Which approach most effectively improves adherence to a home exercise program?

Which approach most effectively improves adherence to a home exercise program?

• A. Provide written instructions only
• B. Have the patient perform under therapist supervision
• C. Demonstrate the program and provide feedback
• D. Do not include supervision

Answer: (C)

Demonstrating the program and providing feedback is most effective because it blends clear instruction with immediate, personalized guidance. When a patient watches a correct demonstration, they learn the exact sequence, alignment, and tempo, reducing confusion and the risk of performing movements incorrectly. Feedback helps them understand what they did well and what needs adjustment, which builds confidence and self-efficacy—key factors that drive ongoing adherence to a home routine. This approach also allows the therapist to tailor cues to the individual’s learning style and address barriers or misconceptions right away, creating a practical plan they can reliably follow at home. Written instructions alone can be misinterpreted, supervision without targeted feedback may not translate to independent practice, and no supervision removes accountability and corrective support that sustain adherence.

Demonstrating the program and providing feedback is most effective because it blends clear instruction with immediate, personalized guidance. When a patient watches a correct demonstration, they learn the exact sequence, alignment, and tempo, reducing confusion and the risk of performing movements incorrectly. Feedback helps them understand what they did well and what needs adjustment, which builds confidence and self-efficacy—key factors that drive ongoing adherence to a home routine. This approach also allows the therapist to tailor cues to the individual’s learning style and address barriers or misconceptions right away, creating a practical plan they can reliably follow at home. Written instructions alone can be misinterpreted, supervision without targeted feedback may not translate to independent practice, and no supervision removes accountability and corrective support that sustain adherence.