stars |
Lillo-Navarro et al. (2019). Factors Associated with Parents’ Adherence to Different Types of Exercises in Home Programs for Children with Disabilities | 219 parents (85% female; MA = 34.3), Spain | 54.2% | Not specified | Adherence was assessed according to the prescribed dosage of the HEP on a 5-point Likert scale (1 = never, to 5 = always). | Education level, OR = 0.40, p < 0.05. Child inability to maintain sitting, OR = 2.12, p < 0.05, Low perception of barriers, OR = 2.7, p < 0.001. High knowledge and ability, OR = 5.68, p < 0.001 High self-efficacy = 3.28, p < 0.001 | Child inability to maintain sitting, OR = 2.65, p < 0.001, Low perception of barriers, OR = 2.52, p < 0.001. High knowledge and ability, OR = 3.69, p < 0.001, Giving information about evolution, OR = 6.27, p < 0.05; Justifying usefulness of exercises, OR = 9.49, p < 0.001; Using the child as a model, OR = 2.72, p < 0.05; Asking about adherence at home, OR = 2.98, p < 0.001; Parents’ high satisfaction with the care received, OR = 1.71, p < 0.05 | NOS-9 stars |
MEDINA-MIRAPEIX et al (2017). Predictors of parents’ adherence to home exercise programs for children with developmental disabilities, regarding both exercise frequency and duration: a survey design | 219 parents (8 males, 99 females; MA = 34.3), Spain | 42.8% | 0.5-6 years | Adherence was assessed according to the prescribed dosage of the HEP on a five-point (1 = never, to 5 = always). | Low perception of barriers, OR = 5.68, p < 0.001. High knowledge and ability, OR = 2.18, p < 0.001 High self-efficacy = 6.82, p < 0.001 Social support, OR = 2.04, p < 0.001 Age < 2 years, OR = 1.99, P < 0.05, Child inability to sit, OR = 2.23, p < 0.05, In treatment < 2 years OR = 2.3, p < 0.05, | Low perception of barriers, OR = 4.83, p < 0.001; High self-efficacy, OR = 6.67, p < 0.001. High knowledge and ability, OR = 2.21, p < 0.001. Social support, OR = 2.97, p < 0.001. Age < 2 years, OR = 2.09, p < 0.05 Child’s inability to walk, OR = 3.02, p < 0.001, Information about progress, OR = 3.75, p < 0.05, Justifying usefulness of exercises, OR = 2.17, p < 0.05 Advising to insert HEP into daily, (OR = 2.54, p < 0.001) Checking skills, OR = 2.21, p < 0.05. Asking about adherence at home, OR = 2.20, p < 0.001 Parents’ high satisfaction with the care received, OR = 1.71, p < 0.05 | NOS-9 stars |
Rone-Adams et al. (2004). Stress and Compliance with a Home Exercise Program Among Caregivers of Children with Disabilities | 66 parents, South Florida | 66% | Below 18 years | A self-designed questionnaire of six close-ended questions was used to assess HEP. | The level of stress (F = 4.417, p < 0.039, R2 = 0.065). Parent and family problems (r = 0.345, p = 0.005). | | NOS-6 stars |
Sel et al., (2020). Parents of children with physical disabilities perceive that characteristics of home exercise programs and physiotherapists’ teaching styles influence adherence: a qualitative study | 155 parents, Turkey | 47.1% | 2–18 years | 28 items Validated Questionnaire measuring adherence. | Depression and anxiety (r=-0.405, p < 0.001), medication use (r=-0.233, p = 0.003), Device use (r = 0,741, p < 0.001) Health professional attitudes (r = 0.221, p < 0.001) Gross motor function classification system, p < 0.01), | | NOS-7 stars |
Tahayneh et al., (2020), Factors affecting mother’s adherence towards cerebral palsy home exercise program among children at hebron and bethlehem, Palestine | 48 mothers, Palestine | 35.4% | 1–3 years | A self-reported questionnaire was used to assess adherence on a 5- point Likert scale (5 strongly agree to 1 strongly disagree) | The socio-economic, work, age, education and marital of mothers were not associated with HEP | | NOS-6 stars |
Gmmash et al. (2021). Parental Adherence to Home Activities in Early Intervention for Young Children with Delayed Motor Development. | 446 participants (96% females), USA | Not available | | A self-reported questionnaire was used to assess adherence | Therapists’ modelling of the activities (r = 0.5, p < 0.001), parent’s self-efficacy in the application of Home activity ([HA], r = 0.6, p < .000), HA enjoyed by a child (r = 0.5 p < .0001), HA appropriate for daily routines (r = 0.7, p < .000), HA appropriate for daily routines (r = 0.7, p < .000), HA appropriate for home environment (r = 0.6, p < .000), HA includes child’s sibling and extended family (r = 0.3, p < .000) were all significantly associated with adherence to HA | | NOS-7 stars |
[37]. Compliance with home rehabilitation therapy by parents of children with disabilities in Jews and Bedouin in Israel | 193 participants, Israel | 79.2% of Jews | 0.6-6 years | Compliance was measured by two questions from the validated questionnaire. | | The strongest factors significantly and positively associated with adherence to HEP were being Bedouin, parents’ education, hopefulness, the belief that exercise will improve functioning, satisfaction with the services and socioeconomic status, whereas the intensity of questioning destiny reduced adherence. | NOS-7 stars |
[40]. Home activity programs in families with children presenting with global developmental delays: evaluation and parental perceptions | 45 participants (90.3% females) Canada | 31.1% | 6–8 years | A self-reported questionnaire. | Social support and negative feelings such as motivation, hope, confidence, being more realistic and being at ease and satisfied with the idea of HEP were positively associated with adherence. But adherence was inversely related to the difficulty to integrate exercise into daily life and negative feelings such as burden, guilt, and discouragement. | NOS-6 stars |
[38]. Investigation of parents' compliance in physical therapy at home with toddlers diagnosed with cerebral palsy | 63 parents (51% female) Greece | 60% | 1–6 years | A self-reported questionnaire | simple, comprehensible, fun exercises, therapeutic support from the physiotherapist, personal communication and understanding, training of the parents, and involvement of parents in physiotherapy improve adherence to HEP. However, fear of causing pain and negative parents’ view of physiotherapy reduce adherence. | NOS-6 stars |
Demeke et al., (2023). Home-based therapy and its determinants for children with cerebral palsy, exploration of parents’ and physiotherapists’ perspective, a qualitative study, Ethiopia | 17 participants (27–39 years), Ethiopia | Not available | 1–4 years | Individual, face-to-face, and semi-structured interviews | Low family support, limited recourse, lack of knowledge and poor attitude negatively affected adherence to home-based therapy. | CASP-10 stars |
[35]. Parents of children with physical disabilities perceive that characteristics of home exercise programs and physiotherapists' teaching styles influence adherence: A qualitative study | 28 participants, Spain | Not specified | 0.5-6 years | Focus group discussion | Two key themes related to adherence were the characteristics of the HEP (the perceived effects of the exercises, their complexity, and the number of exercises undertaken) and the characteristics of the physiotherapist’s teaching style (when their physiotherapist tried to build parents’ confidence in the exercises, helped the parents to incorporate the HEP into their daily routine, provided incentives and increased motivation). | CASP-10 stars |