FACTORS AFFECTING PARENTAL ADHERENCE TO AN INTERVENTION PROGRAM FOR CONGENITAL TORTICOLLIS
גורמים המשפיעים על היענות הורים לתכנית התערבות מוקדמת בטורטוקוליס מולד
Sheri Rabino, M.A. שרי רבינו
Maccabi Health Services, Haifa, Israel. .
Shirley Rokach, B.A. שירלי רוקח פרץ
Child Development Center, Maccabi Health Services. Haifa, Israel
Tsophie Kastel-Deutch MD צופיה קסטל דויטש
Maccabi Health Services Haifa, Israel.
Emanuel Tirosh, MD. עמנואל תירוש
Hannah Khoushy Child Development Center, Bnai Zion Medical Center, Haifa, Israel.
The faculty of Medicine, Technion, Israel Institute of Technology
Parents are responsible for implementing the exercise program for congenital torticollis. Therefore identifying factors influencing parental adherence is of prime importance.
Sixty five mothers of full term infants referred to physical therapy were sequentially included. Valid and reliable questionnaires assessed the following independent variables: 1.
For active vs. passive involvement in treatment, 2. Satisfaction and trust in the therapist, 3. Expectations and belief in treatment credibility and 4. Disease Threat: Maternal perceptions of the
severity of the torticollis and the effect of treatment on her infant's function. The dependent variable, i.e. adherence, was measured by: 1. Attendance, 2. Exercise compliance, monitored by
parent's log and 3. Premature termination of treatment.
Thirty one percent of the prescribed exercises were performed and seventy eight percent of the scheduled visits were attended. Treatment was terminated with resolution
of the torticollis in 69.2%. Spearman correlation found statistically significant relationships between the proportion of clinic attendance and the proportion of exercises
performed (r =0.69 p < .0001) and fewer premature terminations (r = -0.43 p =.0003). The only variable found to be statistically significant in predicting adherence as
measured by attendance and the proportion of exercises performed was "Disease Threat" (p= 0.005 for both outcomes). Premature termination was not predicted by the
independent variables but was related to attendance and exercises performed.
Maternal perceptions of the severity of the torticollis and the importance of the treatment on future function predicted adherence.